The Effects of the Self-Efficacy Method on Adult Asthmatic Patient Self-Care Behavior

Chen, Su-Yueh; Sheu, Sheh Yi; Chang, Ching-Sheng; Wang, Tung-Heng; Huang, Ming-Shyan

doi:10.1097/nrj.0b013e3181fbe33f

Cited by 35 publications

(33 citation statements)

References 6 publications

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“…5 Furthermore, treatment models that include individualized treatment plans, shared decision making, patient education, and encouragement of self-care have been shown to improve patient adherence and outcomes. 6–9 …”

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confidence: 99%

Improvement in Asthma Control Using a Minimally Burdensome and Proactive Smartphone Application

Cook

Modena

Simon

2016

The Journal of Allergy and Clinical Immunology: In Practice

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BACKGROUND Integrated chronic disease treatment models that enable patient self-care and shared treatment decision making have recently been shown to improve medication adherence and outcomes. Smartphone applications (apps) are a readily available means to enable this model, although sustained user engagement remains a challenge. OBJECTIVE To assess the efficacy of improving asthma control using a proactive smartphone app without required regular inputs. METHODS We designed a minimally intrusive smartphone app to provide individualized and timely support to patients with asthma based on the National Asthma Education and Prevention Program guidelines and Scripps management pathways. In this proof-of-concept study, we enrolled 60 adults with poorly controlled asthma to test the usability and effectiveness of this app over a 4-month period. The Asthma Control Test survey was used to assess control before, during, and after app use. As a corollary, a retrospective chart review was also used to assess changes in lung function and prescribed courses of systemic corticosteroids. RESULTS Our patients, with a mean age of 50 years, reported an improvement in Asthma Control Test scores from 16.6 (inadequate to poor) to 20.5 (controlled) over the study period. Concurrently, there was a 7.9% absolute increase in FEV1, while courses of systemic corticosteroids decreased from 0.5 to 0.3 courses per 6-month period. Fifty-eight of 60 patients completed the final survey, with high satisfaction reported. CONCLUSIONS This app improved asthma control in a cohort of patients with uncontrolled asthma (age range, 17–82 years), while minimizing burdensome inputs and proactively providing individualized teaching and treatment support. The app and treatment model are scalable to cost-effectively manage chronic disease.

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confidence: 99%

Improvement in Asthma Control Using a Minimally Burdensome and Proactive Smartphone Application

Cook

Modena

Simon

2016

The Journal of Allergy and Clinical Immunology: In Practice

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“…The majority of these interventions (16 of 26 studies) focused on medication-taking [13;17–20;23–28;30;31;34;36;37], while five addressed effective prescribing [16;22;29;35;38], four utilized shared decision-making [14;15;32;33], and one addressed effective feedback [21]. Educational interventions were frequently delivered by research personnel or multidisciplinary teams.…”

Section: Resultsmentioning

confidence: 99%

“…Four studies reported adherence improvements as well as increased patient knowledge, self-efficacy, and self-monitoring skills; reductions in barriers to adherence; and greater patient activation [20;24;27;33]. Notably, for these outcomes, successful interventions combined patient education with supplemental coaching, motivational approaches, or social support.…”

Section: Resultsmentioning

confidence: 99%

Patient-centered interventions to improve medication management and adherence: A qualitative review of research findings

Kuntz¹,

Safford²,

Singh³

et al. 2014

Patient Education and Counseling

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Objective Patient-centered approaches to improving medication adherence hold promise, but evidence of their effectiveness is unclear. This review reports the current state of scientific research around interventions to improve medication management through four patient-centered domains: shared decision-making, methods to enhance effective prescribing, systems for eliciting and acting on patient feedback about medication use and treatment goals, and medication-taking behavior. Methods We reviewed literature on interventions that fell into these domains and were published between January 2007 and May 2013. Two reviewers abstracted information and categorized studies by intervention type. Results We identified 60 studies, of which 40% focused on patient education. Other intervention types included augmented pharmacy services, decision aids, shared decision-making, and clinical review of patient adherence. Medication adherence was an outcome in most (70%) of the studies, although 50% also examined patient-centered outcomes. Conclusions We identified a large number of medication management interventions that incorporated patient-centered care and improved patient outcomes. We were unable to determine whether these interventions are more effective than traditional medication adherence interventions. Practice Implications Additional research is needed to identify effective and feasible approaches to incorporate patient-centeredness into the medication management processes of the current health care system, if appropriate.

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“…On the other hand, Chen et al [52] study found that patients with high self-efficacy have better control over their ailment. In contrast, patients with low self-efficacy are often pessimistic and depressed and tend to develop complications that worsen extant conditions.…”

Section: Discussionmentioning

confidence: 99%

Development and Implementation of an Evidence-based Self-regulation Intervention: Effect on Knowledge and Perceived Control Among Adult Patients with Asthma

Bayoumy¹,

Osman²

2015

Int J Nurs Clin Pract

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Background: Most chronic diseases are variable and an individual must exercise a significant degree of judgment regarding management. Self management therefore requires that the person understands the illness and actively participate in the treatment process. According to self regulation (SR) theory, individuals are required to set personally important goals that guide their behaviors through goalguidance process. Since, very few or almost no available data to assess self-regulation interventions focused on improving asthma knowledge and control, the current study aimed at evaluating the efficacy of asthma-self-regulation intervention among targeted patients. Methods/Design: A pre/post-test study design was used to compare a six-session asthma-self regulation intervention on participants' outcome. Intervention program was based on the principles of self-regulation for disease management, and all program activities and materials are designed to be responsive to the specific needs of participants. Thirty asthmatic patients were recruited for the study.Researchers assessed the effect of the intervention on patients' knowledge gains and control of asthma symptoms. Data were collected at baseline, immediately and two months after the program. Keywords:Asthma, Chronic disease self management, Selfregulation, Knowledge, Asthma control Research Article Open Access IntroductionAsthma is a major public health problem and one of the most common chronic conditions in the world. According to the Global Burden of Disease Study, asthma caused more than 345,000 deaths worldwide in 2010 [1]. In Europe alone, asthma affects 30 million people and the cost of asthma care in Europe is estimated at £18 billion per year; lost productivity accounts for almost £10 billion of this [1]. The second half of the 20 th century was marked by a disturbing increase in frequency of allergic diseases, affecting approximately 20 percent of the global population, and the rate of bronchial asthma amongst adults is 5.4 percent (4.9% in men and 5.8% in women) [2]. Epidemiological studies in Saudi Arabia revealed an increasing prevalence of asthma in the past three decades, which may be attributed to the rapid lifestyle changes related to the modernization of Saudi society, changes in dietary habits, and exposure to environmental factors such as indoor allergens, dust, sand storms, and tobacco [3]. Asthma, a common chronic disorder of the airways in Saudi Arabia affecting more than 2 million Saudis, ranks19 th in terms of disability-adjusted life years [4].Asthma had an enormous impact on patient's wellbeing [5], despite the availability of effective treatments and evidencebased management guidelines [6]. Asthma can result in physical, emotional, and social limitations that can impair patients' quality oflife [7]. There is a growing burden of asthma in terms of morbidity,

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The Effects of the Self-Efficacy Method on Adult Asthmatic Patient Self-Care Behavior

Abstract: On the basis of these results, self-efficacy intervention has been demonstrated a beneficial addition to adult asthmatic patient self-care regimens.

Cited by 35 publications

References 6 publications

Improvement in Asthma Control Using a Minimally Burdensome and Proactive Smartphone Application

Improvement in Asthma Control Using a Minimally Burdensome and Proactive Smartphone Application

Patient-centered interventions to improve medication management and adherence: A qualitative review of research findings

Development and Implementation of an Evidence-based Self-regulation Intervention: Effect on Knowledge and Perceived Control Among Adult Patients with Asthma

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