How do facilitators of group programmes for long-term conditions conceptualise self-management support?
Objectives: Increasing self-management skills in people with long-term conditions is widely advocated in policies and guidelines. Group programmes are a common format; yet, how self-management support objectives are enacted in their delivery is poorly understood. Our aim is to explore the perspectiv...
| Publicado en: | Chronic Illness Vol. 16; no. 2; pp. 104 - 119 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jun2020
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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=142854125&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142854125 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17423953 1UJF jtl: Chronic Illness issn: 17423953 maglogo: N pubinfo: dt: Jun2020 vid: 16 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 142854125 142854125 142854125 10.1177/1742395318792068 142854125 ppf: 104 ppct: 15 formats: tig: atl: How do facilitators of group programmes for long-term conditions conceptualise self-management support? aug: au: Hughes, Stephen Lewis, Sophie Willis, Karen Rogers, Anne Wyke, Sally Smith, Lorraine affil: Faculty of Medicine and Health, The University of Sydney School of Pharmacy, The 146817 -->University of Sydney -->, NSW, Australia sug: subj: Self-Management Chronic Disease Support Groups Attitude of Health Personnel Human Thematic Analysis Semi-Structured Interview Support, Psychosocial Obesity Diabetes Mellitus Pulmonary Disease, Chronic Obstructive ab: Objectives: Increasing self-management skills in people with long-term conditions is widely advocated in policies and guidelines. Group programmes are a common format; yet, how self-management support objectives are enacted in their delivery is poorly understood. Our aim is to explore the perspectives of group programme facilitators. Methods: We undertook thematic analysis of transcribed data from in-depth semi-structured interviews with health professional facilitators (n = 13) from six diverse self-management support group programmes (of obesity, diabetes and chronic obstructive pulmonary disease). Results: Facilitators viewed group programmes as responses to health system pressures, e.g. high patient demand. They focussed on providing in-depth education and instruction on physical health, risks and lifestyle behaviour change and emphasised self-responsibility for behaviour change whilst minimising goal setting and support amongst group participants. There were tensions between facilitators' professional identity and group leader role. Discussion: Group self-management support programmes may not be realising the broader aspirations advocated in long-term condition policy to support medical, emotional and social aspects of long-term conditions by minimising shared learning, problem solving, building of self-efficacy and goal setting. This suggests a disconnect at implementation. Increasing understandings of theoretical and practical self-management support in group programmes across both implementation and health professional (HCP) training will further the professional skills in this format. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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