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Associations of social support and disease-specific quality of life with self-management among patients with chronic hepatitis B: a multicenter cross-sectional study.

BACKGROUND: Self-management behaviors are central to long-term care for chronic hepatitis B (CHB), but the independent associations of social support and disease-specific quality-of-life domains with self-management remain unclear. This study assessed self-management and its associated factors among patients with CHB. METHODS: This multicenter cross-sectional study included 583 patients with CHB recruited by convenience sampling at three tertiary hospitals in Hengyang, China, from March to October 2025. Participants completed the Chronic Hepatitis B Self-Management Scale (CHBSMS), Social Supp…

Assessing ChatGPT vs. evidence-based online responses for polycystic ovary syndrome self-management and education: an international cross-sectional blinded survey of healthcare professionals.

Artificial intelligence (AI)-powered large language models, such as ChatGPT, are increasingly used by the public for health information. The reliability of such novel AI-tools in providing credible polycystic ovary syndrome (PCOS) information/advice requires investigation. Healthcare professionals involved in PCOS care (n = 43 from 14 countries) used a 5-point Likert scale to evaluate ChatGPT-generated responses to frequently asked questions about PCOS against the corresponding patient-orientated, evidence-based recommendations/responses available online. ChatGPT responses were rated significa

Development and Initial Psychometric Evaluation of a Family Functioning Questionnaire for Diabetes Self-Management Based on the McMaster Family Functioning Model: Evidence from Indonesia.

BACKGROUND: Family functioning can play a crucial role in supporting diabetes self-management; however, validated instruments specifically designed to assess family functioning in diabetes self-management and systematically grounded in a comprehensive family functioning theory remain limited. OBJECTIVE: This study aimed to develop and evaluate its initial psychometric properties of the Family Functioning Questionnaire for Diabetes Self-Management (FF-DMSM), a theory-based instrument derived from the McMaster Family Functioning Model. METHODS: This methodological study involved instrument dev…

Development and Content Validation of the Perceived Barriers to Diabetes Self-Management Scale (PB-DSMS) Among Adolescents and Young Adults With Type 1 Diabetes.

PURPOSE: The purpose of this study is to develop and establish content validity evidence for the Perceived Barriers to Diabetes Self-Management Scale (PB-DSMS) for adolescents and young adults (15-39 years) with type 1 diabetes mellitus (T1DM). METHODS: A methodological scale-development and content-validation study was conducted in June 2023. Item generation was guided by the social ecological model and informed by a synthesis of qualitative literature on barriers to diabetes self-management. An initial pool of 57 items was generated and subsequently refined to 47 items through internal revi…

Family Health Literacy, Family Functioning, and Type 2 Diabetes Self-Management in the Context of Informal Caregiving: An Embedded Mixed-Methods Multiple-Case Study.

Background/Objectives: Type 2 diabetes is a prevalent chronic disease that requires continuous self-management and adaptation by both individuals and their families. Health literacy is recognised as an important determinant of chronic disease management, influencing the ability to access, understand, and use health information. This study aimed to explore how family health literacy and family functioning were related to type 2 diabetes self-management across four family cases in the context of informal caregiving and to describe the changes observed following tailored family nursing interventi…

BACK-on-LINE™: A Digital Pain Phenotyping Tool to Personalise Early Self-Management of Low Back Pain: Reliability and Validity in Working Adults.

BACKGROUND AND OBJECTIVE: Low back pain (LBP) is a leading cause of work-related disability. Although early tailored self-management is advocated, current approaches remain generic. Classifying LBP by predominant pain phenotype (nociceptive, neuropathic, nociplastic) may enable targeted self-management, yet practical tools for early or workplace use are limited. This study evaluated the reliability and validity of BACK-on-LINE, a self-administered digital tool differentiating nociceptive and nociplastic pain to support early mechanism-informed self-management in working populations, benchmarke…

Adapting mHealth Interventions to Improve Self-Management of HIV and Reduce Substance Use Among Emerging Adults in Zambia: Protocol for a Randomized Controlled Trial.

BACKGROUND: Sub-Saharan Africa remains the region most affected by the HIV epidemic, with Zambia experiencing a substantial burden of disease. Young people with HIV are disproportionately impacted. Emerging adulthood (ages 18-24 years) is characterized by increasing independence, risk-taking behaviors, identity exploration, and changing social supports, all of which may impact HIV self-management, including medication adherence and retention in care. Substance use may further undermine HIV outcomes. Innovative interventions targeting HIV self-management and substance use reduction among Zambia…

A Sexual Health Self-Management Intervention (Psychosexual Educational Partners Program) for Couples With a History of Breast and Gynecological Cancer: Mixed Methods Feasibility Study.

BACKGROUND: Women with breast or gynecological cancer and their intimate partners often face sexual problems in their relationships. Accessing care for sexual health problems is challenging for several reasons (eg, limited trained health care providers and privacy concerns), making self-management approaches highly promising. OBJECTIVE: This study assessed the feasibility of the Psychosexual Educational Partners Program (PEPP), a 6-week sexual health self-management intervention for women treated for breast or gynecological cancer and their intimate partners. METHODS: A mixed methods single-…

Effects of web-based gestational diabetes mellitus education on health management self-efficacy, treatment modality, and maternal-fetal-neonatal outcomes: A randomized controlled trial.

The authors' purpose in this study was to examine the effects of web-based Gestational Diabetes Mellitus (GDM) education on person's health management self-efficacy, treatment modality, and maternal-fetal-neonatal outcomes. We conducted a randomized controlled trial design. The study was conducted in 65 pregnant women (intervention group: 31, control group: 34). The level of health management self-efficacy was significantly higher in pregnant women who received web-based education compared to the control group. In addition, fewer pregnant women transitioned from nutrition therapy to insulin co

Digital cognitive behavioural self-management programme for fatigue, pain, and faecal incontinence in inflammatory bowel disease (IBD-BOOST): a multicentre, parallel, randomised controlled trial.

BACKGROUND: Fatigue, pain, and faecal urgency or incontinence are common, debilitating symptoms in inflammatory bowel disease (IBD). We developed IBD-BOOST, a digital, interactive, facilitator-supported, self-management intervention, and aimed to assess its effects compared with care as usual in relieving these symptoms and improving quality of life. METHODS: This multicentre, parallel, randomised controlled trial was conducted online in the UK, with allocation concealment maintained. Participants aged 18 years or older with IBD who rated the impact of fatigue, pain, and faecal urgency or inc…

Эффективность Leder Falls, онлайновая программа группового саморегулирования для людей с множественным склерозом: протокол случайного контролируемого испытания.

ВВЕДЕНИЕ: Меньшее число водопадов представляет собой ручную программу по предотвращению осенних осадков, разработанную совместно для лиц с множественным склерозом (PwMS) и без амбулаторного лечения (PwMS). Результаты технико-экономического обоснования указывают на необходимость проведения полномасштабного выборочного контролируемого испытания (КРП). МЕТОДЫ И АНАЛИЗ: Будет проведена параллельная группа по РТС с оценкой смешанных методов, а также оценка эффективности затрат. Мы намерены вербовать 240 PwMS, который будет стратифицирован на уровне амбулирования и случайным 1::1 в блоках eight к вм

Совпадение в аннотации оригинала
INTRODUCTION: Fewer Falls is a manualised self-management fall prevention programme co-developed for and with ambulatory and non-ambulatory people with multiple sclerosis (PwMS). Findings from a feasibility study indicate the necessity of a full-scale randomised controlled trial (RCT). METHODS AND ANALYSIS: A parallel-group RCT with a mixed methods process …

Online diabetes self-management education application for reducing glycated hemoglobin level among patients with type 1 diabetes mellitus: a systematic review and meta-analysis.

BACKGROUND: This meta-analysis study aims to evaluate the Diabetes Self-Management Education and Support (DSMES) online application for reducing glycated hemoglobin levels among patients with type 1 diabetes mellitus (T1DM) patients. MAIN TEXT: The Web of Science (WoS), Cochrane Library, PubMed, Scopus, PROSPERO, and EMBASE databases were searched with Medical Subject Headings (MeSH) terms without minimum time limitation until February 2024. To be eligible, all the following predefined inclusion criteria must have been met in the original randomized controlled trial (RCT) studies without lang…

Navigating delayed diagnoses, self-neglect, and lost livelihoods: a qualitative exploration of fisherfolk's health perspectives and management of non-communicable diseases in Kerala, India.

INTRODUCTION: Non-Communicable Diseases (NCDs) place a significant burden on India's healthcare system, accounting for approximately 62% of all deaths in the country in 2017. The southern Indian state - Kerala - has some of the highest rates of NCDs. Within the state, the fisherfolk community has a high prevalence of risk factors such as tobacco use and alcohol consumption. Working in the fisheries industry demands physical exertion, night shifts alongside extended periods of time at sea (for seafaring fisherfolk). Evidence is scant on how these conditions relate to the health-seeking experien

Feasibility and Acceptability of a Self-Guided Digital Family Skills Management Intervention for Children Newly Diagnosed With Type 1 Diabetes: Pilot Randomized Controlled Trial.

BACKGROUND: Family dynamics play an important role in determining the glycemic outcomes of type 1 diabetes (T1D) in children. The time interval immediately following T1D diagnosis is particularly stressful for families, and interventions to support families in adjusting their family practices to support adjustment to and management of T1D in the months following diagnosis may improve glycemic outcomes. Self-guided digital interventions offer a sustainable model for interventions to support caregivers in learning evidence-based family management skills for adjustment to and management of T1D.

The Key Digital Tool Features of Complex Telehealth Interventions Used for Type 2 Diabetes Self-Management and Monitoring With Health Professional Involvement: Scoping Review.

BACKGROUND: Therapeutic education and patient self-management are crucial in diabetes prevention and treatment. Improving diabetes self-management requires multidisciplinary team intervention, nutrition education that facilitates self-management, informed decision-making, and the organization and delivery of appropriate health care services. The emergence of telehealth services has provided the public with various tools for educating themselves and for evaluating, monitoring, and improving their health and nutrition-related behaviors. Combining health technologies with clinical expertise, soci…

Evaluating the National Rollout of a Type 2 Diabetes Self-Management Intervention: Qualitative Interview Study With Local National Health Service Leads Responsible for Implementation.

BACKGROUND: Approximately 4.5 million people live with type 2 diabetes mellitus (T2DM) in the United Kingdom. Evidence shows that structured education programs can improve glycemic control and reduce the risk of complications from T2DM, but they have low attendance rates. To widen access to T2DM structured education, National Health Service England commissioned a national rollout of Healthy Living, a digital self-management program. OBJECTIVE: The objectives were to understand the barriers and enablers to adopting, implementing, and integrating Healthy Living into existing T2DM care pathways …

Exploring the relationship between self-management behaviour, family function and health information adoption behaviour in Chinese diabetic foot patients: a mixed-methods study protocol.

INTRODUCTION: Diabetic foot is a major burden and threat to individuals, families and society, making it imperative to promote good self-management behaviour. However, although nurses have provided these patients with excellent health knowledge, their self-management remains unsatisfactory. Although researches have shown that self-management requires family involvement, no research has been conducted in China on family function, specifically in the diabetic foot. Therefore, this study aimed to explore the relationship between self-management, family functioning, and health information adoption…

Characterization of Adults With Type 1 Diabetes Not Attending Self-Management Education Courses: The Barriers to Uptake of Type 1 Diabetes Education (BUD1E) Study.

People with type 1 diabetes mellitus (T1DM) are offered attendance at diabetes self-management education courses to provide them with skills for self-management of flexible insulin dose adjustment. Attendance is poor, even when courses are evidence-based and nationally available. To understand barriers to attendance, we sought common characteristics of nonattenders from adults with T1DM living in south London. Twenty-five in person semistructured interviews were carried out until thematic saturation occurred. Thematic framework analysis identified six themes: psychological capability, numerica…

Thirty-day readmission, length of stay and self-management behaviour among patients with acute coronary syndrome and type 2 diabetes mellitus: A scoping review.

AIMS AND OBJECTIVES: To summarise the current evidence on comorbid type 2 diabetes mellitus (T2DM) related to 30-day readmission and hospital length of stay (LOS) among patients with acute coronary syndrome (ACS) and evidence on the effectiveness of self-management programmes for patients with both conditions. BACKGROUND: Acute coronary syndrome and T2DM remain two major diseases leading to serious consequences. Thirty-day readmission and LOS were considered indicators of the quality of care, with the understanding that the potential significant effects of these outcomes could be varied. DES…

Longer term follow-up on effects of Tailored Physical Activity or Chronic Pain Self-Management Programme on return-to-work: A randomized controlled trial.

OBJECTIVE: To evaluate the longer term efficacy of the interventions Tailored Physical Activity (TPA) and Chronic Pain Self-management Program (CPSMP) against a reference group on return-to-work for sick-listed subjects with pain in the back or upper body. DESIGN: A randomized controlled trial. SUBJECTS: A total of 141 sick-listed subjects with pain in the back or upper body. METHODS: All participants received health guidance for 1.5 h and were randomly assigned to TPA (n = 47), CPSMP (n = 47) or a reference group (n = 47). The primary end-point was the proportion of participants returning …