ArticleHealth expectations : an international journal of public participation in health care and health policy2017
The complexity of shaping self-management in daily practice.
Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04560296 (Community-based E-Health Program for Older Adults Living With Chronic Diseases - A Cluster Controlled Study With Process Evaluation), which is not on this map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Community-based E-Health Program for Older Adults Living With Chronic Diseases - A Cluster Controlled Study With Process Evaluation
Who cites it
18 citing papers in PubMed.
- A realist evaluation approach to explaining the role of context in the impact of a complex eHealth intervention for improving prevention of cardiovascular disease.BMC health services research · 2020Trial
- Understanding adaptive tasks in cardiac rehabilitation among patients with acute myocardial infarction: a qualitative study.Annals of medicine · 2024Article
- Exploring Healthcare Paradoxes in Hospital Haemodialysis-A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Article
- How do nurses support chronically ill clients' participation and self-management in primary care? A cross-country qualitative study.BMC primary care · 2022Article
- Development of a Community-Based e-Health Program for Older Adults With Chronic Diseases: Pilot Pre-Post Study.JMIR aging · 2022Article
- Husbands' concerns and experiences with the progesterone vaginal ring in three sub-Saharan African countries: a mixed methods study.Sexual and reproductive health matters · 2022Article
- Pivoting the Provision of Smoking Cessation Education in a Virtual Clinical World: The Princess Margaret Cancer Centre Experience.Current oncology (Toronto, Ont.) · 2021Article
- Patient Rationales Against the Use of Patient-Accessible Electronic Health Records: Qualitative Study.Journal of medical Internet research · 2021Article
- Talking about quality: how 'quality' is conceptualized in nursing homes and homecare.BMC health services research · 2021Article
- Breast Cancer Patients' Perceptions of Adjuvant Radiotherapy: an Assessment of Pre-Treatment Knowledge and Informational Needs.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020Article
- Trust in older persons: A quantitative analysis of alignment in triads of older persons, informal carers and home care nurses.Health & social care in the community · 2019Article
- Self-management and psychological resilience moderate the relationships between symptoms and health-related quality of life among patients with hypertension in China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Article
- The different perspectives of patients, informal caregivers and professionals on patient involvement in primary care teams. A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Representative Claims in Healthcare: Identifying the Variety in Patient Representation.Journal of bioethical inquiry · 2018Article
- Experiences, expectations and challenges of an interactive mobile phone-based system to support self-management of hypertension: patients' and professionals' perspectives.Patient preference and adherence · 2018Article
- The complexity of shaping self-management in daily practice.Health expectations : an international journal of public participation in health care and health policy · 2017Article
- Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and contextMany countries are giving patients a more active role in health care, on both the individual and collective level. This study focuses on one aspect of the participation agenda on the individual level: self-management. The study explores self-management in practice, including the implications of the difficulties encountered.
objectiveTo gain insight into the complexity of self-management practice. This is crucial for developing both self-management interventions and the participation policy agenda.
methodsQualitative semi-structured interviews with experts (n=6) and patients with a chronic condition (n=20).
resultsIn terms of level of involvement and type of activity, shaping self-management in practice depends on personal and social dynamics, patients' ideas of the good life and their interactions with care professionals. Clashes can arise when patients and professionals hold differing ideas, based on different values, about the level and type of patient involvement. DISCUSSION: The discussion on self-management should account for the fact that how we define self-management is very much a normative issue. It depends on the norms and values of patients, professionals and underlying health-care policies. Differing ideas present professionals with ethical dilemmas which they should reflect on. However, professional reflection alone is not enough to deal with these dilemmas. The participation agenda needs far wider ranging reflection on how participation relates to other values in health care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.