Self-management Education Programs in Chronic Disease

Warsi, Asra; Wang, Philip S.; LaValley, Michael P.; Avorn, Jerry; Solomon, Daniel H.

doi:10.1001/archinte.164.15.1641

Cited by 613 publications

(182 citation statements)

References 89 publications

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“…This has been confirmed by empirical studies of treatment adherence among patients with hypertension [20] [21]. Evidence suggests that patient education can be effective in supporting treatment adherence and hypertension self-management, especially if the educational programs pay attention to underlying barriers to adherence such as patients' beliefs and concerns about the nature of hypertension and the prescribed treatment, medication self-efficacy and specific social, cultural and individual barriers to optimal hypertension management [22]- [25]. A systematic review of studies on various strategies for improving the quality of primary hypertension care in high income countries concludes that organizational health system changes and patient education have the biggest impact on blood pressure (BP) outcomes [26].…”

Section: Introductionmentioning

confidence: 88%

How Group-Based Cardiovascular Health Education Affects Treatment Adherence and Blood Pressure Control among Insured Hypertensive Nigerians: A Pre-Test, Post-Test Study

Odusola¹,

Nelissen²,

Hendriks³

et al. 2015

WJCD

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In sub Saharan Africa (SSA), access to affordable hypertension care through health insurance is increasing. But due to poor adherence, hypertension treatment outcomes often remain poor. Patient-centered educational interventions may reverse this trend. Using a pre-test/post-test design, * Corresponding author. A. O. Odusola et al. 182in this study we investigated the effects of a structured cardiovascular health education program (CHEP) on treatment adherence, blood pressure (BP) control and body mass index (BMI) among Nigerian hypertensive patients who received guideline-based care in a rural primary care facility, in the context of a community based health insurance program. Study participants included 149 insured patients with uncontrolled BP and/or poor self-reported medication adherence after 12 months of guideline-based care. All patients received three group-based educational sessions and usual primary care over 6 months. We evaluated changes in self-reported adherence to prescribed medications and behavioral advice (primary outcomes); systolic BP (SBP) and/or diastolic BP (DBP) and BMI (secondary outcomes); and beliefs about hypertension and medications (exploratory outcomes). Outcomes were analyzed with descriptive statistics and regression analysis. 140 patients completed the study (94%). At 6 months, more participants reported high adherence to medications and behavioral advice than at baseline: respectively, 101 (

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Section: Introductionmentioning

confidence: 88%

How Group-Based Cardiovascular Health Education Affects Treatment Adherence and Blood Pressure Control among Insured Hypertensive Nigerians: A Pre-Test, Post-Test Study

Odusola¹,

Nelissen²,

Hendriks³

et al. 2015

WJCD

View full text Add to dashboard Cite

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“…In the UK there are currently 5.4 million people receiving treatment for asthma, with an average of 3 people per day dying from the condition [2]. Asthma control is seen as the primary goal of asthma treatment with patients playing an important role in managing or controlling the condition day to day [3]. The aim behind active asthma management is to improve long-term control of the condition and to reduce the need for emergency treatment [4], as better management has been associated with improved outcomes [3].…”

Section: Introductionmentioning

confidence: 99%

How do people with asthma use Internet sites containing patient experiences?

Sillence

Hardy

Briggs

et al. 2013

Patient Education and Counseling

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Objective: To understand how people engage with websites containing patient authored accounts of health and illness. To examine how people with asthma navigate their way through this information and make use of the patient experiences they find. Methods:Twenty-nine patients with diagnoses ranging from mild to severe asthma were shown a range of websites, some containing patient experiences, and selected two sites to explore further. They discussed their choices in a series of focus groups and interviews.Results: Participants were influenced initially by the design quality of the sites and were subsequently drawn to websites containing patient experiences but only when contributions were from similar people offering 'relevant stories'. The experiences reminded participants of the serious nature of the disease, provided new insights into the condition and an opportunity to reflect upon the role of the disease in their lives. Conclusion:For people with asthma websites containing other patients' personal experiences can serve as a useful information resource, refresh their knowledge and ensure their health behaviours are appropriate and up-to-date.Practice Implications: Health professionals should consider referring asthma patients to appropriate websites whilst being aware that online experiences are most engaging when they resonate with the participants own situation.

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“…9 Nevertheless, more timeefficient modes of delivering self-management, such as e-health (i.e., over the Web) and m-health (i.e., through mobile apps), have become increasingly popular. 13,14 Although distance interventions play a role in improving patient access, they are not able to take into account patients' individual circumstances.…”

Section: The Time Required To Deliver Self-management Support Effectimentioning

confidence: 99%

Clinician's Commentary on Figueiredo et al.

Harrison

2017

Physiotherapy Canada

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Self-management Education Programs in Chronic Disease

Abstract: Self-management education programs resulted in small to moderate effects for selected chronic diseases. In light of evidence of publication bias, further trials that adhere to a standard methodology would help clarify whether self-management education is worthwhile.

Cited by 613 publications

References 89 publications

How Group-Based Cardiovascular Health Education Affects Treatment Adherence and Blood Pressure Control among Insured Hypertensive Nigerians: A Pre-Test, Post-Test Study

How Group-Based Cardiovascular Health Education Affects Treatment Adherence and Blood Pressure Control among Insured Hypertensive Nigerians: A Pre-Test, Post-Test Study

How do people with asthma use Internet sites containing patient experiences?

Clinician's Commentary on Figueiredo et al.

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