The Taxonomy of Everyday Self-management Strategies (TEDSS): A framework derived from the literature and refined using empirical data

Audulv, Åsa; Ghahari, Setareh; Kephart, George; Warner, Grace; Packer, Tanya

doi:10.1016/j.pec.2018.08.034

Cited by 43 publications

(61 citation statements)

References 27 publications

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“…However, another important system indicator that is absent from the current life satisfaction literature is avoidable hospitalisations, such as those caused by ACSCs. Given the evidence around the interrelationships between emotional factors and chronic disease self -management14 and in particular how emotional and psychological distress can influence the ability of a patient to manage their chronic condition,15 16 more research is needed that quantitatively measures the impact of subjective well-being on important healthcare system outcomes.…”

Section: Introductionmentioning

confidence: 99%

Relationship between life satisfaction and preventable hospitalisations: a population-based cohort study in Ontario, Canada

et al. 2020

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ObjectiveTo examine if low life satisfaction is associated with an increased risk of being hospitalised for an ambulatory care sensitive condition (ACSC), in comparison to high life satisfactionDesign and settingPopulation-based cohort study of adults from Ontario, Canada. Baseline data were captured through the Canadian Community Health Survey (CCHS) and linked to health administrative data for follow-up information.Participants129 467 men and women between the ages 18 and 74.Main outcome measuresTime to avoidable hospitalisations defined by ACSCs.ResultsLife satisfaction was measured at baseline through the CCHS and follow-up information on ACSC hospitalisations were captured by linking participant respondents to hospitalisation records covered under a single payer health system. Within the study time frame (maximum of 14 years), 3037 individuals were hospitalised. Older men in the lowest household income quintile were more likely to be hospitalised with an ACSC. After controlling for age, sex, socioeconomic status (SES) and other behavioural factors, low life satisfaction at baseline had a strong relationship with future hospitalisations for ACSCs (HR 2.71; 95% CI 1.87 to 3.93). The hazards were highest for those who jointly had the lowest levels of life satisfaction and low household income (HR 3.80; 95% CI 2.13 to 6.73). Results did not meaningful change after running a competing risk survival analysis.ConclusionsThis study demonstrates that poor life satisfaction is associated with hospitalisations for ACSCs after adjustment for several confounders. Furthermore, the magnitude of this relationship was greater for those who were more socioeconomically disadvantaged. This study adds to the existing literature on the impact of life satisfaction on health system outcomes by documenting its impact on avoidable hospitalisations in a universal health system.

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Section: Introductionmentioning

confidence: 99%

Relationship between life satisfaction and preventable hospitalisations: a population-based cohort study in Ontario, Canada

et al. 2020

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“…From the results of a recent review of 28 interventions, eight reported no specific theoretical foundations, ten used Bandura's social cognitive theory as principle, while the rest provided a wide variety of other theoretical underpinnings, [6] very few of them explicitly describe how this is conceptualized or even how to measure it directly [7,8] let alone programs aimed at the elderly population.…”

Section: Introductionmentioning

confidence: 99%

“…Further research is still needed. [6][7][8][9][10][11][12] One of the most reported programs in chronic condition management was developed at Flinders-Australia University, which conceptualizes self-management and measures this through the Partners in Health Instrument (PHS). The PIH concept describes 6 characteristics of this.…”

Section: Introductionmentioning

confidence: 99%

“…[23] Although all the studies recognize the psychometric and applicative validity of the instrument in the results, different dimensions or factors are reported depending on the population, which corroborates that this is a complex and multidimensional construction of self-management. [6][7][8][9][10][11][12] Therefore, this study tries to contribute to this construction through the validation of the Partners in Health Scale in the elderly population in Peru. It is part of the project Network of Self-management in Chronic Diseases (www.reddeautom anejo.com) in which, together with the Ministry of Health and PAHO of that country, they carry out interventions that promote self-management in the elderly population.…”

Section: Introductionmentioning

confidence: 99%

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A self-management measurement: Validity of the Partners in Health Scale (PHS) instrument in Peruvian elderly population

Córdova¹,

Albornoz-Jiménez

Gómez³

et al. 2020

JHA

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The Partners and Health Scale Instrument has been validated in several countries, however, it has just been applied in Spanishspeaking countries to people with chronic conditions, allowing a self-management evaluation with wide clinical application and research. It is the first time it has been applied in elderly patients (60 or older) in Spanish-speaking countries. This study shows the instrument validity in this population - users of health services of the Ministry of Health in Lima-Peru. An intentional non-probabilistic sample of 152 subjects with Construction Validity was performed: 1) Factor Analysis and 2) Confirmatory with structural equations and Reliability: Cronbach’s Alpha presents construct validity in three factors with an explained variance of 0.597. From the results of the goodness of fit model measures obtained by AMOS 24.0 and FACTOR 10.10, it can be seen that 6 of the 7 measures obtained are acceptable. The reliability with the Cronbach Alpha coefficient was 0.845. Although the model may have high-quality goodness of fit, the possibility of another alternative model that meets a better fit cannot be rejected; the results allow us to conclude that this Instrument presents validity and reliability in the evaluation of self-management within three factors.

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“…24 26 27 While the scoping review found that 13 of the 28 measures were multidimensional, none of them captured the range of domains important to patients, as identified by the TEDSS. 19 Lack of sufficient specificity for individualised patient care and self-management research Single-score measures can be brief, reliable and valid instruments for screening, risk prediction and for use in outcome studies 28 but they have limited utility in differentiating individual patients' self-management support needs or in personalising or tailoring care. A Cochrane review (19 studies n=10 856 participants) concluded that when compared with usual care, personalised care planning leads to improvements in 'physical and psychological health status, and peoples' capacity to self-manage their condition'.…”

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confidence: 99%

Protocol for development, calibration and validation of the Patient-Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC)

et al. 2020

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IntroductionAssessing and measuring patients’ chronic condition self-management needs are critical to quality health care and to related research. One in three adults around the world live with multiple chronic conditions. While many patient-reported measures of self-management have been developed, none has emerged as the gold standard, and all have one or more of the following limitations: (1) they fail to measure the different domains of self-management important to patients, (2) they lack sufficient specificity to support patient-centred care or identify the specific components of self-management interventions that work and/or (3) they lack suitability for patients with multiple chronic conditions.Methods and analysisThe Patient-Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC) is being developed to overcome these shortcomings. It will measure respondents’ perceived success (or difficulty) in self-managing seven domains important to patients. The protocol has three phases. Phase 1 is conceptual model development and item generation. Phase 2 is assessment of the relevance and understanding of items by people with chronic conditions. Phase 3 is item analysis, dimensionality assessment, scaling and preliminary validation of the PRISM-CC using an online survey of people with chronic conditions (n~750). The expected completion date is early 2021.Ethics and disseminationThis study will adhere to the Canadian Tri-Council Policy Statement on Ethical Conduct for Research Involving Humans. Ethics approval for all phases has been obtained from the Nova Scotia Health Authority Research Ethics Board. Once completed, the PRISM-CC will be made available for research and healthcare at minimal to no cost.

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The Taxonomy of Everyday Self-management Strategies (TEDSS): A framework derived from the literature and refined using empirical data

Abstract: The TEDSS Framework may help to guide health service delivery and research.

Cited by 43 publications

References 27 publications

Relationship between life satisfaction and preventable hospitalisations: a population-based cohort study in Ontario, Canada

Relationship between life satisfaction and preventable hospitalisations: a population-based cohort study in Ontario, Canada

A self-management measurement: Validity of the Partners in Health Scale (PHS) instrument in Peruvian elderly population

Protocol for development, calibration and validation of the Patient-Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC)

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