Gesundheitliche Kontrollüberzeugungen von Patienten in Disease Management Programmen

Abstract

Health locus of control beliefs plays a major role in improving self-management skills of the chronically ill - a main goal in disease management programmes (DMP). This study aims at characterising participants in disease management regarding their health locus of control. Data are based on 4 cross-sectional postal surveys between spring and autumn of 2006 and 2007 within the Health Care Monitor of the Bertelsmann Foundation. Among the 6 285 respondents, 1 266 are chronically ill and not enrolled in a DMP and 327 are participating in a DMP. A high internal locus of control (HLC) occurs significantly less often in DMP patients than in normal chronically ill patients (and healthy people) controlling for age, gender and social class. With increasing age, a high internal locus of control is also significantly less likely. When comparing healthy people, the chronically ill and the DMP participants a social gradient of a high internal locus of control belief can be observed. The weaker internal and higher doctor-related external locus of control of DMP participants should be carefully observed by the physician when trying to strengthen the patients' self-management skills. Evaluators of DMP should take into account the different baselines of DMP patients and relevant control groups and incorporate these differences into the evaluation.

Health Locus of Control on Coping Mechanisms of Chronic Renal Failure Patients With Hemodialysis Therapy at Blambangan Hospital Banyuwangi

“…Salah satu faktor yang mempengaruhi mekanisme koping penderita GGK dengan terapi hemodialisa adalah keyakinan atau yang biasa disebut sebagai health locus of control. Studi terbaru menunjukkan bahwa health locus of control sangat bermanfaat dalam menjaga kepatuhan pasien dan manajemen suatu penyakit (Schnee and Grikscheit, 2013). Health locus of control merupakan sebuah konsep dimana individu menempatkan hasil kesehatan mereka dalam kendali mereka sendiri.…”

“Descubriendo Soluciones Juntos”—An argument for adapting problem-solving training for Latinx care partners after traumatic brain injury (TBI).

“…However, some cultural values may lead to stronger external, versus internal, locus of control. Locus of control is an important determinant of health care participation (Náfrádi, Nakamoto, & Schulz, 2017; Rayan-Gharra, Balicer, Tadmor, & Shadmi, 2019; Schnee & Grikscheit, 2013; Tederko, Krasuski, Krasuski, Długołęcka, & Tarnacka, 2017). More external locus of control is associated with less engagement and more decisional conflict than internal locus of control (Metz, Veerbeek, van der Feltz-Cornelis, de Beurs, & Beekman, 2018).…”