The effect of a person-centred and strength-based health intervention on recovery among people with chronic illness

Abstract

Denne filen er hentet fra Lovisenberg diakonale høgskoles institusjonelle arkiv LDH Brage.The effect of a person-centered and strength-based health intervention on recovery among people with chronic illness Abstract Background: Strengthening the health capacities of people diagnosed with a chronic illness is an essential part of secondary and tertiary prevention. However, research-based interventions focussed on health and recovery in chronic illness remain scarce. Additionally, these are often designed for specific diagnostic groups while healthcare workers are in need of more broadly applicable interventions that attend to personal resources for health. The aim of the present study was to trace patient recovery during an intervention designed to strengthen their bodily knowledge as an important resource for coping, recovery and health in chronic illness. Design and methods: The Outcome Rating Scale (ORS) was applied, as this instrument repeatedly measures progress in coping and recovery. Four dimensions were assessed: (1) individual (personal or symptomatic distress or wellbeing); (2) interpersonal (relational distress or wellbeing); (3) social (patient satisfaction with work, school and relationships) and (4) overall (general sense of wellbeing). Results:The sample comprised 13 men and 24 women who had been diagnosed with a range of long-term conditions and were attending the person-focussed health intervention in their community. Significant change was identified during the programme period. The findings indicate more improvement on the personal and general wellbeing dimensions than on the interpersonal and social dimensions. The number of participants scoring above the ORS cut-point of 25 increased by a factor of 1.7, demonstrating the programme's efficiency. Conclusions:The results indicate that The Bodyknowledging Programme had a significant impact on the various forces driving recovery in chronic illness.

Health Promotion Among Individuals Facing Chronic Illness: The Unique Contribution of the Bodyknowledging Program

“…This applied to different areas of life, including family life, working life, and social life. These findings indicate that the BKP attends especially to the psychosocial dimensions of health in individuals with chronic illness and relational support [38,53,54]. According to Dwarswaard et al [71] relational support is at the center of the support needs and fuels all other types of support.…”

“…This is an essential finding, as perceived internal control is necessary in order for patients to be in charge of their own health. In another study of the efficiency of BKP in community care, the Outcome Rating Scale (ORS) was used to measure patients' self-reported recovery repeatedly at baseline, after four sessions of BKP and after program completion [54]. Four dimensions were assessed: (1) individual (personal or symptomatic distress and well-being), (2) interpersonal (relational distress or well-being), (3) social (patient satisfaction with work, school, and relationships), and (4) overall (general sense of well-being).…”

“…It is different because Health care personnel who are leading BKP groups are working within a patient-based framework which "reflects" the patients' "world," replacing the professionals stand to be facilitators for health within the patient-defined framework. When Bodyknowledging is used as a backdrop, this functions as a key to open a new door to "a room of recovery" meaning that BKP participants can come forward with their experiences with the illness, health strategies, and hopes for the future as well as their worries and challenges [24,54]. This provides a foundation for addressing individual challenges of living with chronic illness and to discover individual possibilities for the promotion of health within illness.…”

“…The BKP adds by demonstrating the effects of using a framework that elicits patients' bodily knowledge of health as a resource for selfmanagement [54,55] and as a tool to promote shifts from having "illness in the foreground" to having "health in the foreground" [19]. Participants described that "to be healthy within illness" implied coming out of a vacuum and to participate in life again.…”

Health‐care professionals’ assessment of a person‐centred intervention to empower self‐management and health across chronic illness: Qualitative findings from a process evaluation study

“…In a separate study of the feasibility and outcomes in community care, participants reported that their engagement in the intervention improved perceived control of illness‐related stress and circumstances when HCP challenged patients to get to know their bodies and utilize their knowledge of health and illness 21 . Another study investigating the efficiency of BKP in community care reported significant changes in recovery 22 . A comparative study of BKP participants in specialist and community care showed that SOC improved at programme completion in both groups 23 .…”