13,262 results match your criteria self-management interventions


Preferences for mHealth Technology and Text Messaging Communication in Patients With Type 2 Diabetes: Qualitative Interview Study.

J Med Internet Res 2021 Jun 11;23(6):e25958. Epub 2021 Jun 11.

Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.

Background: Individuals with diabetes need regular support to help them manage their diabetes on their own, ideally delivered via mechanisms that they already use, such as their mobile phones. One reason for the modest effectiveness of prior technology-based interventions may be that the patient perspective has been insufficiently incorporated.

Objective: This study aims to understand patients' preferences for mobile health (mHealth) technology and how that technology can be integrated into patients' routines, especially with regard to medication use. Read More

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Effects of Telemedicine and mHealth on Systolic Blood Pressure Management in Stroke Patients: Systematic Review and Meta-Analysis of Randomized Controlled Trials.

JMIR Mhealth Uhealth 2021 Jun 11;9(6):e24116. Epub 2021 Jun 11.

Department of Pharmacy, Fujian Medical University Union Hospital, Fujian Medical University, Fuzhou, China.

Background: Stroke is a common, harmful disease with high recurrence and mortality rates. Uncontrolled blood pressure is an important and changeable risk factor for stroke recurrence. Telemedicine and mobile health (mHealth) interventions may have the potential to facilitate the control of blood pressure among stroke survivors, but their effect has not been established. Read More

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The pregnancy-related anxiety characteristics in women with gestational diabetes mellitus: why should we care?

BMC Pregnancy Childbirth 2021 Jun 10;21(1):424. Epub 2021 Jun 10.

School of Nursing, Xinjiang Medical University, No. 567, Shangde North Road, Urumqi, 830000, Xinjiang, China.

Background: Gestational diabetes mellitus (GDM) is very commonly-seen in clinical settings, and GDM patients may have higher levels of anxiety. It's necessary to evaluate the anxiety level and potentially influencing factors in patients with GDM, to provide insights for the management of anxiety of GDM patients.

Methods: Patients with GDM treated in our hospital from May, 2018 to May, 2020 were included. Read More

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Patient Characteristics Associated with Retention in an Asthma Self-Management Trial for Older Adults.

J Asthma 2021 Jun 10:1-13. Epub 2021 Jun 10.

Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.

New self-management interventions are being developed for older adults who suffer from worse asthma morbidity than their younger counterparts, but high rates of study drop out have hampered these efforts and there is limited literature on what factors may influence retention in behavioral intervention studies with older adults. This study analyzed illness beliefs and patient characteristics that may contribute to retention in an asthma self-management trial for older adults. This is a secondary analysis of data from a randomized controlled trial of a self-management support intervention for adults 60 years and older with persistent, uncontrolled asthma. Read More

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Stress management interventions among socioeconomically disadvantaged parents: A meta-analysis and moderation analysis.

Int J Nurs Stud 2021 Apr 24;120:103954. Epub 2021 Apr 24.

Michigan State University College of Nursing, 1355 Bogue St., C241, East Lansing, MI 48824, United States. Electronic address:

Background: Socioeconomically disadvantaged parents experience high levels of stress, anxiety, and depression. Many interventions have been tested to reduce parental stress, but no meta-analysis has been conducted to quantitatively summarize the effects and explore the moderators of intervention effects among socioeconomically disadvantaged parents.

Objective: This meta-analysis aimed to (1) quantitatively examine the intervention effects of prior stress management interventions among socioeconomically disadvantaged parents on reducing stress, depression, and anxiety; and (2) explore the potential moderators of intervention effects. Read More

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Behavioral activation, affect, and self-efficacy in the context of alcohol treatment for women with elevated depressive symptoms.

Exp Clin Psychopharmacol 2021 Jun 10. Epub 2021 Jun 10.

Butler Hospital, Behavioral Medicine and Addictions Research.

Women with Alcohol use disorder (AUD) are more likely than men to have co-occurring depression, drink to cope with negative affect (NA), and cite negative affect as a contributor to relapse. Among AUD treatment seekers, low behavioral activation, NA, and reduced self-efficacy in abstaining from alcohol (e.g. Read More

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Adaptation of a Live Video Mind-Body Program to a Web-Based Platform for English-Speaking Adults With Neurofibromatosis: Protocol for the NF-Web Study.

JMIR Res Protoc 2021 Jun 10;10(6):e27526. Epub 2021 Jun 10.

Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States.

Background: Neurofibromatosis (NF) is a rare genetic condition associated with lower but modifiable quality of life (QoL). Although a virtual live video program (Relaxation Response Resiliency Program for Neurofibromatosis [3RP-NF]; efficacy randomized controlled trial underway) that we created has been made available, ongoing barriers impede some patients from engaging in this intervention. A necessary next step is to develop a stand-alone web-based intervention that reduces barriers to accessing NF-specific psychosocial care. Read More

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The Development of a Situation-Specific Nurse-Led Culturally Tailored Self-Management Theory for Chinese Patients With Heart Failure.

J Transcult Nurs 2021 Jun 10:10436596211023973. Epub 2021 Jun 10.

Tongji University Affiliated Shanghai East Hospital, Shanghai, China.

Introduction: Self-management is essential for treating heart failure (HF). Culture influences the ability to cope, negotiate, and adopt self-management behaviors. However, current HF self-management interventions for Chinese patients do not take culture into consideration. Read More

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Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis.

Open Heart 2021 Jun;8(1)

Health Services Research and Management, City University of London, London, UK.

Objectives: This meta-analysis aims to (1) evaluate the efficacy of physical activity interventions in heart failure and (2) to identify intervention characteristics significantly associated with the interventions' efficacy.

Methods: Randomised controlled trials reporting intervention effects on physical activity in heart failure were combined in a meta-analysis using a random-effect model. Exploratory meta-analysis was performed by specifying the general approach (eg, cardiac rehabilitation), strategies used (eg, action planning), setting (eg, centre based), mode of delivery (eg, face to face or online), facilitator (eg, nurse), contact time and behavioural change theory use as predictors in the random-effect model. Read More

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Prevention of dementia using mobile phone applications (PRODEMOS): protocol for an international randomised controlled trial.

BMJ Open 2021 Jun 9;11(6):e049762. Epub 2021 Jun 9.

Beijing Key Laboratory of Clinical Epidemiology, Capital Medical University School of Public Health, Beijing, China.

Introduction: Profiles of high risk for future dementia are well understood and are likely to concern mostly those in low-income and middle-income countries and people at greater disadvantage in high-income countries. Approximately 30%-40% of dementia cases have been estimated to be attributed to modifiable risk factors, including hypertension, smoking and sedentary lifestyle. Tailored interventions targeting these risk factors can potentially prevent or delay the onset of dementia. Read More

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Pediatric epilepsy and psychoeducational interventions: A review of the literature.

Authors:
A Maya Kaye

Epilepsy Behav 2021 Jun 6;121(Pt A):108084. Epub 2021 Jun 6.

Tulane University School of Social Work, United States. Electronic address:

For many individuals, living with epilepsy is truly a family affair throughout the life span. When it comes to childhood epilepsy, the unpredictability of seizure patterns, comorbid conditions, the risk of sudden unexpected death in epilepsy (SUDEP), and societal stigma can be emotionally taxing on children and their primary caregivers. To this end, this article proposes to review psychoeducational interventions provided to primary caregivers of children with an epilepsy diagnosis and the impact of such interventions on general parental coping skills. Read More

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"Adolescents do not only require ARVs and adherence counseling": A qualitative investigation of health care provider experiences with an HIV youth peer mentoring program in Ndola, Zambia.

PLoS One 2021 9;16(6):e0252349. Epub 2021 Jun 9.

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.

Introduction: Adolescents and young adults (AYAs) living with HIV face unique challenges and have poorer health outcomes than adults with HIV. Project YES! was a youth-led initiative to promote HIV self-management and reduce stigma among AYAs in four Ndola, Zambia clinics. Clinic health care providers (HCPs) were involved in multiple intervention aspects, including serving as expert resources during AYA and caregiver group meetings, facilitating resistance test-based AYA antiretroviral drug changes, meeting with participants referred through a safety protocol, and guiding a subset of participants' physical transition from pediatric to adult clinic settings. Read More

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Assessment of health status in adolescents with spina bifida in the West Bank, Palestine: sense of coherence and self-perceived health.

Disabil Rehabil 2021 Jun 9:1-8. Epub 2021 Jun 9.

Nursing, Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University and Division of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.

Purpose: To assess self-perceived health and sense of coherence (SOC) in adolescents with spina bifida (SB) in the West Bank, Palestine, compared to a healthy reference group. Further, to assess the association between impairment levels in the adolescents with SB and their self-perceived health and SOC.

Methods: Fifty adolescents with SB and 150 healthy adolescents completed measures of self-perceived health - the Pediatric Quality of Life Inventory (PedsQL 4. Read More

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An Intervention to Improve Medication Adherence in People With Heart Disease (Text4HeartII): Randomized Controlled Trial.

JMIR Mhealth Uhealth 2021 Jun 9;9(6):e24952. Epub 2021 Jun 9.

National Institute for Health Innovation, University of Auckland, Auckland, New Zealand.

Background: Mobile health technologies have the potential to improve the reach and delivery of interventions for promoting long-term secondary prevention of coronary heart disease.

Objective: This study aims to determine the effectiveness of an SMS text messaging intervention (Text4HeartII) for improving adherence to medication and lifestyle changes over and above usual care in people with coronary heart disease at 24 and 52 weeks.

Methods: A two-arm, parallel, randomized controlled trial was conducted in New Zealand. Read More

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The journeys of patients with trigeminal neuralgia on a background of multiple sclerosis.

Pain Manag 2021 Jun 9. Epub 2021 Jun 9.

Facial Pain Unit Royal National Ear Nose & Throat & Eastman Dental Hospitals, UCLH NHS Foundation Trust, 47-49 Huntley Street, London, WC1E 6DG, UK.

Multiple sclerosis (MS) is well recognized as a secondary cause for trigeminal neuralgia (TN). In this case series, we detail the management of all the patients with TN and MS (pwTNMS) presenting to a specialist unit. A prospective patient database was used to extract key clinical data on pharmacological, psychometric and surgical management of 20 pwTNMS. Read More

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Phone-Based Intervention under Nurse Guidance after Stroke (PINGS II) Study: Protocol for a Phase III Randomized Clinical Trial.

J Stroke Cerebrovasc Dis 2021 Jun 5;30(8):105888. Epub 2021 Jun 5.

University of California, San Francisco, USA.

Objectives: The Sub-Saharan African (SSA) region now has the highest estimated effect size of hypertension for stroke causation worldwide. An urgent priority for countries in SSA is to develop and test self-management interventions to control hypertension among those at highest risk of adverse outcomes. Thus the overall objective of the Phone-based Intervention under Nurse Guidance after Stroke II study (PINGS-2) is to deploy a hybrid study design to assess the efficacy of a theoretical-model-based, mHealth technology-centered, nurse-led, multi-level integrated approach to improve longer term blood pressure (BP) control among stroke survivors. Read More

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Developing a self-management intervention to manage hypermobility spectrum disorders (HSD) and hypermobile Ehlers-Danlos syndrome (hEDS): an analysis informed by behaviour change theory.

Disabil Rehabil 2021 Jun 8:1-10. Epub 2021 Jun 8.

Department of Allied Health Professions, Centre for Health and Clinical Research, University of the West of England, Bristol, UK.

Purpose: Hypermobility Spectrum Disorders (HSD) and Hypermobile Ehlers-Danlos Syndrome (hEDS) are heritable connective tissue disorders associated with joint instability and pain, but with scant guidance for supporting patients. The aim was to determine recommendations for an HSD/hEDS self-management intervention.

Materials And Methods: Barriers to self-management were mapped onto the Theoretical Domains Framework (TDF) and Capability, Opportunity, Motivation-Behaviour (COM-B) model in a behavioural analysis. Read More

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Self-measured blood pressure monitoring among adults with self-reported hypertension in 20 US states and the District of Columbia, 2019.

Am J Hypertens 2021 Jun 7. Epub 2021 Jun 7.

Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.

Background: Hypertension is a major risk factor for cardiovascular disease. Achieving hypertension control requires multiple supportive inventions, including self-measured blood pressure (SMBP). The objective of this study is to report the use of SMBP among US adults. Read More

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Self-Management of Dementia by Family Carers: A Scoping Review.

Gerontol Geriatr Med 2021 Jan-Dec;7:23337214211016694. Epub 2021 May 20.

The University of Newcastle, Callaghan, NSW, Australia.

Family carers increasingly take on the responsibility of self-management of dementia as the condition progresses. However, research on this topic is scarce. This scoping review aimed to identify the key characteristics related to self-management of dementia by carers including its components, theoretical/conceptual frameworks that underpinned these components and measurements. Read More

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Sustaining Personal Activism: Behavior Analysts as Antiracist Accomplices.

Behav Anal Pract 2021 Jun 2:1-8. Epub 2021 Jun 2.

Special Education and Clinical Sciences, University of Oregon, 860 Willow Ave, Eugene, OR 97404 USA.

One pervasive social issue that has received little attention within the behavior-analytic community is racism and the systemic oppression of Black, Indigenous, and non-Black people of color. The present article offers guidance and examples of how each of us as behavior analysts might build individualized self-management behavior change plans that support initiating and sustaining socially significant antiracism work as we move from allies to accomplices within our own sphere of influence. This article introduces the concept of self-managed antiracism behavior change plans that (a) operationally define antiracist action using measurable outcomes and strategies for data collection on specific antiracist and support actions, (b) provide choices to improve engagement and reduce barriers to adherence, and (c) use effective behavioral interventions to alter the availability of discriminative stimuli or reduce their influence, and increase the availability of reinforcers that are compatible with the goal of the behavior change plan for increasing antiracism behavior and dismantling structures perpetuating racial inequities. Read More

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Resilience Predicts Self-Stigma and Stigma Resistance in Stabilized Patients With Bipolar I Disorder.

Front Psychiatry 2021 21;12:678807. Epub 2021 May 21.

Department of Psychiatry, Psychotherapy and Psychosomatics, Division of Psychiatry I, Medical University Innsbruck, Innsbruck, Austria.

The identification of factors that prevent self-stigma and on the other hand promote stigma resistance are of importance in the long-term management of bipolar disorder. Accordingly, the aim of the current study was to investigate the association of factors deemed relevant in this context, i.e. Read More

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Personal protective equipment use during industrial hog operation work activities and acute lung function changes in a prospective worker cohort, North Carolina 2014-2015.

Am J Ind Med 2021 Jun 6. Epub 2021 Jun 6.

Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.

Introduction: Occupational activities related to industrial hog operation (IHO) worker lung function are not well defined. Therefore, we aimed to identify IHO work activities associated with diminished respiratory function and the effectiveness, if any, of personal protective equipment (PPE) use on IHOs.

Methods: From 2014 to 2015, 103 IHO workers were enrolled and followed for 16 weeks. Read More

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Baseline sleep quality moderates symptom improvement in veterans with comorbid PTSD and TBI receiving trauma-focused treatment.

Behav Res Ther 2021 May 29;143:103892. Epub 2021 May 29.

Psychology Service, VA San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA, 92161, USA; Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA, 92161, USA; Department of Psychiatry, University of California San Diego, 9500 Gilman Dr., San Diego, CA, 92093, USA. Electronic address:

Poor sleep quality is common among Veterans with posttraumatic stress disorder (PTSD) and history of traumatic brain injury (TBI). However, the relationship between sleep quality and treatment outcomes following trauma-focused interventions is less well-understood in this population. We sought to better understand whether 1) sleep quality changed as a result of trauma-focused treatment and 2) if baseline sleep quality moderated psychological and neurobehavioral treatment outcomes. Read More

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Race/Ethnicity are among the predisposing factors for fetal malpresentation at term.

Am J Obstet Gynecol MFM 2021 Jun 3:100405. Epub 2021 Jun 3.

Department of Obstetrics and Gynecology, Lenox Hill Hospital - Zucker School of Medicine at Hofstra/Northwell, New York, NY.

Objective: Fetal malpresentation complicates approximately 3% to 4% of all term births. It requires special considerations for delivery and exposes the mother and neonate to obstetrical interventions and potential adverse outcomes, such as umbilical cord prolapse, head entrapment and birth trauma, hypoxic ischemic encephalopathy, cesarean delivery and cesarean related complications. We set out to explore maternal and fetal factors associated with non-cephalic malpresentation at term, with specific interest on the impact of maternal race and ethnicity on fetal malpresentation. Read More

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Racial Discrimination and Health-Related Quality of Life: An Examination Among Asian American Immigrants.

J Racial Ethn Health Disparities 2021 Jun 4. Epub 2021 Jun 4.

Department of Medicine, School of Medicine, University of California, Irvine, 653 E Peltason Drive, Irvine, CA, 92697, USA.

Objectives: We aimed to examine the relationship between everyday and major racial discrimination with health-related quality of life (HRQOL), which consists of self-rated health, days of poor physical health, mental health, and activity limitation.

Design: In a cross-sectional analytic sample of 524 foreign-born Asian adults, aged 18 years and older, we conducted multivariable logistic regression and multivariable negative binomial regression to examine associations between discrimination and HRQOL. Furthermore, potential effect modification was tested by gender, ethnicity, and social support. Read More

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Wise reasoning, intergroup positivity, and attitude polarization across contexts.

Nat Commun 2021 06 3;12(1):3313. Epub 2021 Jun 3.

Department of Management, Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong.

We hypothesized that a wisdom-based reasoning process comprised of epistemic humility, accounting for context, and integrating different perspectives and interests, would be helpful in overcoming intergroup bias and attitude polarization in societal conflicts. Here we test the hypothesis using both the Situated Wise Reasoning Scale and experimental induction. In each study, we recruited participants who self-identified as members of a group implicated in an ongoing intergroup situation. Read More

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A systematic review of community pharmacy initiatives to improve treatment of depression and pain: Focus on types of programs and patient-reported outcomes.

Res Social Adm Pharm 2021 May 27. Epub 2021 May 27.

University of Pittsburgh School of Medicine, Department of Psychiatry, USA. Electronic address:

Introduction: Depression and pain are common, disabling, mutually exacerbating conditions. Many patients living with these conditions present to community pharmacies on a regular schedule to purchase both prescribed and over-the-counter medications. Community-pharmacy based programs have been developed to improve depression and pain outcomes. Read More

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Safety and efficacy of Ayurvedic interventions and Yoga on long term effects of COVID-19: A structured summary of a study protocol for a randomized controlled trial.

Trials 2021 Jun 3;22(1):378. Epub 2021 Jun 3.

Central Council for Research in Ayurvedic Sciences Headquarters, 61-65, Institutional Area, Opp. 'D' Block, Janakpuri, New Delhi, 110058, India.

Objectives: Primary Objective • To assess the efficacy of Ayurveda interventions and Yoga in rehabilitation of COVID-19 cases suffering with long term effects of COVID 19 as compared to WHO Rehabilitation Self-Management after COVID-19- Related Illness. Secondary Objective • To assess the safety of Ayurvedic interventions in cases suffering with long term effects of COVID 19 TRIAL DESIGN: Multi-centric, randomized, controlled, parallel group, open-label, exploratory study. The study duration is 9 months and the intervention period is 90 days from the day of enrolment of the participant. Read More

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'Social media comes with good and bad sides, doesn't it?' A balancing act of the benefits and risks of social media use by young adults with long-term conditions.

Health (London) 2021 Jun 3:13634593211023130. Epub 2021 Jun 3.

King's College London, UK; Bethlem Royal Hospital, UK.

Young adults are frequent users of social media, but the help and hindrance of social media for living well with long-term conditions (LTCs) in young adulthood is little-researched. The aim of this paper was to explore the experiences of social media use amongst young adults with LTCs. Interviews with 15 young adults with LTCs explored their experiences of using social media more broadly and in relation to online health communities. Read More

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