Self-management across chronic diseases: Targeting education and support needs
| Autor: | Anne Lyddiatt, Susan J. Bartlett, Antonio Ciampi, Jane McCusker, Mario Di Carlo, Manon de Raad, Sylvie D. Lambert, Eric Belzile, Mark J. Yaffe |
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| Rok vydání: | 2019 |
| Předmět: |
Gerontology
Adult Male Canada Adolescent Patient characteristics Disease cluster Vulnerable Populations Task (project management) 03 medical and health sciences Young Adult 0302 clinical medicine Surveys and Questionnaires Vulnerable population Humans 030212 general & internal medicine Health Education Aged Self-efficacy Self-management 030503 health policy & services Self-Management Social Support General Medicine Middle Aged Self Efficacy Self Care Chronic disease Cross-Sectional Studies Chronic Disease 0305 other medical science Psychology |
| Zdroj: | Patient education and counseling. 103(2) |
| ISSN: | 1873-5134 |
| Popis: | Objectives Among Canadian adults with chronic disease: 1) to identify groups that differ in self-management task frequency and self-efficacy; 2) to compare group characteristics and preferences for self-management support. Methods Using data from an online survey, cluster analysis was used to identify groups that differed in self-management task frequency and self-efficacy. Multivariable regression was used to explore relationships with patient characteristics and preferences. Results Cluster analysis (n = 247) revealed three groups:Vulnerable Self-Managers (n = 55), with the highest task frequency and lowest self-efficacy; Confident Self-Managers (n = 73), with the lowest task frequency and highest self-efficacy; and Moderate Needs Self-Managers (n = 119), with intermediate task frequency and self-efficacy. Vulnerable Self-Managers, when compared with the Confident group, were more often: on illness-related employment disability or unemployed; less well educated; diagnosed with emotional problems or hypertension, and had greater multimorbidity. They participated less often in self-management programs, and differed in support preferences. Conclusions Knowing the characteristics of vulnerable self-managers can help in targeting those in greater need for self-management support that matches their preferences. Practice Implications Different approaches are needed to support self-management in the vulnerable population. |
| Databáze: | OpenAIRE |
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