Effects of a short self-management intervention for patients with asthma and diabetes: evaluating health-related quality of life using then-test methodology.
Despite intensive outpatient care and optimized medical treatment, some patients with chronic illnesses experience prolonged difficulties in the self-management of their illness and fail to attain optimal disease control. The present study describes the effects of an intervention programme aimed at...
| Publicado en: | Psychology & Health Vol. 22; no. 4; pp. 387 - 412 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
May2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106126965&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106126965 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08870446 7WK jtl: Psychology & Health issn: 08870446 maglogo: N pubinfo: dt: May2007 vid: 22 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106126965 106126965 2009598669 10.1080/14768320600843226 106126965 ppf: 387 ppct: 25 formats: fmt: @attributes: type: P tig: atl: Effects of a short self-management intervention for patients with asthma and diabetes: evaluating health-related quality of life using then-test methodology. aug: au: Kuijer RG De Ridder DTD Colland VT Schreurs KMG Sprangers MAG affil: Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands. sug: subj: Asthma Coping Diabetic Patients Health Status Quality of Life Self Care Self-Efficacy Adult Analysis of Variance Coefficient alpha Descriptive Statistics Effect Size Female Funding Source Male Middle Age Netherlands Optimism Pretest-Posttest Design Questionnaires Random Assignment Regression Repeated Measures Scales Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Despite intensive outpatient care and optimized medical treatment, some patients with chronic illnesses experience prolonged difficulties in the self-management of their illness and fail to attain optimal disease control. The present study describes the effects of an intervention programme aimed at improving self-management and quality of life among patients with asthma and diabetes. The intervention was based on insights from self-regulation theory and proactive coping theory. Patients with asthma (N = 70) and diabetes (N = 55) were randomly assigned to an intervention group or control group (standard care). In addition to a conventional pre-test-post-test-follow-up design, the then-test methodology was employed to examine the effects on quality of life. The present study showed no intervention effects on self-efficacy, self-care activities or proactive coping. The same was true for quality of life when measured with the conventional design. However, positive intervention effects for asthma patients were found on global quality of life and physical health when measured with the then-test procedure. These results accentuate the value of including then-tests when measuring intervention outcomes. Additional subgroup analyses showed that patients who scored relatively high on optimism at baseline, benefited more from the intervention than did patients who scored relatively low on optimism. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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