Anjin Singh, Michael Shayne Gallaway, Addey Rascon
OBJECTIVE: Cancer survivors have unique healthcare needs. An important consideration for survivorship is chronic diseases and health risk factors. The purpose of this study is to describe demographics, risk factors, and comorbid health conditions in adult cancer survivors. METHOD: We analyzed 2019 Arizona Behavioral Risk Factor Surveillance System data to compare cancer survivors to non-cancer survivors (aged 18 or older) to assess differences between the two populations...
September 19, 2023: Chronic Illness
Tejal Lathia, Mahati Chittem, Shweta Chawak, Praneeta Katdare, Shreya Jayaram, Chitra Selvan
OBJECTIVES: This pilot study aimed to: (a) understand the experiences of Indian patients with type 2 diabetes mellitus and their expectations of their physicians during a medical consultation, (b) serve as a preliminary study to inform the development of a larger project exploring and improving patients' communication experiences, and (c) assess whether the pilot study findings indicate the viability of using the Relationship: Establishment, Development, and Engagement model of communication as the conceptual framework for the larger project...
September 14, 2023: Chronic Illness
Abigail Kukay, Cliff McKinney
OBJECTIVE: The current study aimed to better understand how parent-child relationships might moderate the effects of the presence and severity (as measured by physical quality of life) of a chronic illness on psychological problems in emerging adulthood. METHODS: The participants included 538 emerging adults (53.5% women) with a mean age of 19.04. The participants completed an online study including chronic illness questions, the World Health Organization Quality of Life-Brief, the Parental Environment Questionnaire, and the Adult Self-Report scale...
September 12, 2023: Chronic Illness
Gina C Rowe, Phyllis McShane, Heather Brennan Congdon, Joan Pittman, Judith Rios
OBJECTIVES: Diabetes is a complex disease requiring daily self-management of diet and activity, yet many patients do not receive recommended self-management education, medical nutrition therapy, or team-based care that includes registered dietitian nutritionists (RDNs). Such service deficits contribute to challenges in meeting combined diabetes care goals. We evaluated the impact of adding RDN-supervised dietetic interns to an established primary care interprofessional education/teamwork model on patients' clinical outcomes and health professions students' team skills...
September 7, 2023: Chronic Illness
Michal Kafri, Maram Abu Taieh, Michal Duvdevani, Ilana Schlesinger, Maria Nassar, Ilana Erich, Rafi Hadad, Galit Yogev-Seligmann
OBJECTIVE: To test associations between socio-clinical factors, self-management and patient activation among patients with Parkinson's disease (PD), and to explore the use of regression tree to find the cut-off levels of socio-clinical factors which associate with lower or higher self-management behaviours and patient's activation. METHODS: A cross-sectional study of patients with PD ( n  = 62) who underwent assessment of their socio-clinical factors including age, gender, cognitive status, comorbidities, disease severity (motor and non-motor symptoms) and social support...
September 6, 2023: Chronic Illness
Jemima Otemah, Lillian Akorfa Ohene, Josephine Kyei, Irene Owusu-Darkwa
OBJECTIVE: This study aims to explore beliefs and perceptions about hypertension among patients living with hypertension in a local district in the Eastern region of Ghana. METHODS: A descriptive qualitative approach was adopted, and the Health Belief Model was used to guide the data collection, analysis, and organization of the study findings. Overall, seventeen participants were interviewed. In-depth interviews were conducted using a semistructured interview guide...
September 6, 2023: Chronic Illness
Marlies Verhoeff, Janke F de Groot, Hanneke Peters-Siskens, Erik van Kan, Yolande Vermeeren, Barbara C van Munster
OBJECTIVES: This study aims to develop and pilot a hospital care coordination team intervention for patients with multimorbidity and identify key uncertainties. METHODS: Practice-based, participatory pilot study with mixed methods in a middle-large teaching hospital. We included adult patients who had visited seven or more outpatient specialist clinics in 2018. The intervention consisted of an intake, a comprehensive review by a dedicated care coordination team, a consultation to discuss results and two follow-up appointments...
September 6, 2023: Chronic Illness
Chanhyun Park, Sola Han, Kathryn P Litten, Sanica Mehta, Boon Peng Ng
BACKGROUND: Hypertension is the most common comorbidity in patients with cancer. We aimed to estimate the prevalence of hypertension by demographic characteristics and cancer type among hospitalized patients with cancer. METHODS: Hospitalized cancer patients were included using 2016-2018 National Inpatient Sample data. The independent variable was the presence of hypertension, which was further classified as primary, secondary, and other hypertension. Patient characteristics were grouped by age, sex, race/ethnicity, and the 12 most common cancer types...
August 22, 2023: Chronic Illness
Gloria Carvajal Carrascal, Alejandra Fuentes Ramírez, Sandra Patricia Pulido Barragán, Maryory Guevara Lozano, Beatriz Sánchez-Herrera
OBJECTIVE: To determine the effect of an anticipated care plan, structured around hospital discharge (PC-AH-US), regarding the caregiving load of people with NTCD residing in Colombia, 2019-2021. METHOD: This is a quasi-experimental study with pre- and post-intervention measurements. It includes 1170 participants who represented 585 chronic disease patient-caregiver pairs. We compared the PC-AH-US intervention, to the regular intervention. RESULTS: The PC-AH-US intervention group showed better results in all dimensions when compared to the regular intervention group: Awareness 8...
August 3, 2023: Chronic Illness
Ghobad Moradi, Bakhtiar Piroozi, Fariba Khayyati, Farhad Moradpour, Hossein Safari, Amjad Mohamadi Bolbanabad, Hamed Fattahi, Fatemeh Younesi, Ali Ebrazeh, Azad Shokri
OBJECTIVES: The aim of the present study is to evaluate the impact of Covid-19 on utilization of chronic diseases services. METHODS: Interrupted time-series design was used to examine the utilization of chronic diseases services before and during the Covid-19 pandemic among hospitals in Iran. Chronic obstructive pulmonary disease (COPD), asthma, type 2 diabetes, heart failure, and chemotherapy were selected as a proxy to indicate the impact of Covid-19 on utilization of chronic diseases services...
July 24, 2023: Chronic Illness
Xiaohan Zhang, Fei Fei
OBJECTIVES: This systematic review aimed to examine the effects of long-term oxygen therapy on the mental state of patients with chronic obstructive pulmonary disease. METHODS: Web of Science, Medline, CINAHL, EMBASE, ProQuest, and Cochrane Library were selected to search for relevant studies. We followed the Cochrane Handbook for Systematic Reviews of Interventions, adopted the Cochrane risk-of-bias tool and Risk Of Bias In Non-randomized Studies of Interventions tool, and synthesized the outcomes narratively with Grading of Recommendations, Assessment, Development and Evaluations evidence profile...
July 13, 2023: Chronic Illness
Thi Ha Vo, Thanh Huyen Nguyen, Huy Chuong Nguyen, Thanh Hiep Nguyen
OBJECTIVES: We assess the impact of the COVID-19 pandemic on health, treatment adherence and expectations of patients with chronic diseases in Vietnam. METHODS: We conducted a national cross-sectional study using a questionnaire survey, distributed through social networks and presented on Google Forms. The survey was performed during two months of the most stringent social distancing in Vietnam (between 21 July and 21 September 2021). RESULTS: Most of the participants said that the COVID-19 epidemic had affected their daily activities (91...
July 13, 2023: Chronic Illness
Analía Nejamis, Martin Chaparro, Luz Gibbons, Rosana Poggio, Daniela Luz Moyano, Vilma Irazola
OBJECTIVE: To evaluate the effectiveness of blood pressure (BP) self-monitoring and peer mentoring to improve the control of hypertension in clinical practice in primary care centers (PCCs) located in low-resource settings in Argentina. METHODS: An individual randomized controlled trial was carried out to test two different approaches based on behavioral interventions in PCCs in Argentina. Hypertensive adults were randomly assigned to one of three arms: BP self-monitoring, peer mentoring, and usual care...
July 11, 2023: Chronic Illness
Kimberly A Muellers, Rachel O'Conor, Andrea M Russell, Guisselle Wismer, James W Griffith, Michael S Wolf, Juan P Wisnivesky, Alex D Federman
OBJECTIVES: We investigated how individuals with chronic obstructive pulmonary disease (COPD) and multi-morbidity (MM) navigate barriers and facilitators to their health management. METHODS: We conducted a mixed-methods study using semi-structured interviews and survey assessments of adults with COPD, hypertension, and/or diabetes. We recruited 18 participants with an average age of 65, with 39% being male, 50% Black, and 22% Hispanic/Latino/a. Five investigators used an iterative, hybrid-coding process combining a priori and emergent codes to analyze transcripts and compare quantitative and qualitative data for themes...
July 6, 2023: Chronic Illness
Kelsi Carolan
OBJECTIVE: Parkinson's disease (PD) is one of the most common neurodegenerative diseases in the United States, affecting approximately 1 million Americans. However, there is a dearth of research on the employment experiences of individuals with PD. This research article makes a crucial contribution to the literature by examining the role of disability stigma in shaping employment options in PD, with relevance to the experiences of adults with chronic and/or progressive diseases more broadly...
July 4, 2023: Chronic Illness
Nur Atiyah Abdul Halim, Nur Hikmah Ahmad Sopri, Yuet Yen Wong, Qarem Mohamed Mustafa, Qi Ying Lean
OBJECTIVE: This study aimed to assess the perceptions towards chronic disease self-management and its program among patients with chronic diseases. METHODS: A cross-sectional study using pre-validated questionnaire was conducted among patients with chronic diseases at outpatient pharmacy in a hospital in Penang, Malaysia from April to June 2021. RESULTS: Of 270 patients participated in this study, 87.8% were interested in chronic disease self-management...
July 4, 2023: Chronic Illness
Ailbhe Benson, Caroline Rawdon, Ella Tuohy, Nuala Murphy, Ciara McDonnell, Veronica Swallow, Pamela Gallagher, Veronica Lambert
OBJECTIVES: This study investigated the relationship between parent-reported degree of openness and extent of problems in parent-adolescent communication and parent involvement in adolescent Type 1 diabetes management, parent and family wellbeing and adolescent glycaemic control. METHODS: A cross-sectional quantitative survey was conducted. Parents completed measures of parent-adolescent communication, parent monitoring of diabetes care, diabetes family responsibility, parent knowledge of diabetes care, parent activation, parent diabetes distress, and diabetes family conflict...
June 29, 2023: Chronic Illness
Meriem Yazidi, Elyes Kamoun, Sameh Hadj Taieb, Ons Rejeb, Sonia Mahjoub, Sellami Maryam, Moncef Feki, Ibtissem Oueslati, Melika Chihaoui
Objectives: To determine the prevalence of vitamin B12 deficiency in a Tunisian population with type 2 diabetes (T2D) on metformin treatment for more than three years and to identify its risk factors. Methods: This is a cross-sectional study conducted on 257 patients with T2D treated with metformin for at least three years. Patients were divided into two groups according to their vitamin B12 status. Low vitamin B12 was defined as ≤ 203 pg/mL. Results: The mean age of the patients was 59...
June 19, 2023: Chronic Illness
M van der Gaag, M Heijmans, C Valli, C Orrego, M Ballester, J Rademakers
OBJECTIVES: To support patients with limited health literacy with the challenges they face in the day-to-day management of their disease(s), numerous self-management interventions (SMIs) have been developed. To date, it is unclear to what extent SMIs have been developed for chronically ill patients with limited health literacy. This study aims to provide a description of these SMIs and to provide insight in their methodological components. METHODS: A secondary analysis of the COMPAR-EU database, consisting of SMIs addressing patients with diabetes, chronic obstructive pulmonary disease, obesity and heart failure, was conducted...
June 13, 2023: Chronic Illness
Giovana Ribeiro de Souza Favaretto, Regina Celia Bueno Machado, Mariana Ragassi Urbano, Júlia Dutra Balsanelli, Sarah Conchon Costa, Sandra Odebrecht Vargas Nunes
OBJECTIVES: To assess characteristics of hospitalized adolescents facing chronic diseases, correlating the perceptions of their illness, quality of life and the prevalence of risk behaviors, considering gender and the diseases' durations. METHODS: The sample consisted of 61 adolescents, aged between 10 and 19 years, with chronic diseases, hospitalized at the University Hospital of the State University of Londrina. They answered a questionnaire and the scales World Health Organization Quality of Life (WHOQOL-BREF) and Illness Perception Questionnaire (IPQ)...
June 12, 2023: Chronic Illness
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