Browsing by Subject "chronic conditions"

Now showing 1 - 3 of 3
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    BE YOUR OWN BOSS: A CHRONIC DISEASE SELF-MANAGEMENT PROGRAM
    (Office of the Vice Chancellor for Research, 2012-04-13) Gladstone, Erin B.; Bhargava, Aakriti; Ciccarelli, Mary R.
    Objective: Describe the pilot of a peer-led chronic disease self-management workshop for youth aged 13-24 years old. Background: Fifteen to eighteen percent of children in the United States live with a chronic health condition (Perrin et al., Journal of the American Medical Association 2007, 297:2755). The Stanford chronic disease self-management program (CDSMP) has demonstrated improved self-care and health outcomes in older adults. Alberta Health Services has adapted this program from Stanford University for youth and young adults. CYACC is col-laborating with Alberta to evaluate the effectiveness of the adapted version in adolescents and young adults. Methods: Train the trainer sessions were completed to develop an initial cadre of lay leaders to implement the workshop sessions. Participants with any chronic condition attend 2 hour peer-led sessions once per week for six weeks. During the sessions, individuals with a variety of chronic diseases learn the skills needed in self-management of their condition and mainte-nance of general well-being and life’s activities. Data is collected on self-efficacy, pain, adherence, and other outcomes through pre- and post- as-sessment surveys. Results: Fourteen individuals participated in the pilot phase of the pro-gram; 5 in Lafayette, IN and 8 in Indianapolis, IN. A total of 14 pre-surveys were collected, while 10 post-surveys were collected. Analyses of the sur-veys show beneficial topics , while also indicating which topics should receive additional focus. Areas of the program identified as needing attention include recruitment, risk management, transportation issues, participant dropout rates, logistics of workshops, continued training of lay leaders, and stand-ardization of survey responses. Conclusion: The pilot study identified the importance and need for a self-management program for youth and young adults with chronic conditions. This program has the potential to improve health and self-management in the study population. Limitations of the program were addressed and will be improved for the next round of workshops.
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    The CoMac DescriptorTM and Psychosociolinguistic Tailored Communication to Promote Self-Management (TCPS) in Patients with Type 2 Diabetes
    (Office of the Vice Chancellor for Research, 2016-04-08) Connor, Ulla; Gokpinar-Shelton, Esen
    Abstract: Estimates show that between 35-50% of patients with chronic conditions do not adhere to medical prescriptions. Lack of adherence to treatment plans results in poor clinical/patient outcomes, higher healthcare costs, and lost productivity. Adherence is connected to health literacy and health communication. Health literacy includes the ability to comprehend medical information and make decisions about healthy behaviors. Much of the focus on health literacy has been on reading and numeracy; however, in the clinic setting, health information is most often exchanged through provider-patient verbal communication. Verbal exchange of information includes speaking and listening. Linguistic tactics can be used to draw individuals’ attention to messages, selecting specific words, phrases, and style of communicating, informed by linguistics, can create a psychological closeness between the message and the audience. Increasing attention to oral messages should be a key strategy in health communication to promote adherence and self-management. This presentation describes the effectiveness and the practicality of an innovative psychosociolinguistic intervention tool, based on previous research in linguistic analysis of patient talk, the CoMac DescriptorTM and the subsequent psychosociolinguistically informed communication (Connor et al., 2012; Connor & Lauten 2014). As an interdisciplinary team of researchers from the International Center for Intercultural Communication (ICIC) at IUPUI, we have used the CoMac DescriptorTM, a 12-question survey, to identify and segment patients with Type 2 Diabetes Mellitus (T2DM) based on patients’ psychosociolinguistic characteristics. We have then offered healthcare providers psychosociolinguistically informed communication, matching the linguistic styles of patients. We will share the key findings such as 1) patients’ and healthcare professionals’ overall satisfaction with the CoMac DescriptorTM and psychosociolinguistically informed communication; and 2) statistically significant relationship between the health behaviors and health outcomes of patients using the CoMac Descriptor and psychosociolinguistically informed communication.
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    Optimization of Drug Prescription and Medication Management in Older Adults with Cardiovascular Disease
    (Springer, 2017-11) Wenger, Nanette K.; Doherty, Caroline Lloyd; Gurwitz, Jerry H.; Hirsch, Glenn A.; Holmes, Holly M.; Maurer, Matthew S.; Murray, Michael D.; Medicine, School of Medicine
    Cardiovascular disease increases incrementally with age and elderly patients concomitantly sustain multimorbidities, with resultant prescription of multiple medications. Despite conforming with disease-specific cardiovascular clinical practice guidelines, this polypharmacy predisposes many elderly individuals with cardiovascular disease to adverse drug events and non-adherence. Patient-centered care requires that the clinician explore with each patient his or her goals of care and that this shared decision-making constitutes the basis for optimization of medication management. This approach to aligning therapies with patient preferences is likely to promote patient satisfaction, to limit morbidity, and to favorably affect healthcare costs.