When Overcompliance Means Trouble

Carr, Pat

doi:10.1097/00152193-199003000-00023

Cited by 5 publications

(2 citation statements)

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“…Other researchers have specifically challenged the assumption that people should and can assume an active role in diabetes self‐care because (1) not all people have the knowledge and experience to make appropriate decisions (Paterson et al. 1998), (2) people may alter their decision to assume control when life events or circumstances intervene (Wikblad & Montin 1992), and (3) some people who assume an active role in decision making may be overcompensating by becoming overly focused on the disease (Carr 1990).…”

Section: Introductionmentioning

confidence: 99%

Critical analysis of everyday self‐care decision making in chronic illness

Paterson

Russell

Thorne

2001

Journal of Advanced Nursing

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Section: Introductionmentioning

confidence: 99%

Critical analysis of everyday self‐care decision making in chronic illness

Paterson

Russell

Thorne

2001

Journal of Advanced Nursing

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“…Segall and Goldstein (1989) point out the dangers of allowing self-care to become overmedicalised. There is also a need to avoid self-care practices leading to patients becoming overly focused on ill health (Carr, 1990) or feeling a sense of undue blame for their ill health (Segall and Goldstein, 1989). These effects were not noted in either the follow-up questionnaire or interview data, but providers of self-care programmes should be aware of these potentially negative effects.…”

Section: Findings In Relation To Other Studiesmentioning

confidence: 99%

The self-care for people initiative: the outcome evaluation

White

South

Bagnall

et al. 2012

Prim Health Care Res Dev

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Aim: To determine the effects of a community-based training programme in self-care on the lay population. Background: Self Care is recognised as being a cornerstone of the populations health, but to date there have been few large-scale studies of its effectiveness on the general public. This paper reports on an evaluation of a self-care skills training course delivered in small group sessions within workplace and parent and toddler group settings to a lay population. Methods: A quasi-experimental longitudinal study of 12-month duration was conducted in three intervention primary care trusts (PCTs) and two similar comparison PCTs in England. The sample comprised 1568 selfselecting participants: 868 received the intervention and 700 did not. Findings: No changes were seen in usage of General Practitioner services, the primary outcome, however, statistical analysis suggested that being in the intervention group may be associated with increased use of out-of-hours and secondary care services. At six months' follow-up small but statistically significant positive effects of being in the intervention group were seen on self-esteem, well-being and anxiety scores. At 12 months' follow-up small but statistically significant positive effects of being in the intervention group were also seen on recovery locus of control, health literacy and self-esteem scores, and on knowledge of adult cough. The clinical significance of these very small changes is unclear.The training programme had a small but positive effect, which was still evident at 12 months, on individuals' knowledge and confidence levels with regard to managing their own health, but did not lead to reductions in health service use.

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Diabetes Education: A Multidisciplinary Team Approach

Kortas

Quinn

1973

Clin-Alert

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Diabetes mellitus is one of the leading causes of mortality and morbidity in the United States, showing an incidence of over 14 million individuals, with the numbers increasing yearly. Current evidence suggests that maintaining normal blood glucose levels will result in preventing or lessening the degree of acute and chronic complications of diabetes. Therefore, because many of the complications of diabetes may be prevented or lessened by strict glycemic control, it is of the utmost importance that the individual with diabetes understand the roles of diet, exercise, and insulin/oral hypoglycemics in the management of his or her diabetes. This is an area in which diabetic education plays an important role. The properly edu-cated individual with diabetes can learn to increase or decrease insulin, to change diet, or to modify exercise regimens based on results of home blood glucosemonitoring to achieve normoglycemia. This article discusses a multidisciplinary team approach to educating the diabetic patient. This involves using the skills of physicians, pharmacists, nurses, dieticians, and other health care professionals, as well as teaching tools such as diabetes patient assessment forms, diabetes education, and teaching documentation records. It should become clear from this discussion the active role that pharmacists can play as an important member of the diabetic education team. Copyright © 1992 by W.B. Saunders Company DIABETES MELLITUS is a significant cause of morbidity and mortality in the Western world. In the United States alone there are approximately 7 million individuals with clinically evident diabetes and an equal number with undiagnosed diabetes mellitus.1 Diabetes mellitus is actually a heterogeneous group of diseases characterized by elevated blood glucose levels and is associated with both microvascular and macrovascular disease. The acute complications of diabetes are diabetic ketoacidosis (DKA) and hyperglycemic, hyperosmolar, nonketotic coma (HHNC), while the debilitating chronic complications of diabetes include retinopathy, neuropathy, nephropathy, cardiovascular disease, and peripheral vascular disease. Diabetes mellitus has a less. common insulin-dependent (IDDM; 10%) form and a more common noninsulin-dependent (NIDDM; 90%) form. Whereas IDDM is characterized by insulinopenia resulting from autoimmune destruction of pancreatic f3-cells, NIDDM is characterized by a less severe relative deficiency of insulin, a primary f3-celI secretory defect, insulin resistance, and unrestrained production and release of hepatic glucose in the fasting state.2 2 Gestational diabetes, a condition of glucose intolerance that occurs during pregnancy, complicates approximately 2% of all pregnancies.3 There are essentially two major overall goals of diabetes therapy: (1) the prevention of acute complications such as DKA and HHNC, and (2) the prevention of chronic complications such as retinopathy, neuropathy, nephropathy, cardiovascular disease, and peripheral vascular disease. Medical treatment of diabetes i...

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When Overcompliance Means Trouble

Cited by 5 publications

References 0 publications

Critical analysis of everyday self‐care decision making in chronic illness

Critical analysis of everyday self‐care decision making in chronic illness

The self-care for people initiative: the outcome evaluation

Diabetes Education: A Multidisciplinary Team Approach

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