Patients’ experiences with metaphors in a solution-focused approach to improve self-management skills: A qualitative study

Solberg, Hege; Nysether, Gerd E.; Steinsbekk, Aslak

doi:10.1177/1403494812449925

Cited by 7 publications

(7 citation statements)

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“…Consistent with our findings, other studies have demonstrated that the use of pictures and game elements in patient education is a promising method to support educators in facilitating person-centredness and active involvement. 17,[24][25][26] Examples include the DESMOND program, the EMMA program and the Conversation Map tool. [25][26][27] In addition, a feasibility study of the dialogue tools assessed here demonstrated that educators considered them helpful in creating participation and dialogue in patient education that focused on the daily lives of participants.…”

Section: Discussionmentioning

confidence: 99%

The use of dialogue tools to promote dialogue-based and person-centred patient education for people with type 2 diabetes

2016

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Section: Discussionmentioning

confidence: 99%

The use of dialogue tools to promote dialogue-based and person-centred patient education for people with type 2 diabetes

2016

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“…Tal pode ser efetuado incentivando o paciente a transmitir a sua informação sobre a doença, dúvidas e sentimentos, sem medo de ser julgado ou criticado. A literatura sugere que focar as metáforas durante a intervenção acarreta benefícios a longo prazo na autogestão (Grillo et al, 2016;Hinder & Greenhalgh, 2012;Solberg et al, 2014). Além disso, os profissionais de saúde deverão estar atentos às suas metáforas, que transmitem durante as consultas, pois poderão estar a influenciar a autogestão dos pacientes.…”

Section: Discussionunclassified

A diabetes não dói, não se sente, mas está cá dentro!

2019

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Em Portugal mais de um quarto da população entre os 60 e os 79 anos tem diabetes mellitus tipo 2. As recomendações terapêuticas exigem autogestão pelos pacientes, pois envolvem mudanças de estilo de vida. Contudo, apenas cerca de 20% dos pacientes são ótimos autogestores. A autogestão está associada a crenças, sendo as metáforas mecanismos que refletem as crenças usadas pelos indivíduos para compreender e agir. O objetivo deste estudo é analisar as metáforas de adultos idosos (≥ 65 anos) diabéticos tipo 2, sobre “o que é a diabetes” (identidade; causa; evolução e consequências), relevante pelas implicações para a prática clínica, pois revela metáforas que poderão influenciar a autogestão. Este estudo qualitativo e exploratório recorre à teoria cognitiva da metáfora, explorando metáforas dos participantes através de entrevistas semiestruturadas. Compreende 17 participantes que relataram 84 metáforas. As entrevistas foram submetidas a análise de conteúdo. Os principais resultados indicam: identidade descrita por “doença que não dói, não se sente, mas está cá dentro”; causas envolvem “não sei como se apanha” e “herdei esta doença”; evolução e consequências associam-se a “lentamente vai dando cabo da pessoa”. Estas metáforas sugerem que os adultos idosos diabéticos tipo 2 vivem a doença como algo “misterioso”, o que poderá dificultar o seu envolvimento na autogestão.

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“…Metaphors are defined as perception and experience in the form of other words through objective visualization (24), and they subtly teach readers that everything requires a structure and that change is always possible inside any structure (25). According to prior studies, metaphors may be effective in the diagnosis of both severe and stable mental diseases such as schizophrenia, bipolar disorder, major depression, dysthymia (26), personal development, selfacceptance, sense of appreciating life, reduction of anxiety (27), cognitive development (28), self-concept development (29), and sense of responsibility (30).…”

Section: Introductionmentioning

confidence: 99%

“…Immediately they face even the most trivial obstacle, they feel serious distress. Under these conditions, IMT can help due to the promotion of a sense of responsibility in the field of health management (30). Moreover, it was also found that IMT can significantly affect the reduction of anxious over concern among drug addicts.…”

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confidence: 98%

Cognitive Restructuring Based on Metaphor Therapy to Challenge the Irrational Beliefs of Drug Addicts Undergoing Buprenorphine Treatment

Komasi

Saeidi

Zakiei

et al. 2016

Int J High Risk Behav Addict

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Background: The use of metaphors rather than direct suggestions of treatment can help to weaken defense mechanisms against any functional changes and so cause an increase in the effectiveness of therapeutic interventions. Objectives: This research was conducted with the aim of determining the effectiveness of individual metaphor therapy (IMT) in reducing the irrational beliefs and cognitive restructuring of drug addicts undergoing buprenorphine treatment. Patients and Methods: Using a randomized controlled trial (RCT), 100 drug addicts who were referred to MMT/BMT centers in the city of Kermanshah, Iran, from July to September 2014 were selected through single-stage cluster sampling. After excluding 56 patients from the study due to their failure to meet the inclusion criteria, 44 people (37 at the end) were randomly enrolled into the experimental (n = 19) or control groups (n = 18). The SCID-I and the Jones' Irrational Beliefs tests were used as a means of measurement. Ten sessions of IMT (one session per week) were used as the intervention for the experimental group. The controls received routine cognitive restructuring. Data analysis was conducted using a multivariate analysis of covariance (MANCOVA). Results: After adjusting for age and gender, the findings of the study revealed that IMT was significantly effective in reducing the irrational beliefs of approval seeking (P = 0.02), high self-expectation (P = 0.01), frustration reactivity (P = 0.03), anxious over concern (P = 0.02), and perfectionism (P = 0.006). Conclusions: Since IMT can repeatedly neutralize patients' defenses without aggravating their anxiety, and as the therapy can help patients via the development of a new awareness or reformatting the patients' condition, it is recommended that this kind of therapy be used more widely in cognitive restructuring among drug addicts.

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Patients’ experiences with metaphors in a solution-focused approach to improve self-management skills: A qualitative study

Abstract: The metaphor "Captain of the ship" was experienced as strengthening the messages from the solution-focused approach.

Cited by 7 publications

References 10 publications

The use of dialogue tools to promote dialogue-based and person-centred patient education for people with type 2 diabetes

The use of dialogue tools to promote dialogue-based and person-centred patient education for people with type 2 diabetes

A diabetes não dói, não se sente, mas está cá dentro!

Cognitive Restructuring Based on Metaphor Therapy to Challenge the Irrational Beliefs of Drug Addicts Undergoing Buprenorphine Treatment

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