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In people with nociplastic dominant chronic pain is multi-disciplinary pain management plus motivational interviewing more effective than multi-disciplinary pain management alone for improving pain self-efficacy and pain interference: A randomised controlled trial protocol.

BACKGROUND: Chronic pain is the leading cause of disability and disease burden globally. Emerging evidence suggests that people with nociplastic dominant chronic pain commonly have heightened pain sensitivity, high levels of pain interference and low self-efficacy. There is low certainty evidence supporting the effectiveness of motivational interviewing in a range of health conditions including chronic pain. However, the impact of motivational interviewing as an adjunct to evidence-based multi-disciplinary pain management has not been adequately evaluated. The aim of this paper is to describe

A pilot randomized trial on the usability and acceptability of an app (MyIBDDiet) to improve the self-management of anti-inflammatory diet for individuals with inflammatory bowel disease: A protocol paper.

UNLABELLED: The role of diet in the management of inflammatory bowel disease (IBD) is increasingly recognized with recent guidelines providing specific dietary recommendations. Although mobile health apps targeting diet and lifestyle habits in IBD are emerging, few are designed for self-management or have been formally evaluated for effectiveness. We have co-designed a diet guidance and tracking app (MyIBDDiet) with and for patients with IBD with the aim of improving overall diet profile. We will be conducting a 60-day single-centre pilot randomized trial of 40 IBD patients randomized in 1:1 r…

Effect of a self-directed lifestyle-based weight management program among patients with comorbid COPD and sleep apnea: a secondary analysis of the INSIGHT COPD trial.

RATIONALE: Excess weight contributes to impaired physical function among individuals with chronic obstructive pulmonary disease (COPD) and sleep apnea. Self-directed lifestyle-based weight management programs are an accessible option to promote weight loss and improve physical function, but their effectiveness has not been clearly demonstrated. OBJECTIVE: To test whether a self-directed lifestyle program improves 6-minute walk test (6MWT) distance among individuals with COPD and comorbid sleep apnea. STUDY DESIGN AND METHODS: We performed a subset analysis of participants previously enrolled

The influence of emotions and healthcare provider interactions on self-management behavior and HbA1c in Korean patients with type 2 diabetes mellitus: a cross-sectional descriptive study.

PURPOSE: This study examined the effects of emotional experiences and interactions with healthcare providers on self-management behaviors and glycemic control, as measured by hemoglobin A1c (HbA1c), in patients with type 2 diabetes mellitus. METHODS: This cross-sectional study included 120 patients recruited from six local clinics between April 12 and July 15, 2021. Data were collected using the Scale of Positive and Negative Experience, the Client Satisfaction Tool, the Summary of Diabetes Self-Care Activities Questionnaire, and HbA1c measurements. Descriptive statistics, t-tests, analysis o…

Sustained and attenuated effects of transitioning from supervised to self-managed resistance training in older adults with type 2 diabetes and sarcopenia: a randomized controlled trial.

AIMS: This randomized controlled trial examined whether benefits achieved during supervised resistance training (SRT) were sustained after transitioning to self-managed home-based training in older adults with type 2 diabetes mellitus (T2DM) and sarcopenia. METHODS: In this single-center, parallel-group trial, adults aged ≥ 65 years with T2DM and sarcopenia were randomized 1:1 to a 24-week resistance-training intervention or control. The intervention comprised 12 weeks of SRT followed by 12 weeks of self-managed home-based training. Co-primary outcomes were skeletal muscle index (SMI), handgr

Effects of a family collaboration care model on disease perception, self-management, and quality of life in elderly patients with multidrug-resistant pulmonary tuberculosis: a retrospective study.

OBJECTIVE: This retrospective study evaluated the impact of a family collaboration care model on disease perception, self-management, and quality of life among elderly patients with multidrug-resistant pulmonary tuberculosis (MDR-TB). METHODS: A retrospective study was conducted on elderly patients diagnosed with MDR-TB at Henan Provincial Chest Hospital between January 2022 and December 2024. Based on nursing records, patients were classified into a standard care group and a family collaboration care group. Disease perception, self-management ability, and quality of life were assessed using …

Employing skin self-examination and fear of cancer recurrence management in early-stage melanoma follow-up: evaluation of the MELACARE intervention in a randomised controlled trial.

PURPOSE: The MELACARE intervention aimed to evaluate a nurse-led follow-up program incorporating skin self-examination (SSE) education and psychosocial support to address fear of cancer recurrence (FCR) in early-stage melanoma survivors. This study assessed the MELACARE intervention's impact on FCR, psychological well-being, SSE performance, and healthcare usage compared to standard physician-led follow-up. METHODS: A two-group randomised controlled trial was conducted at Herlev and Gentofte Hospital, Denmark. Participants included 153 patients with surgically treated melanoma (stages IA-IIA)

A Mobile Phone App to Support Self-Management and Transition to Adult Health Services in Young People With a Chronic Illness: Single-Arm Pilot Intervention Study.

BACKGROUND: Pediatric to adult health service (AHS) transition is a challenging time for many adolescents and young adults with chronic illn … onMate" (TMApp) by adolescents and young adults, which was purpose-built to support chronic illness self-management for youth undergoing transition. Secondary aims were to assess AHS attendance and changes in illness control over the first 12 months post transition. Upon demonstration of TMApp feasibility (49/70, ≥70% of participants using TMApp at least once a m …

Trajectories of Pain Impact and Pain Self-Efficacy in People With HIV and Chronic Pain: Extending Findings From the Skills TO Manage Pain Randomized Clinical Trial.

BACKGROUND: People with HIV (PWH) frequently experience chronic pain, which negatively affects their health and functioning. To improve health outcomes, we need effective interventions for HIV-related chronic pain. Skills TO Manage Pain (STOMP), a novel pain self-management intervention tailored for PWH and chronic pain, has demonstrated efficacy in reducing pain impact (measured by the Brief Pain Inventory) and improving pain self-efficacy immediately after a 12-week intervention and 3 months later. SETTING: We conducted this study at 2 Center for AIDS Research Network of Integrated Clinical…

The impact of chronic illness resources, fear of recurrence, hope, and health locus of control on self-management behaviors in post-stroke patients: a cross-sectional study.

BACKGROUND: Stroke often leads to functional impairment in patients and carries a risk of recurrence. Therefore, it is crucial for post-stroke patients to proactively pursue self-management behaviors that foster functional recovery and prevent recurrent strokes, such as keeping a balanced diet or exercising. The implementation of self-management behaviors requires the combined influence of internal and external factors, which have not been fully explored. This study aimed to investigate the level of self-management behaviors in post-stroke patients and to explore the impact of chronic illness …

The Effect of Smartphone Application-Based Self-Management Interventions Compared to Face-to-Face Diabetic Interventions for Pregnant Women With Gestational Diabetes Mellitus: A Meta-Analysis.

Background: Face-to-face diabetic interventions (FFIs) are the gold standard for diabetic care, and smartphone application (app)-based self-management interventions (SBIs) can be a potential alternative. A few previous reviews compared the effects of both practices. Objectives: This study is aimed at (1) comparing the effectiveness of FFIs and SBIs on maternal and neonatal outcomes in pregnant women with gestational diabetes mellitus (GDM) and (2) exploring potential covariates affecting those outcomes. Methods: Randomized controlled trials (RCTs) were retrieved from PubMed, EMBASE, CINAHL, Co…

The chain-mediating roles of social support and depression in the relationship between tuberculosis knowledge and self-management: a cross-sectional study based on the ABC-X model.

BACKGROUND AND OBJECTIVE: Self-management plays a vital role in tuberculosis (TB) care, yet remains suboptimal among patients due to limited disease knowledge and psychosocial challenges. While prior studies have explored the individual roles of knowledge, social support, or depression in TB treatment, few have examined their interactive and sequential effects. This study aimed to investigate whether perceived social support and depression mediate the relationship between TB knowledge and self-management, using the ABC-X family stress model as the theoretical framework. METHODS: A cross-secti…

Могут ли основанные на интернете "стратегии расширения возможностей деятельности в повседневной жизни" помочь людям с когнитивными трудностями самостоятельно управлять цифровой работой и повседневной жизнью?

Цифровая работа может быть когнитивно сложной, особенно для людей с когнитивными трудностями. Для того чтобы эти лица могли самостоятельно решать проблемы в сфере цифровой работы и повседневной жизни, необходимы новые меры в области профессиональной терапии. Для решения этой задачи была опробована основанная на Интернете программа "Стратегии расширения возможностей деятельности в повседневной жизни" (SEE 2.0). AIM: Изучение и описание того, как SEE может способствовать развитию самоуправления у людей с когнитивными трудностями, которые занимаются цифровой работой и другими видами деятельности

Совпадение в аннотации оригинала
BACKGROUND: Digital work can be cognitively challenging especially for people with cognitive difficulties. New occupational therapy interven … ay Life' (SEE 2.0) was tested. AIM: To explore and describe how SEE can support the development of self-management in people with cognitive difficulties who engage in digital work and other occupations in everyday life. MATERIAL AND METHODS: A qualitative, descriptive case study included four participants with cognitive difficulties due to neurological disorder …

'You have to use everything and come to some equilibrium': a qualitative study on hypoglycemia self-management in users of continuous glucose monitor with diverse hypoglycemia experiences.

INTRODUCTION: Although continuous glucose monitoring systems (CGMs) can help reduce hypoglycemia, about one-quarter of people with type 1 diabetes (T1D) who use CGMs still either spend at least 1% of the time with dangerously low blood glucose or develop severe hypoglycemia. This study explored experiences around hypoglycemia self-management in people who are living with T1D and using CGMs to identify factors contributing to hypoglycemia development. RESEARCH DESIGN AND METHODS: Purposive sampling and semistructured interviews with 28 respondents with T1D and using CGMs were conducted to expl…

Using the behaviour change wheel and person-based approach to develop a digital self-management intervention for patients with adrenal insufficiency: the Support AI study protocol.

INTRODUCTION: Most patients with Adrenal insufficiency (AI) require lifelong glucocorticoid replacement. They need to increase glucocorticoids during physical illness or major stressful situations and require parenteral hydrocortisone in the event of an adrenal crisis. Patients with AI have impaired quality of life and high mortality; approximately 1 in 6-12 patients are hospitalised at least once/year from a potentially preventable adrenal crisis. Adoption of self-management behaviours are crucial; these include adherence to medication, following "sick day rules" and associated behaviours tha…

The impact of participation in research for speech and language therapy departments and their patients: A case example of the Big CACTUS multicentre trial of self-managed computerized aphasia therapy.

BACKGROUND: In order to conduct research that is meaningful to speech and language therapy services and their patients, it is often desirable to conduct the research within routine clinical services. This can require considerable time and commitment from speech and language therapists (SLTs). It is therefore important to understand the impact that such participation in research can have. AIMS: To explore the impact of research participation in the Big CACTUS study of self-managed computerized aphasia therapy conducted in 21 UK NHS speech and language therapy departments. METHODS & PROCEDURES

The clinical and cost-effectiveness of a self-management intervention for patients with persistent depressive disorder and their partners/caregivers: study protocol of a multicenter pragmatic randomized controlled trial.

BACKGROUND: After regular treatment, patients with persistent depressive disorder (PDD) may remain in specialized psychiatric outpatient care without achieving remission. Lacking other options, these patients often receive long-term, non-protocolized care as usual (CAU) that does not involve the partner/caregiver of the patient. Although the revised depression treatment guidelines suggest focusing on psychiatric rehabilitation and self-management as the next treatment step for PDD, an evidence-based cost-effective self-management protocol for PDD is lacking. This study investigates the "Patien…

Lasting Effects of a Community-Based Self-Management Intervention for Patients With Type 2 Diabetes in China: Outcomes at 2-Year Follow-up of a Randomized Trial.

This research is to evaluate the lasting effects of a community-based self-management intervention for patients with type 2 diabetes at 2-year follow-up in China. Five hundred patients with diabetes were recruited and randomly divided into intervention group and control group. Eight times standardized self-management intervention group activities were conducted. The results of physical examination, biochemical laboratory examination, health behavior, and self-efficacy information were collected before intervention, 3 months after intervention, and 2 years after intervention. The total score fo…

Older adults' preferences for, adherence to and experiences of two self-management falls prevention home exercise programmes: a comparison between a digital programme and a paper booklet.

BACKGROUND: Fall prevention exercise programmes are known to be effective, but access to these programmes is not always possible. The use of eHealth solutions might be a way forward to increase access and reach a wider population. In this feasibility study the aim was to explore the choice of programme, adherence, and self-reported experiences comparing two exercise programmes - a digital programme and a paper booklet. METHODS: A participant preference trial of two self-managed fall prevention exercise interventions. Community-dwelling adults aged 70 years and older exercised independently fo

Prostatic irradiation-induced sexual dysfunction: A review and multidisciplinary guide to management in the radical radiotherapy era (Part III on Psychosexual Therapy and the Masculine Self-Esteem).

Psychological morbidity, sexuality, and health/system information have been identified as the highest areas of support needs in patients undergoing management of their prostate cancer (PCa). Management of a patient's sexual function prior to, during and after PCa radiotherapy requires multidisciplinary coordination of care between radiation oncologists, urologists, dermatologists, pharmacists, and psychiatrists. The finale of this three-part review provides a framework for clinicians to better understand the role of mental healthcare providers in the management of sexual toxicities associated