Navigation Links
Clinical support for patient self-management is rhetoric rather than reality
Date:5/17/2013

The processes to allow people to self-manage their own illness are not being used appropriately by health professionals to the benefit of their patients, new research suggests.

Self-management support aims to increase the patient's ability to take ownership over their condition and in some cases, to self-treat. It is widely seen as critical to ensure the sustainability of health services in terms of costs. Although potentially effective, patient based interventions can be limited as not all patients engage with them. However, embedding self-management support discussions and decisions into everyday clinical practices is thought to encourage patients to become more actively involved.

The study, led by Senior Research Fellow, Anne Kennedy at the University of Southampton, was carried out in the North West of England by the Universities of Southampton, Manchester, York and Keele and published in the BMJ. It assessed a whole system intervention, which attempted to implement self-management support, led by the health service, for patients with diabetes, chronic obstructive pulmonary disease or irritable bowel syndrome.

All staff, including clinical, management and administrative staff, at 44 practices were trained in a new self-management approach, designed by the universities involved, which helped them to put the patient at the centre of their care and use a range of self-management support resources.

More than 5,500 patients took part in the trial one of the largest randomised controlled trials of self-management support in primary care ever completed. Practices were randomised to either receive the training intervention and deliver the new self-management approach or provide routine care (the control practices were trained after the trial was completed).

However feedback and assessments showed that while practices engaged with and enjoyed the training, they did not use the approach to improve shared decision-making with patients or encourage the take-up of self-management support. There was no difference in results for any patient outcomes or on service use between the group that had the self-management approach and the group which received usual care.

Southampton's Dr Anne Kennedy comments: "We are disappointed by these results, as self-management support options do have the ability to help a lot of people, but the findings were very clear. There were a small number of patients who did benefit from the self-management process during the study but overall the feedback showed that the self-management model does not fit with the reality and demands of primary care practice and it is just paid lip service to. The active components required for effective self-management support need to be better understood, both within primary care and in patients' everyday lives Furthermore a separate process evaluation will explore why practitioners were not able to implement the intervention."

Co-author Professor Peter Bower, from the University of Manchester, says "[the study] used an intervention that could be delivered widely in routine primary care settings to maximise the applicability of the research." He added that the results suggest that self-management support may require considerable additional incentives to encourage practices to more actively engage with a self-management agenda.

Dr Kennedy adds: "One possibility is that most forms of intervention, whether provider based or patient based, are outside patients' workaday and social activities, so fail to embed themselves into their everyday lives. It may be that greater efforts to integrate support for self-management into patients' personal social networks or by using means that are more pervasive in people's lives, such as mobile technology, would prove a more effective approach to engaging patients with self-management."


'/>"/>

Contact: Becky Attwood
r.attwood@soton.ac.uk
44-023-805-95457
University of Southampton
Source:Eurekalert

Related medicine news :

1. Late breaking clinical trials introduced for first time at EHRA EUROPACE 2013
2. Preclinical tests shows agent stops slippery proteins from binding, causing Ewing sarcoma
3. Experts to present data addressing patient and physician barriers to clinical trials
4. Icahn School of Medicine at Mount Sinai and Bene Pharmachem Gmbh to Collaborate on Clinical Studies for Mucopolysaccaridoses
5. ERT Delivers In-country Support for Japan-Based Clinical Trials
6. Quorum Review’s CEO Presents on IRB Response to Key Changes in Clinical Research Practice
7. New York Orthopedics Clinical Trial Recruitment Re-opens
8. UNM Cancer Center selected for national clinical trial
9. The Tri-state Area’s Most Comprehensive Ear, Nose and Throat Practice Opens a State-of-the-Art Clinical Location in Astoria
10. Cancer biorepository speeds clinical trials, drug development, Moffitt analysis shows
11. 90% of Pediatric Specialists Not Following Clinical Guidelines When Treating Preschoolers with ADHD
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/8/2016)... Peachtree City, GA (PRWEB) , ... February 08, 2016 , ... ... healthy and cavity-free. February is National Children’s Dental Health Month and family dentist Yvonne ... to 3 p.m. at Coast Dental , located next to Target at 1207 ...
(Date:2/8/2016)... Alexandria, Minn. (PRWEB) , ... February 08, 2016 ... ... introduces the BantamPro L top-load case packer for pouches, bags, and flow wrapped ... designed to help co-packers and specialty product manufacturers step up to semi-automatic or ...
(Date:2/8/2016)... ... February 08, 2016 , ... The ... has selected the latest beneficiary of their ongoing community enrichment program. The current ... in area schools. Donations are now being accepted at: http://www.angelsanddoves.com/donate.html . , ...
(Date:2/8/2016)... ... ... Remember the old saying “rub some dirt on it”? Perhaps you should try using ... the health benefits of integrating clay into a daily diet are numerous, as clay ... speaker, Perry A~ has since dedicated her life to learning about the benefits of ...
(Date:2/8/2016)... CA (PRWEB) , ... February 08, 2016 , ... ... showing greater than 50% lower incidence rate of type 2 diabetes in the ... averages. ”It is time to make a change in public health,” states Carole ...
Breaking Medicine News(10 mins):
(Date:2/8/2016)... Feb. 8, 2016  Echo Therapeutics, Inc. ... company focused on non-invasive continuous glucose monitoring ... announced that it will host a webcast ... 2015 at 9:00 a.m. Eastern Time to ... corporate strategy, advancements in its CGM system, ...
(Date:2/8/2016)... -- http://www.researchandmarkets.com/research/fqx6nz/global_skin ) has announced ... Equipment Market 2016-2020" report to their offering. ... announced the addition of the "Global Skin ... offering. --> Research and ... of the "Global Skin Protective Equipment Market ...
(Date:2/8/2016)... , Feb. 8, 2016   HighPoint ... November Research Group (NRG),s pharmacovigilance technology services division.  ... consulting services and an Oracle Argus Specialized partner, ... to Life Sciences companies. --> ... expands HighPoint,s life sciences capabilities and provides a ...
Breaking Medicine Technology: