OBJECTIVE To identify key solutions that facilitate the prescription of long-term asthma controller and provision of written self-management plans by physicians. METHODS One hour individualized semistructured interviews were conducted with physicians. Interviews were transcribed verbatim and analyzed independently by two trained qualitative researchers. A taxonomy of facilitators (contemplate...

OBJECTIVE To measure patient activation and its relationship to glycemic control among adults with type 2 diabetes who had not participated in a formal diabetes self-management education program as a baseline assessment for tailoring diabetes education in a primary care setting. RESEARCH DESIGN AND METHODS Patient activation was assessed in a stratified, cross-sectional study of adults with c...

The management of self-harm (SH) wounds requires a non-judgemental holistic approach on the part health professional. It is important that SH are assessed, and interventions agreed between professional patient. This article looks at definitions provides guidance how professionals can make an accurate assessment wound and, in addition to agreement treatment with patient, provide patient educatio...

The effectiveness of heart failure (HF) self-management interventions varies within patients suggesting that one size does not fit all. It is expected that effectiveness can be optimized when interventions are tailored to individual patients. The aim of this review was to synthesize the literature on current use of tailoring in self-management interventions and patient characteristics associate...

BACKGROUND Diabetes is reaching epidemic proportions on the U.S.-Mexico Border, and culturally competent diabetes education is not available in many communities. CONTEXT People with diabetes often do not have access to regular medical care, cannot afford medication, and lack the community infrastructure that supports self-management practices. Self-management education and support have great ...

BACKGROUND Although enthusiasm is growing for diabetic education programs for older people, data regarding their effectiveness and their long-term impact on self-management were neglected. PURPOSE To systematically review diabetes mellitus education that has long-term effects on the self-management of older diabetic people. DATA SOURCES The authors searched multiple sources dated through Se...

KEY POINTS Self-management education in asthma is not an optional extra. Healthcare professionals have a responsibility to ensure that everyone with asthma has personalised advice to enable them to optimise how they self-manage their condition.Overviews of the extensive evidence-base conclude that asthma self-management supported by regular professional review, improves asthma control, reduces ...