Feasibility of Systems Support Mapping to guide patient-driven health self-management in colorectal cancer survivors.
To evaluate feasibility of System Support Mapping (MAP), a systems thinking activity that involves creating a diagram of existing self-management activities (e.g. symptom management, health behaviors) to facilitate autonomous engagement in optimal self-management. One-arm pilot study of MAP in color...
| Publicado en: | Psychology & Health Vol. 38; no. 5; pp. 602 - 623 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
May2023
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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=163408664&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163408664 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08870446 7WK jtl: Psychology & Health issn: 08870446 maglogo: N pubinfo: dt: May2023 vid: 38 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 163408664 152655859 163408664 163408664 10.1080/08870446.2021.1979549 163408664 ppf: 602 ppct: 21 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Feasibility of Systems Support Mapping to guide patient-driven health self-management in colorectal cancer survivors. aug: au: Sohl, Stephanie J. Befus, Deanna Tooze, Janet A. Levine, Beverly Golden, Shannon L. Puccinelli-Ortega, Nicole Pasche, Boris C. Weaver, Kathryn E. Lich, Kristen Hassmiller affil: Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, USA sug: subj: Colorectal Neoplasms Cancer Survivors Self-Management Decision Support Systems, Clinical Funding Source Human Qualitative Studies Content Analysis Descriptive Statistics Data Analysis Software Confidence Intervals Chi Square Test T-Tests Pilot Studies Self-Efficacy Patient Autonomy Exploratory Research Health Behavior Scales Fisher's Exact Test Male Female Adult Adult: 19-44 years Male Female ab: To evaluate feasibility of System Support Mapping (MAP), a systems thinking activity that involves creating a diagram of existing self-management activities (e.g. symptom management, health behaviors) to facilitate autonomous engagement in optimal self-management. One-arm pilot study of MAP in colorectal cancer survivors (NCT03520283). Feasibility of recruitment and retention (primary outcome), acceptability, and outcome variability over time. We enrolled 24 of 66 cancer survivors approached (36%) and 20 completed follow-up (83%). Key reasons for declining participation included: not interested (n = 18), did not perceive a need (n = 9), and emotional distress/overwhelmed (n = 7). Most participants reported that MAP was acceptable (e.g. 80% liked MAP quite a bit/very much). Exploratory analyses revealed a −4.68 point reduction in fatigue from before to 2 weeks after MAP exceeding a minimally important difference (d = −0.68). There were also improvements in patient autonomy (d = 0.63), self-efficacy (for managing symptoms: d = 0.56, for managing chronic disease: d = 0.44), psychological stress (d = −0.45), anxiety (d = −0.34), sleep disturbance (d = −0.29) and pain (d = −0.32). Qualitative feedback enhanced interpretation of results. MAP feasibility in colorectal cancer survivors was mixed, predominantly because many patients did not perceive a need for this approach. MAP was acceptable among participants and showed promise for improving health outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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