“This book is my life…”: A qualitative feasibility study on the use of a self-management support tool

Loveness Dube,Anne-Marie Bergh,William D’Hoore,Stephan Van Den Broucke,Rachel Hale

doi:10.1080/23311886.2019.1582139

Abstract

As self-management support is a cost-effective way to enable patients to take an active role in managing their own condition and to address the chronic disease burden, there is a need for contextua...

Highlights

As non-communicable diseases (NCDs) continue to rise globally, it is crucial for health care systems to shift to partnership models of care, with a focus on patient self-management in which patients take up active roles in the management of their disease(s) (Bodenheimer, Lorig, Holman, & Grumbach, 2002; de Silva, 2011; Von Korff, Gruman, Schaefer, Curry, & Wagner, 1997)
This study tried to answer the question regarding the feasibility of a self-management care-plan booklet that was adapted for patients with diabetes and/or hypertension in South-African communities to facilitate collaboration
Some comments relating to organisational culture fit in well with the emphasis on “assisted selfmanagement support” in the integrated chronic diseases model (ICDM) as adopted for South Africa (Mahomed & Asmall, 2015)

Summary

Introduction

As non-communicable diseases (NCDs) continue to rise globally, it is crucial for health care systems to shift to partnership models of care, with a focus on patient self-management in which patients take up active roles in the management of their disease(s) (Bodenheimer, Lorig, Holman, & Grumbach, 2002; de Silva, 2011; Von Korff, Gruman, Schaefer, Curry, & Wagner, 1997). An extensive literature shows that chronic disease self-management education and support by health providers is cost effective and improves the way patients manage their conditions, which helps to improve population health (Cunningham, 2016; de Silva, 2011; Mills, Brady, Jayanthan, Ziabakhsh, & Sargious, 2016). Even when programmes are available through health centres, the specific individual needs of chronic patients related to their social environment and cultural background are often neglected (Mills et al, 2016). This is the case in developing countries, where the burden of disease is shifting from infectious to chronic disease because of the transition from traditional to western lifestyles (LevinZamir et al, 2016). Western self-management programmes need to be adapted to the socio-economic and cultural contexts and materials must be tailored to conform to the cultural aspects of the target population

Objectives

Methods

Results

Conclusion