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Economic toxicity and quality of life in stroke patients: a moderated mediation model of self-management and family function.

OBJECTIVE: To investigate the relationships among economic toxicity, family function, self-management ability, and stroke-specific quality of life in stroke patients during the rehabilitation period, and to construct and test a moderated mediation model with self-management as the mediator and family function as the moderator, so as to provide empirical evidence for improving the quality of life of stroke patients. METHODS: A cross-sectional survey was conducted from May to June 2025 across 22 medical and elderly care institutions in Chongqing, China. A total of 557 stroke patients in the reh…

Social prescribing and supported self-management: A scoping review of the potential for implementation in non-surgical oncology services.

BACKGROUND: Social prescribing and supported self-management are two components of the National Health Service (NHS) personalised care model and have proven effectiveness in primary care settings. Social prescribing is a range of non-clinical services that address the psychological, psychosocial, and environmental issues affecting a person's well-being. Patients undertake supported self-management tasks to increase their knowledge, skills, and confidence in managing their health and medical care. However, these practices are not yet routinely integrated into radiation therapy. With 53.5 millio…

Association of level of activation for self-management with the degree of anticoagulation control in patients undergoing oral anticoagulant treatment.

OBJECTIVE: To determine the association of level of activation for self-management with the degree of anticoagulation control in a group of chronically anticoagulated patients. METHODS: Cross-sectional study of patients treated with oral antivitamin-k drugs attended at a specialized outpatient anticoagulation unit between November 2021 and June 2022. International normalized ratio (INR) values over the past 6 months were recorded. The degree of INR control was defined as the time the patient had remained within the therapeutic range (TTR) and was determined by the Rosendaal method. A TTR valu…

Adaptations to the Chronic Disease Self-Management Program for diverse clinical and cultural populations: a scoping review protocol.

INTRODUCTION: The Chronic Disease Self-Management Program (CDSMP) is a widely used peer-led patient education intervention that imparts disease knowledge and self-management skills to people with chronic diseases. While the CDSMP was developed to be accessible to people with diverse chronic diseases, chronic disease self-management needs and beliefs can vary by clinical or cultural populations. Questions remain regarding the range of populations it has been adapted for and the methods that have been used to make these modifications. This scoping review explores the following research questions…

A pilot educational intervention to improve knowledge and readiness for self-management among patients with rheumatic diseases in Uganda.

INTRODUCTION/OBJECTIVES: Rheumatic diseases pose a significant challenge in Uganda, where access to care is limited. Patient self-management is an effective strategy for improving health outcomes. In collaboration with The Arthritis Association of Uganda (TAAU), a patient-led organization, we developed and piloted a virtual patient education series to support self-management. We hypothesized that it would be feasible and acceptable, and that we could collect measures regarding readiness for self-management and disease-related knowledge. METHODS: With input from TAAU, four sessions were develo…

The co-design of a reactive chatbot to support young people's self-management of type 1 diabetes mellitus.

This study co-designed a reactive chatbot to support self-management of young people and young adults with type 1 Diabetes Mellitus, during transition to adult healthcare services. Qualitative focus groups and interviews were undertaken with 38 young people and young adults aged 11-25 years at 4 study sites across England, to inform chatbot co-design. Data were analysed using Framework Analysis, the Behaviour Change Wheel and COM-B approach. The reactive chatbot includes messaging dialogues and additional materials considerate of the lived experiences of participants, barriers and enablers to …

The Turkish version of the self-management efficacy questionnaire for patients with psoriasis: cross-cultural adaptation and psychometric evaluation.

BACKGROUND: Psoriasis is a chronic condition requiring sustained outpatient follow-up, patient education, and coordinated nursing care. Effective self-management is essential for supporting individualized patient education, guiding nursing care planning, and evaluating outpatient service outcomes; however, disease-specific tools to assess self-management efficacy are limited in Türkiye. METHODS: This methodological study aimed to conduct the Turkish cross-cultural adaptation and psychometric evaluation of the Self-Management Efficacy Questionnaire for Patients with Psoriasis (SMEQ-PSO), origin…

Self-management for people with epilepsy and a history of negative health events (SMART): A randomized controlled effectiveness trial.

OBJECTIVES: This 2-site, 6-month randomized controlled trial of an epilepsy self-management (ESM) curriculum (SMART) vs. 6-month waitlist (WL) control assessed effects on epilepsy outcomes in 160 people with epilepsy (PWE). METHODS: PWE had at least 1 negative health event (NHE) defined as a seizure, emergency department visit, hospitalization or self-harm attempt in the last 6 months. Primary outcomes were differences in proportions of PWE with reductions in NHEs from baseline to 6 months follow up and change in NHE/seizure counts between SMART and WL. Secondary outcomes included the Patient…

Historical Gaps in the Integration of Patient-Centric Self-Management Components in HFrEF Interventions: An Umbrella Narrative Review.

Background: Chronic disease self-management (CDSM) interventions have shown promise in improving patient outcomes in heart failure (HF), particularly for those with reduced ejection fraction (HFrEF). Patient-centric self-management programs often incorporate key components such as education, self-monitoring, and goal setting. However, the extent to which these components are consistently reported and integrated into studies remains unclear. This umbrella narrative review aims to analyze systematic reviews to assess the consistency of reporting on patient-centric self-management components impl…

The Effect of Family Support on Self-Management Behavior in Postoperative Cardiac Surgery Patients: A Cross-Sectional Study.

BACKGROUND: Cardiac rehabilitation (CR) serves as a critical component in ongoing care for cardiovascular disease patients, improving postoperative anxiety and depression in cardiac surgery patients while reducing readmission rates and mortality. However, patient completion rates for CR programs remain low due to insufficient awareness and lack of social support. This study aimed to investigate the impact of family support levels on self-management behaviors in postoperative cardiac surgery patients, providing a basis for family-based cardiac rehabilitation interventions. METHODS: This cross-…

Psychometric evaluation of the Persian version of the adult chronic kidney disease self-management instrument in the Iranian population.

BACKGROUND: Increasing evidence suggests that self-management practices can enhance the results for individuals with chronic kidney disease (CKD). Nevertheless, there are currently no tools in Iran to adequately evaluate self-management in CKD patients. This study aimed to validate and psychometrically evaluate the Persian Chronic Kidney Disease Self-Management for Iranian healthcare professionals and patients. METHODS: In this cross-sectional study, after the scale translation, the adaptation and validation were assessed in a sample of 400 patients with CKD who were receiving treatment at ne…

Effect of the Yon PD App on the Management of Self-Care in People With Parkinson Disease: Randomized Controlled Trial.

BACKGROUND: As the percentage of the older population increases, it is accompanied by an increase in the prevalence of Parkinson disease (PD). People with PD experience a range of nonmotor symptoms, including pain, constipation, dysphagia, sleep disturbances, and fatigue. Improving self-care is necessary for people with PD because it is a chronic disease that requires lifelong management. In our previous study, we developed a mobile app (Yon PD app) to monitor nonmotor symptoms of PD. In this study, we investigated the long-term effects of the app in a larger group of people. OBJECTIVE: This

The impact of socioeconomic characteristics on Sudanese women's use of traditional, complementary and integrative medicine for self-management of infertility.

BACKGROUND: Although Sudanese women have rich experience in the use of traditional, complementary and integrative medicine, literature discussing the use for self-management of infertility is scarce. Therefore, this study aimed to fill this gap by examining the associations of the socioeconomic characteristics of Sudanese women with, as well as their predictability of, the use of traditional, complementary and integrative medicine for self-management of infertility. METHODS: This was a cross-sectional study involving 203 infertile women attending infertility clinics in Khartoum State, Sudan. …

The role of self-management in endometriosis pain: insights from a cross-sectional survey in Germany, Austria, and Switzerland.

BACKGROUND: Endometriosis has a significant negative impact on women's lives. Unfortunately, current medical treatments often fail to provide adequate pain relief and may cause intolerable side effects. Although many women experiencing primary dysmenorrhoea employ self-management strategies to help alleviate period-related symptoms, there is a paucity of knowledge about how women with endometriosis manage their symptoms through self-management. METHODS: A cross-sectional online survey was distributed in Germany, Austria, and Switzerland, between August and December 2022, targeting women aged …

The design process and development of MySleepSolutions - A sleep module for a lifestyle self-management app for low back pain.

Background: Mobile health applications for the management of chronic conditions may be an effective method of supporting self-management. Objective: This report aims to describe the design process of a novel mHealth sleep retraining program for people with low back pain (LBP). Methods: This report includes a detailed description of the design and implementation process which utilized a four-stage framework: (i) concept development, (ii) therapeutic/design approaches, and app features/functionality), (iii) implementation metrics, and (iv) clinical outcomes in end-users. Results: The content of …

Walking a tightrope: a scoping review of the use, perceptions and experiences of harm reduction strategies in self-harm management.

Harm reduction involves safer practices for self-harm, a concept well-established in drug management but less explored in the context of self-harm. This scoping study examines empirical research on harm reduction strategies in self-harm management, focusing on practitioners' and individuals' perspectives. The scoping review follows the Joanna Briggs Institute (JBI) recommendations and analyses internationally peer-reviewed empirical studies. Systematic searches in databases like CINAHL, Scopus, Sociological Abstracts, PsycINFO, and PubMed identified 377 studies, with seven meeting the inclusio

Exploring the Correlation Between Work Engagement and Self-Efficacy in Nurse Case Managers: A Cross-Sectional Study.

PURPOSE: To investigate the correlation between work engagement and self-efficacy among nurse case managers (NCMs) in China, analyzing the influencing factors and their implications for enhancing professional development and health care service quality. PRIMARY PRACTICE SETTINGS: The research was conducted in a Chinese hospital with NCMs position and training. METHODOLOGY AND SAMPLE: A cross-sectional design was used to recruit 76 NCMs through convenience sampling. The participants were registered nurses with at least 12 months of case management experience. Data were collected via online su

Effectiveness of Tailored Self-Management Interventions for People with Chronic Musculoskeletal Conditions: A Systematic Review and Meta-Analysis.

Purpose: To evaluate the effectiveness of tailored self-management interventions to improve health and behavioural outcomes for individuals living with chronic musculoskeletal (MSK) conditions. Method: We searched relevant databases and grey literature on January 27, 2022 (CRD42022297624). We included English language randomized controlled trials and quasi-experimental trials that assessed the effect of tailored self-management on health and behavioural outcomes for individuals living with chronic MSK conditions. Eligible studies included: Individually prescribed components based on subjective…

Supporting self-management with an internet intervention for low back pain in primary care: a RCT (SupportBack 2).

BACKGROUND: Low back pain is highly prevalent and a leading cause of disability. Internet-delivered interventions may provide rapid and scalable support for behavioural self-management. There is a need to determine the effectiveness of highly accessible, internet-delivered support for self-management of low back pain. OBJECTIVE: To determine the clinical and cost-effectiveness of an accessible internet intervention, with and without physiotherapist telephone support, on low back pain-related disability. DESIGN: A multicentre, pragmatic, three parallel-arm randomised controlled trial with par…

Влияние ориентированной на семью gamification на самоуправление людьми с множественным склерозом: протокол исследования смешанных методов.

ВВЕДЕНИЕ: Множественный склероз (МС) является хроническим заболеванием центральной нервной системы, которое затрагивает миллионы людей во всем мире, в том числе людей в Иране. Она затрагивает главным образом молодежь, что приводит к возникновению биопсихосоциальных проблем с непредсказуемыми симптомами. Самоуправление имеет решающее значение, но сопряжено с трудностями из-за отсутствия окончательного лечения. Новые подходы, такие, как медико-санитарные меры, в частности gamification, направлены на более эффективное привлечение пациентов. Хорошо продуманная gamification может оказать позитивное

Совпадение в аннотации оригинала
INTRODUCTION: Multiple sclerosis (MS) is a chronic disease of the central nervous system that impacts millions worldwide, including individuals in Iran. It primarily affects young people, leading to biopsychosocial challenges with unpredictable symptoms. Self-management is crucial but challenging due to the lack of definitive treatment. New approaches, such …