The association between patient activation and healthcare resources utilization: a systematic review and meta-analysis

Anderson, Gloria; Rega, M.L.; Casasanta, Daniela; Graffigna, Guendalina; Damiani, Gianfranco; Barello, Serena

doi:10.1016/j.puhe.2022.06.021

Cited by 19 publications

(11 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Numerous studies have demonstrated the importance of the active involvement of cancer patients and those suffering from a chronic disease in the management of their disease as this improves quality of life and patient outcomes as well as reduces healthcare costs [ 8 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ].…”

Section: Discussionmentioning

confidence: 99%

Patient Engagement in Oncology Practice: A Qualitative Study on Patients’ and Nurses’ Perspectives

Tolotti

Barello

Vignaduzzo

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

Patient engagement has gained increasing attention in cancer care as it is widely acknowledged as an essential element of high-quality care. There are limited data on how oncology nurses might apply techniques that encourage patient engagement. Therefore, this study aims to understand which nursing strategies can favour patient engagement in oncological care from patients’ and nurses’ perspectives. We conducted a qualitative study involving oncology patients and oncology nurses. Patients were interviewed, while nurses were involved in focus groups (FGs). Both interviews and FGs were analysed by the means of thematic analysis. We interviewed six patients and conducted two FGs, involving 17 nurses. Five themes were identified from patients’ interviews: effective information, having the opportunity to choose, being considered a person, trusted relationship with nurses, and receiving support and advice. Additionally, five themes were identified from the FGs: the nurse–patient relationship, personalisation of care, information style, engagement strategies, and the team. The participants highlighted the importance of comprehensive information in order for patients to feel more involved. Great importance was given to the nurse–patient relationship, which must be based on trust and mutual respect. Both nurses and patients emphasised the importance of person-centred care. A more systematic implementation of suggestions from the participants in this study is desirable for the future.

show abstract

Section: Discussionmentioning

confidence: 99%

Patient Engagement in Oncology Practice: A Qualitative Study on Patients’ and Nurses’ Perspectives

Tolotti

Barello

Vignaduzzo

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…The disease resources of patients with T2DM were relatively abundant (3.47 ± .57), which may be related to regional medicine levels (Anderson et al, 2022). Nearly 53.07% of patients with T2DM TA B L E 1 Effects of different demographic characteristics on telenursing needs and chronic illness resource scores (CIRS) in T2DM patients.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have shown that (Christensen et al, 2022;Crowley et al, 2022;Iversen et al, 2020;Sjöström et al, 2021;Zhang et al, 2022) telenursing for diabetes can improve blood sugar control (Goh et al, 2021), induce behavioural changes, reduce hospitalization and prevent complications, thereby improving at-home diabetic self-management (María Gómez et al, 2022).The implementation of self-management behaviours requires access to disease-related social support resources, including but not limited to family, friends, medical professionals and reliable information sources (Glasgow et al, 2000). In reality, telenursing is the telematics-based remote implementation of in-person care services (Al-Badri et al, 2022), which by its very nature still depends on actual nursing resources (Anderson et al, 2022). However, the distribution of high-quality medical and health resources is unbalanced between urban and rural areas, and between eastern and western China (Wan et al, 2021;Yuan et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

“…The implementation of self‐management behaviours requires access to disease‐related social support resources, including but not limited to family, friends, medical professionals and reliable information sources (Glasgow et al, 2000). In reality, telenursing is the telematics‐based remote implementation of in‐person care services (Al‐Badri et al, 2022), which by its very nature still depends on actual nursing resources (Anderson et al, 2022). However, the distribution of high‐quality medical and health resources is unbalanced between urban and rural areas, and between eastern and western China (Wan et al, 2021; Yuan et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Telenursing needs and influencing factors in patients with type 2 diabetes mellitus: A cross‐sectional study

Zhou

Dang

Luo

et al. 2023

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and ObjectivesThis study aimed to determine the relationship between the demand for telenursing and the chronic illness resources available to patients with type 2 diabetes mellitus (T2DM), as well as the factors that affect this requirement.DesignCross‐sectional.MethodsThis study included 586 participants with T2DM. A telenursing needs questionnaire developed by the research team was used to assess the telenursing needs of patients with T2DM, and the Chinese version of the Chronic Illness Resources Survey was used to assess the participants' community chronic disease resources. A one‐way ANOVA and multiple regression analysis were used to determine the factors influencing the demand for telenursing and to estimate the relationship between chronic illness resources and the need for telenursing. The STROBE checklist was followed.ResultsThe patients' telenursing needs, ranked from high to low, are as follows: individualized skills and safety; basic disease care; psychological and spiritual needs; respect and social support; and high‐level health management. The chronic disease resource score was 3.47 ± .02, which suggested that patients with T2DM have relatively rich disease resources. Multiple regression analyses showed that resources for chronic diseases, the course of diabetes and complications, family income and other chronic diseases accounted for 79.6% of the variance in T2DM patients' telenursing needs.ConclusionsThe telenursing needs of patients with T2DM are prominent, and primarily focus on basic nursing needs for the disease. To some extent, chronic disease resources affect the telenursing needs of patients with T2DM.Relevance to Clinical PracticeIt is crucial to pay attention to research on telenursing for T2DM patients from the patients' perspective. Enhancing resources for chronic diseases may help meet the telenursing needs of T2DM patients.Patient or Public ContributionParents and diabetes management specialists participated in designing the telenursing needs questionnaire.

show abstract

“…A recent study noted that increased patient engagement in disease management can also positively influence the ability to maintain good work performance and psychological well-being in daily life 11. Furthermore, the literature has shown how actions and initiatives to actively involve patients in the management of their care are a key strategy to make the healthcare system fairer, more effective and sustainable 12 13…”

Section: Introductionmentioning

confidence: 99%

Protocol for a pilot and feasibility study evaluating a complex nurse-led patient education intervention to promote cancer patient engagement in healthy lifestyle (O-PHE programme)

et al. 2022

Self Cite

View full text Add to dashboard Cite

IntroductionLiterature suggests that patient engagement in healthy lifestyle is of crucial importance in ensuring a more effective management of side effects of cancer therapies and better quality of life for patients. While many studies describe educational interventions to promote healthy lifestyles, few are focused on promoting active patient engagement in this field. This protocol paper outlines a study to determine the feasibility of a complex nurse-led patient education intervention aimed to promote cancer patient engagement in a healthy lifestyle.Method and analysisThis is a randomised pilot and feasibility study. Research nurses will recruit 40 adult patients newly diagnosed with cancer. Consenting participants will be randomised to undergo the patient engagement in healthy lifestyle intervention or the control group by means of a four-block randomisation procedure. The intervention will be delivered by a clinical nurse trained in patient engagement strategies. The primary outcome will be a description of study feasibility (recruitment and retention rates, protocol adherence and stakeholder acceptability). Secondary outcomes include changes between and within groups in healthy lifestyle behaviours (ie, increase in healthy diet, smoke cessation or reduction, increase in physical activity), in quality-of-life rates after the intervention, in patient engagement levels, in the perception of the quality of care, in nutritional status; the number of recurrences or the onset of new cancer diagnosis; the number of hospitalization.Ethics and disseminationThe study protocol has been approved by the Canton Ticino Ethical Committee (Protocol ID: 2020-02477 TI). The results will be published in peer-reviewed journals and will be presented at national and international congresses. Finally, patients’ organisations, such as the Swiss Cancer League, will be involved in the dissemination process. This study will inform the decision to proceed with a randomised controlled trial to assess the effect of this intervention.

show abstract

The association between patient activation and healthcare resources utilization: a systematic review and meta-analysis

Cited by 19 publications

References 36 publications

Patient Engagement in Oncology Practice: A Qualitative Study on Patients’ and Nurses’ Perspectives

Patient Engagement in Oncology Practice: A Qualitative Study on Patients’ and Nurses’ Perspectives

Telenursing needs and influencing factors in patients with type 2 diabetes mellitus: A cross‐sectional study

Protocol for a pilot and feasibility study evaluating a complex nurse-led patient education intervention to promote cancer patient engagement in healthy lifestyle (O-PHE programme)

Contact Info

Product

Resources

About