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Design and Usability Evaluation of a Smartphone Application for Postoperative Self-Management in Breast Cancer Patients.

INTRODUCTION: Postoperative care is essential for breast cancer patients due to the challenges of managing physical and psychological symptoms. With the rise of digital health technologies, smartphone applications have emerged as valuable tools for facilitating self-management in this patient population. OBJECTIVE: This study aimed to design, develop, and evaluate the usability of a smartphone application for postoperative self-management in breast cancer patients. METHODS: This applied-developmental study was conducted in three phases: determining and confirming the functional requirements …

Self-managed Complementary and Integrative Health Approaches for Chronic Pain and PTSD: An Umbrella Review.

BACKGROUND: Chronic pain and posttraumatic stress disorder (PTSD) have shared, often overlapping pathophysiology. Treatment options include complementary and integrative health (CIH) interventions, which have been summarized in numerous systematic reviews and meta-analyses (SR/MAs). OBJECTIVE: This umbrella review describes and evaluates SR/MAs of self-managed CIH modalities for chronic pain or PTSD. METHODS: We registered our protocol and conducted a literature search in October 2022 of Ovid MEDLINE ALL, Ovid APA PsycInfo, and Ovid EBM Reviews Cochrane Central Register of Controlled Trials;

Development and formative usability evaluation of a user-centered mobile application for COPD self-management.

BackgroundChronic Obstructive Pulmonary Disease (COPD) is a globally burdensome chronic disease characterized by persistent respiratory symptoms and progressive airflow limitation, which severely impairs patients' quality of life and prognosis. Effective self-management is crucial for COPD management, as targeted self-management interventions have been shown to improve disease outcomes. Digital health technologies (DHTs) offer an innovative approach to address the challenges of traditional self-management and provide sustainable support for patients' long-term disease management. However, exis…

Evaluation of the chronic disease self-management program in adults with epilepsy in a nationwide community network.

BACKGROUND: Self-management is important for effective care for people living with epilepsy. The Chronic Disease Self-Management Program (CDSMP) is an evidence-based program that improves health outcomes and lifestyle behaviors in chronic diseases such as diabetes, hypertension, heart disease, stroke, and arthritis. We describe initial results from a program evaluation of the CDSMP in adults with epilepsy. METHODS: The Epilepsy Foundation of America (EFA) recruited adults with epilepsy to participate in the CDSMP through its nationwide community network. The program included 6 workshops held …

Challenges in postoperative self-management for patients with bladder cancer and urinary stoma: a qualitative study.

OBJECTIVE: This study aims to explore common challenges in self-management among patients with bladder cancer stoma during the first year post-surgery, providing reference for developing postoperative management and follow-up strategies. METHODS: This was a descriptive qualitative study. Using purposive sampling, bladder cancer patients with urinary stomas from the Urology Departments of the Third Affiliated Hospital of Kunming Medical University and the Second Affiliated Hospital of Kunming Medical University were selected as participants between October 2024 and February 2025. Semi-structur…

Self-management support needs for individuals with Myalgic Encephalomyelitis and their next of kin - a qualitative study.

BACKGROUND: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex, disabling condition with limited evidence-based treatment options. Self-management support is recommended to improve people's coping and quality of life, yet little is known about whether the provided self-management support meet individuals with ME/CFS and their next of kins needs. The aim of this study was to explore the self-management support needs of individuals with ME/CFS and their next of kin, and to identify barriers and facilitators to effective self-management support in order to inform improvement…

Effects of a Self-Management Program for Temporomandibular Myalgia in Patients With Fibromyalgia: A Single-Arm Study.

PURPOSE: Myogenic temporomandibular disorder frequently co-occurs with fibromyalgia and is associated with pain, disability, and maladaptive pain cognitions. This study evaluated the short- and long-term effects of an online Pain Neuroscience Education-informed self-management program in individuals with fibromyalgia and myogenic temporomandibular disorder. DESIGN: Prospective single-arm clinical study. METHODS: Adults with fibromyalgia and myogenic temporomandibular disorder participated in a therapist-led online group self-management program consisting of three sessions integrating Pain Ne…

Psychometric properties of the Persian version of Pressure Ulcer Management Self-Efficacy Scale for nurses.

BACKGROUND: Pressure ulcers remain a major clinical challenge, and nurses' self-efficacy is essential for their prevention and management. The Pressure Ulcer Management Self-Efficacy Scale (PUM-SES) for nurses was developed to assess this competency. AIM: This study aimed to translate, culturally adapt and validate the Persian version of the PUM-SES (PUM-SES-P) among Iranian nurses. METHODS: This three-phase study began with forward and back translation. In phase two, face and content validity were evaluated by 10 nurses and 15 experts, respectively, and construct validity and reliability we

Совместные мероприятия по самоуправлению взрослых, живущих с кишечной остомией: обзор.

Справочная информация/задачи: Цель этого аналитического обзора заключалась в определении существующих данных о целях, характеристиках, результатах и посредниках по осуществлению, а также о препятствиях, с которыми сопряжены мероприятия по поддержке со стороны сверстников, направленные на содействие самоуправлению у лиц, живущих с кишечной остомией. Методы: В соответствии с методологией Института Джоанны Бриггс был проведен обзор аналитического исследования, результаты которого были представлены в соответствии с программой PRISMA Presponse for Screpting Reviews (PRISMA-ScR). В декабре был прове

Совпадение в аннотации оригинала
Background/Objectives: This scoping review aimed to map the existing evidence on the aims, characteristics, outcomes and implementation facilitators and barriers of peer-support interventions designed to promote self-management in individuals living with an intestinal ostomy. Methods: A scoping review was conducted following the Joanna Briggs Institute metho…

Barriers to, and Facilitators of, Diabetes Self-management in the Dialysis Population: A Narrative Review and Implications for Research.

PURPOSE OF REVIEW: Patients with both diabetes and kidney failure requiring dialysis are a complex population that is at risk of diabetes-related complications, hospitalizations, and mortality. Due to the significant illness burden, self-management of diabetes becomes challenging. The purpose of this review was to identify and synthesize the literature on barriers to, and facilitators of, diabetes self-management among patients with both diabetes and kidney failure requiring dialysis. SOURCES OF INFORMATION: We conducted a search of health care databases (CINAHL, PubMed, OVID Medline) to find…

Use of a Bare Metal Dissection Stent to Manage Aortic Embolization of a Self-Expanding Valve.

BACKGROUND: This paper describes a case of prosthesis embolization during transcatheter aortic valve replacement (TAVR) that was managed with a novel percutaneous strategy. CASE SUMMARY: A 77-year-old man with severe trileaflet aortic valve stenosis underwent TAVR with a 29-mm Evolut FX. The valve embolized to the ascending aorta shortly after its release. TAVR was completed with a 23-mm SAPIEN 3 Ultra RESILIA, and a Zenith Dissection Endovascular Stent was deployed through the embolized Evolut FX, pinning the prosthesis to the aortic wall. The patient experienced no neurologic or aortic inju

Trajectories and Influencing Factors of Self-Management Behaviour in Patients With Knee Osteoarthritis: A Longitudinal Study.

AIM: To explore the trajectory of self-management behaviour and its influencing factors in patients with knee osteoarthritis. DESIGN: This is a prospective, longitudinal observational study. METHODS: From January 2024 to April 2024, 126 patients with knee osteoarthritis who were hospitalized in two tertiary-level hospitals in Hunan Province were selected to be surveyed on the day of discharge, 1 month after discharge and 3 months after discharge using the Chinese version of the Chronic Disease Self-Management Research Measurement Scale. The trajectories of self-management behaviours were per…

Development of a self-management tool for individuals with seizure clusters: Trial design and methodological report.

BACKGROUND: Despite advances in anti-seizure medications (ASMs) for people with epilepsy (PWE), adverse outcomes, negative health events (NHEs), and breakthrough seizures remain common. Rescue medication (RM) can better manage repetitive seizures, but barriers to RM use persist. Self-management for PWE and a history of NHEs (SMART) is an evidence-based epilepsy self-management program aimed at reducing barriers and maximizing facilitators to self-care in high-risk PWE. METHODS: This 2-phase, ongoing clinical trial adapts SMART to integrate RM support for PWE with repetitive seizures. Phase 1,…

Understanding the Unmet Needs of People Living with Type 2 Diabetes in Self-Managing Their Condition.

Background/Objectives: Type 2 diabetes (T2D) prevalence is rising worldwide. Despite numerous efforts to address the condition, many initiat … participated. Four main themes emerged: (1) misinformation; (2) limited guidance; (3) challenges in self-management; and (4) gaps in prevention and screening. Participants reported difficulties in maintaining motivation, balancing T2D management with other life commitments, and addressing mental health concerns. They reported feeling misinformed and inadequately …

Empowering Patients: A Multicomponent Workshop Improves Self-Management and Quality of Life in Chronic Pain.

BACKGROUND: Chronic pain is a prevalent and disabling condition, affecting 20-30% of the global population, which requires multidisciplinary approaches integrating non-pharmacological therapies and promoting patient engagement in self-management. OBJECTIVE: To describe the structure, content, outcomes, and lessons learned from multicomponent workshops for chronic non-cancer pain using non-pharmacological therapies. METHODS: A quasi-experimental before-after study was conducted in patients attending a chronic pain workshop at San Juan de Dios Hospital (Bormujos, Seville, Spain) between Novemb…

Development and psychometric testing of the lymphedema self-management support scale for breast cancer survivors.

OBJECTIVE: Effective self-management support should be tailored to the individual. To provide personalized and targeted self-management support, a rigorous assessment tool is needed to screen the actual degree of lymphedema self-management support received by breast cancer survivors. This study aims to develop and psychometrically test the Lymphedema Self-Management Support Scale for Breast Cancer Survivors (LSMS-BCs). METHODS: This study involves two phases: scale development and psychometric testing. In the scale development phase, preliminary items and domains were identified through a qua…

A Meta-Analysis of Self-Management Interventions in Teaching Daily Living Skills to Autistic Individuals.

The current study aimed to conduct a systematic review and meta-analysis of self-management interventions for teaching daily living skills to autistic individuals. This study accessed the corresponding studies by doing a search in six databases. 14 articles and one dissertation met the inclusion criteria. The included studies were first analyzed descriptively and coded according to quality indicators using What Works Clearinghouse (WWC) standards. Second, the effect sizes of the included studies were calculated using two different effect size measures (i.e., Tau-U and performance-criteria-base…

The impact of PD Check-In on self-management skills for maintenance of speech after intensive treatment.

BACKGROUND: Maintenance of speech outcomes following speech-language therapy (SLT) in Parkinson's disease (PD) is an unmet expectation of people with PD (PWPD) and poorly defined in SLT practice. PD Check-In, a model for supported self-managed maintenance of speech following Lee Silverman Voice Treatment (LSVT) LOUD was investigated. AIMS: To investigate the impact of the semi-structured component of PD Check-In on the adoption of self-management concepts and behaviours and the identification of facilitators, barriers and strategies for speech maintenance by PWPD over 24 months post-treatment…

Self-management of Risk for the Prevention of Traffic Accidents from a Health Perspective: A Qualitative Study.

Introduction: In the world, deaths and injuries caused by traffic collisions have been considered a public health problem. In Colombia, 7.238 fatalities were recorded in 2021, with motorcycle riders representing the largest group of victims at 59.7%. Methods: The aim of this qualitative phenomenological study is to describe the risky experiences and deliberate actions of diverse road users that influence the self-management of the risk of traffic collisions. Results: Data were obtained from 22 participants: motorists, pedestrians and drivers. The content analysis describes various human condit…