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Health‐care professionals’ assessment of a person‐centred intervention to empower self‐management and health across chronic illness: Qualitative findings from a process evaluation study

BACKGROUND: Person‐centred care (PCC) empowers patients to manage their chronic illness and promote their health in accordance with their own beliefs, values and preferences. Drawing on health‐care professional's (HCP’s) experiences implementing an empowerment‐focused, person‐centred interventi...

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Autores principales: Heggdal, Kristin, Mendelsohn, Joshua B., Stepanian, Natalie, Oftedal, Bjørg Frøysland, Larsen, Marie Hamilton
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8369120/
https://www.ncbi.nlm.nih.gov/pubmed/33934447
http://dx.doi.org/10.1111/hex.13271
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author Heggdal, Kristin
Mendelsohn, Joshua B.
Stepanian, Natalie
Oftedal, Bjørg Frøysland
Larsen, Marie Hamilton
author_facet Heggdal, Kristin
Mendelsohn, Joshua B.
Stepanian, Natalie
Oftedal, Bjørg Frøysland
Larsen, Marie Hamilton
author_sort Heggdal, Kristin
collection PubMed
description BACKGROUND: Person‐centred care (PCC) empowers patients to manage their chronic illness and promote their health in accordance with their own beliefs, values and preferences. Drawing on health‐care professional's (HCP’s) experiences implementing an empowerment‐focused, person‐centred intervention called the Bodyknowledging Program (BKP), we undertook a process evaluation that aimed to assess the impact on patient health and well‐being. METHODS: We used individual in‐depth interviews and semi‐structured focus groups comprising n = 8 interprofessional HCP who facilitated intervention sessions with n = 58 patients situated in Norwegian specialist care sites. Content analysis was used to analyse the data and summarize major themes. RESULTS: Health‐care professional interviews revealed four main ways in which the intervention operated in support of health‐related patient outcomes: (i) addressing the whole person; (ii) hope and affirmation; (iii) expanding recovery; and (iv) social support and revitalized relationships. The intervention provided new tools for patients to understand the social, emotional and physical impact of their illness. Health‐care professional reported new insights to facilitate patient engagement and to promote patients’ health. CONCLUSIONS: The Bodyknowledging Program facilitated patient engagement through the promotion of patient‐centred care while developing the patients’ ability to exploit their own resources for effectively managing their health within illness. The process evaluation supported the underlying theoretical basis of the intervention and was suggestive of its potential transferability elsewhere.
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spelling pubmed-83691202021-08-23 Health‐care professionals’ assessment of a person‐centred intervention to empower self‐management and health across chronic illness: Qualitative findings from a process evaluation study Heggdal, Kristin Mendelsohn, Joshua B. Stepanian, Natalie Oftedal, Bjørg Frøysland Larsen, Marie Hamilton Health Expect Original Articles BACKGROUND: Person‐centred care (PCC) empowers patients to manage their chronic illness and promote their health in accordance with their own beliefs, values and preferences. Drawing on health‐care professional's (HCP’s) experiences implementing an empowerment‐focused, person‐centred intervention called the Bodyknowledging Program (BKP), we undertook a process evaluation that aimed to assess the impact on patient health and well‐being. METHODS: We used individual in‐depth interviews and semi‐structured focus groups comprising n = 8 interprofessional HCP who facilitated intervention sessions with n = 58 patients situated in Norwegian specialist care sites. Content analysis was used to analyse the data and summarize major themes. RESULTS: Health‐care professional interviews revealed four main ways in which the intervention operated in support of health‐related patient outcomes: (i) addressing the whole person; (ii) hope and affirmation; (iii) expanding recovery; and (iv) social support and revitalized relationships. The intervention provided new tools for patients to understand the social, emotional and physical impact of their illness. Health‐care professional reported new insights to facilitate patient engagement and to promote patients’ health. CONCLUSIONS: The Bodyknowledging Program facilitated patient engagement through the promotion of patient‐centred care while developing the patients’ ability to exploit their own resources for effectively managing their health within illness. The process evaluation supported the underlying theoretical basis of the intervention and was suggestive of its potential transferability elsewhere. John Wiley and Sons Inc. 2021-05-02 2021-08 /pmc/articles/PMC8369120/ /pubmed/33934447 http://dx.doi.org/10.1111/hex.13271 Text en © 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Heggdal, Kristin
Mendelsohn, Joshua B.
Stepanian, Natalie
Oftedal, Bjørg Frøysland
Larsen, Marie Hamilton
Health‐care professionals’ assessment of a person‐centred intervention to empower self‐management and health across chronic illness: Qualitative findings from a process evaluation study
title Health‐care professionals’ assessment of a person‐centred intervention to empower self‐management and health across chronic illness: Qualitative findings from a process evaluation study
title_full Health‐care professionals’ assessment of a person‐centred intervention to empower self‐management and health across chronic illness: Qualitative findings from a process evaluation study
title_fullStr Health‐care professionals’ assessment of a person‐centred intervention to empower self‐management and health across chronic illness: Qualitative findings from a process evaluation study
title_full_unstemmed Health‐care professionals’ assessment of a person‐centred intervention to empower self‐management and health across chronic illness: Qualitative findings from a process evaluation study
title_short Health‐care professionals’ assessment of a person‐centred intervention to empower self‐management and health across chronic illness: Qualitative findings from a process evaluation study
title_sort health‐care professionals’ assessment of a person‐centred intervention to empower self‐management and health across chronic illness: qualitative findings from a process evaluation study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8369120/
https://www.ncbi.nlm.nih.gov/pubmed/33934447
http://dx.doi.org/10.1111/hex.13271
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