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Malcolm Battersby - One of the best experts on this subject based on the ideXlab platform.
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Does the Partners in Health scale allow meaningful comparisons of Chronic Condition self-management between men and women? Testing measurement invariance
Journal of advanced nursing, 2019Co-Authors: David Smith, Sharon Lawn, Peter Harvey, A. Kate Fairweather-schmidt, Jacqueline A. Bowden, Malcolm BattersbyAbstract:Aims To determine if the Partners in Health scale, pertinent to assessing patient Chronic Condition self-management, operates equivalently for men and women. Background There are distinct gender-based differences in self-management behaviours and health perceptions. This may introduce non-invariance in self-report measures. Testing of measurement invariance is a recommended practice in nursing science to ensure robust metrics. Design A representative cross-sectional population survey in South Australian. Method In 2014, 940 people responded to the South Australian Health Omnibus Survey, a battery of health-related questions. MI and estimation of heterogeneity was tested using Bayesian confirmatory factor analysis. Results Findings showed self-management constructs were interpreted equivalently between men and women. Observed population heterogeneity associated lower education levels with poorer illness and treatment knowledge, smokers with poorer treatment partnerships and mental health problems with lower coping capacity. Conclusion Approximate measurement invariance was achieved between men and women for Partners in Health scale. Impact There is a lack of well-validated generic instruments, including investigation into gender variability, for measuring Chronic Condition self-management behaviours. Lower education levels were found to connect with poorer knowledge of health Condition and treatment. Mental health problems attenuated ability to cope with the effect of the Condition. Findings can facilitate the development of better tailored interventions for self-management of patients' Chronic Condition/s.
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Do guidelines provide evidence-based guidance to health professionals on promoting developmentally appropriate Chronic Condition self-management in children? A systematic review.
Chronic illness, 2018Co-Authors: Nicole Saxby, Malcolm Battersby, Sean Beggs, Nadish C. Kariyawasam, Sharon LawnAbstract:ObjectivesTo determine whether evidence-based practice guidelines promote developmentally appropriate Chronic Condition self-management for children with asthma, type 1 diabetes mellitus, and cysti...
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Managing Chronic Conditions care across primary care and hospital systems: lessons from an Australian Hospital Avoidance Risk Program using the Flinders Chronic Condition Management Program.
Australian health review : a publication of the Australian Hospital Association, 2018Co-Authors: Sharon Lawn, Malcolm Battersby, David Smith, Sara Zabeen, Ellen Wilson, Cathie Miller, Kevin MasmanAbstract:Objective The study aimed to determine the impact of the Flinders Chronic Condition Management Program for Chronic Condition self-management care planning and how to improve its use with Bendigo Health's Hospital Admission Risk Program (HARP). Methods A retrospective analysis of hospital admission data collected by Bendigo Health from July 2012 to September 2013 was undertaken. Length of stay during admission and total contacts post-discharge by hospital staff for 253 patients with 644 admissions were considered as outcome variables. For statistical modelling we used the generalised linear model. Results The combination of the HARP and Flinders Program was able to achieve significant reductions in hospital admissions and non-significant reduction in emergency department presentations and length of stay. The generalised linear model predicted that vulnerable patient groups such as those with heart disease (P=0.037) and complex needs (P
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Measuring Chronic Condition self-management in an Australian community: factor structure of the revised Partners in Health (PIH) scale
Quality of Life Research, 2017Co-Authors: David Smith, Sharon Lawn, Melanie Harris, Peter Harvey, Malcolm BattersbyAbstract:Purpose To evaluate the factor structure of the revised Partners in Health (PIH) scale for measuring Chronic Condition self-management in a representative sample from the Australian community. Methods A series of consultations between clinical groups underpinned the revision of the PIH. The factors in the revised instrument were proposed to be: knowledge of illness and treatment, patient–health professional partnership, recognition and management of symptoms and coping with Chronic illness. Participants ( N = 904) reporting having a Chronic illness completed the revised 12-item scale. Two a priori models, the 4-factor and bi-factor models were then evaluated using Bayesian confirmatory factor analysis (BCFA). Final model selection was established on model complexity, posterior predictive p values and deviance information criterion. Results Both 4-factor and bi-factor BCFA models with small informative priors for cross-loadings provided an acceptable fit with the data. The 4-factor model was shown to provide a better and more parsimonious fit with the observed data in terms of substantive theory. McDonald’s omega coefficients indicated that the reliability of subscale raw scores was mostly in the acceptable range. Conclusion The findings showed that the PIH scale is a relevant and structurally valid instrument for measuring Chronic Condition self-management in an Australian community. The PIH scale may help health professionals to introduce the concept of self-management to their patients and provide assessment of areas of self-management. A limitation is the narrow range of validated PIH measurement properties to date. Further research is needed to evaluate other important properties such as test–retest reliability, responsiveness over time and content validity.
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Chronic Condition Management Models for Cancer Care and Survivorship
Cancer and Chronic Conditions, 2016Co-Authors: Sharon Lawn, Malcolm BattersbyAbstract:Improvements in the treatment of cancer have meant that the number of cancer survivors is growing. This group is now more likely to be living with the longer-term adverse effects of cancer on their overall health and wellbeing, and to develop comorbid Chronic Conditions that require ongoing care in the community, beyond the cancer clinic. People with Chronic Conditions are also generally living longer due to improvements in treatment, care and support options and therefore are at risk of developing cancer as they age. This chapter outlines a range of Chronic Condition management models likely to be necessary for effective self-management support to cancer patients and survivors who suffer from and develop Chronic Conditions, or have risk factors for their development, and people with Chronic Conditions who also go on to develop cancer. Integrated care and communication issues across healthcare transitions are briefly discussed.
Sharon Lawn - One of the best experts on this subject based on the ideXlab platform.
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Does the Partners in Health scale allow meaningful comparisons of Chronic Condition self-management between men and women? Testing measurement invariance
Journal of advanced nursing, 2019Co-Authors: David Smith, Sharon Lawn, Peter Harvey, A. Kate Fairweather-schmidt, Jacqueline A. Bowden, Malcolm BattersbyAbstract:Aims To determine if the Partners in Health scale, pertinent to assessing patient Chronic Condition self-management, operates equivalently for men and women. Background There are distinct gender-based differences in self-management behaviours and health perceptions. This may introduce non-invariance in self-report measures. Testing of measurement invariance is a recommended practice in nursing science to ensure robust metrics. Design A representative cross-sectional population survey in South Australian. Method In 2014, 940 people responded to the South Australian Health Omnibus Survey, a battery of health-related questions. MI and estimation of heterogeneity was tested using Bayesian confirmatory factor analysis. Results Findings showed self-management constructs were interpreted equivalently between men and women. Observed population heterogeneity associated lower education levels with poorer illness and treatment knowledge, smokers with poorer treatment partnerships and mental health problems with lower coping capacity. Conclusion Approximate measurement invariance was achieved between men and women for Partners in Health scale. Impact There is a lack of well-validated generic instruments, including investigation into gender variability, for measuring Chronic Condition self-management behaviours. Lower education levels were found to connect with poorer knowledge of health Condition and treatment. Mental health problems attenuated ability to cope with the effect of the Condition. Findings can facilitate the development of better tailored interventions for self-management of patients' Chronic Condition/s.
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Do guidelines provide evidence-based guidance to health professionals on promoting developmentally appropriate Chronic Condition self-management in children? A systematic review.
Chronic illness, 2018Co-Authors: Nicole Saxby, Malcolm Battersby, Sean Beggs, Nadish C. Kariyawasam, Sharon LawnAbstract:ObjectivesTo determine whether evidence-based practice guidelines promote developmentally appropriate Chronic Condition self-management for children with asthma, type 1 diabetes mellitus, and cysti...
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Managing Chronic Conditions care across primary care and hospital systems: lessons from an Australian Hospital Avoidance Risk Program using the Flinders Chronic Condition Management Program.
Australian health review : a publication of the Australian Hospital Association, 2018Co-Authors: Sharon Lawn, Malcolm Battersby, David Smith, Sara Zabeen, Ellen Wilson, Cathie Miller, Kevin MasmanAbstract:Objective The study aimed to determine the impact of the Flinders Chronic Condition Management Program for Chronic Condition self-management care planning and how to improve its use with Bendigo Health's Hospital Admission Risk Program (HARP). Methods A retrospective analysis of hospital admission data collected by Bendigo Health from July 2012 to September 2013 was undertaken. Length of stay during admission and total contacts post-discharge by hospital staff for 253 patients with 644 admissions were considered as outcome variables. For statistical modelling we used the generalised linear model. Results The combination of the HARP and Flinders Program was able to achieve significant reductions in hospital admissions and non-significant reduction in emergency department presentations and length of stay. The generalised linear model predicted that vulnerable patient groups such as those with heart disease (P=0.037) and complex needs (P
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Measuring Chronic Condition self-management in an Australian community: factor structure of the revised Partners in Health (PIH) scale
Quality of Life Research, 2017Co-Authors: David Smith, Sharon Lawn, Melanie Harris, Peter Harvey, Malcolm BattersbyAbstract:Purpose To evaluate the factor structure of the revised Partners in Health (PIH) scale for measuring Chronic Condition self-management in a representative sample from the Australian community. Methods A series of consultations between clinical groups underpinned the revision of the PIH. The factors in the revised instrument were proposed to be: knowledge of illness and treatment, patient–health professional partnership, recognition and management of symptoms and coping with Chronic illness. Participants ( N = 904) reporting having a Chronic illness completed the revised 12-item scale. Two a priori models, the 4-factor and bi-factor models were then evaluated using Bayesian confirmatory factor analysis (BCFA). Final model selection was established on model complexity, posterior predictive p values and deviance information criterion. Results Both 4-factor and bi-factor BCFA models with small informative priors for cross-loadings provided an acceptable fit with the data. The 4-factor model was shown to provide a better and more parsimonious fit with the observed data in terms of substantive theory. McDonald’s omega coefficients indicated that the reliability of subscale raw scores was mostly in the acceptable range. Conclusion The findings showed that the PIH scale is a relevant and structurally valid instrument for measuring Chronic Condition self-management in an Australian community. The PIH scale may help health professionals to introduce the concept of self-management to their patients and provide assessment of areas of self-management. A limitation is the narrow range of validated PIH measurement properties to date. Further research is needed to evaluate other important properties such as test–retest reliability, responsiveness over time and content validity.
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Chronic Condition Management Models for Cancer Care and Survivorship
Cancer and Chronic Conditions, 2016Co-Authors: Sharon Lawn, Malcolm BattersbyAbstract:Improvements in the treatment of cancer have meant that the number of cancer survivors is growing. This group is now more likely to be living with the longer-term adverse effects of cancer on their overall health and wellbeing, and to develop comorbid Chronic Conditions that require ongoing care in the community, beyond the cancer clinic. People with Chronic Conditions are also generally living longer due to improvements in treatment, care and support options and therefore are at risk of developing cancer as they age. This chapter outlines a range of Chronic Condition management models likely to be necessary for effective self-management support to cancer patients and survivors who suffer from and develop Chronic Conditions, or have risk factors for their development, and people with Chronic Conditions who also go on to develop cancer. Integrated care and communication issues across healthcare transitions are briefly discussed.
J. R. Anema - One of the best experts on this subject based on the ideXlab platform.
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Facilitators, barriers and support needs for staying at work with a Chronic Condition: a focus group study.
BMC public health, 2020Co-Authors: A. R. Bosma, Cécile R. L. Boot, F. G. Schaafsma, J. R. AnemaAbstract:Working with a Chronic Condition can be challenging. Providing support to workers with a Chronic Condition can help them to stay at work and prevent work-related problems. Workers with a Chronic Condition who successfully stay at work can provide valuable input for the development of effective supportive interventions to prevent exit from work and facilitate sustainable employment. The aim of this study is to explore the lived experiences of workers with a Chronic Condition and identify existing barriers, facilitators and possible support needs for staying at work. Four focus groups were conducted between August and December 2017 with workers with one or more Chronic Conditions (n = 30). Participants included employees and (partially) self-employed workers. All focus group data were transcribed verbatim and thematically analyzed. Disclosure and expressing one’s needs were considered important personal facilitators for staying at work. Environmental facilitators included receiving practical information on working with a Chronic Condition and social and employer support. Environmental barriers were identified in the work environment, the health care system and service provision, e.g., manager and co-worker’s lack of knowledge about working with a Chronic Condition, a lack of focus on work in the course of treatment for a Chronic Condition, dissatisfaction with occupational physician support, and the absence of support for self-employed workers. Provided support should be available to all workers, and be proactive and tailored to the workers’ specific support needs. A variety of facilitators, barriers and support needs were identified in various domains. By addressing environmental barriers (e.g., by integrating work in the course of treatment and creating supportive work environments), sustainable employment by workers with a Chronic Condition can be promoted.
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Exploring self-control of workers with a Chronic Condition: a qualitative synthesis
European Journal of Work and Organizational Psychology, 2019Co-Authors: A. R. Bosma, Cécile R. L. Boot, M. De Maaker, H.r. Boeije, Linda J. Schoonmade, J. R. Anema, F. G. SchaafsmaAbstract:Working while having a Chronic Condition can be challenging. Self-control at work could play an important role for workers with a Chronic Condition in sustainable work participation. The aim of thi...
A. R. Bosma - One of the best experts on this subject based on the ideXlab platform.
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Facilitators, barriers and support needs for staying at work with a Chronic Condition: a focus group study.
BMC public health, 2020Co-Authors: A. R. Bosma, Cécile R. L. Boot, F. G. Schaafsma, J. R. AnemaAbstract:Working with a Chronic Condition can be challenging. Providing support to workers with a Chronic Condition can help them to stay at work and prevent work-related problems. Workers with a Chronic Condition who successfully stay at work can provide valuable input for the development of effective supportive interventions to prevent exit from work and facilitate sustainable employment. The aim of this study is to explore the lived experiences of workers with a Chronic Condition and identify existing barriers, facilitators and possible support needs for staying at work. Four focus groups were conducted between August and December 2017 with workers with one or more Chronic Conditions (n = 30). Participants included employees and (partially) self-employed workers. All focus group data were transcribed verbatim and thematically analyzed. Disclosure and expressing one’s needs were considered important personal facilitators for staying at work. Environmental facilitators included receiving practical information on working with a Chronic Condition and social and employer support. Environmental barriers were identified in the work environment, the health care system and service provision, e.g., manager and co-worker’s lack of knowledge about working with a Chronic Condition, a lack of focus on work in the course of treatment for a Chronic Condition, dissatisfaction with occupational physician support, and the absence of support for self-employed workers. Provided support should be available to all workers, and be proactive and tailored to the workers’ specific support needs. A variety of facilitators, barriers and support needs were identified in various domains. By addressing environmental barriers (e.g., by integrating work in the course of treatment and creating supportive work environments), sustainable employment by workers with a Chronic Condition can be promoted.
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Exploring self-control of workers with a Chronic Condition: a qualitative synthesis
European Journal of Work and Organizational Psychology, 2019Co-Authors: A. R. Bosma, Cécile R. L. Boot, M. De Maaker, H.r. Boeije, Linda J. Schoonmade, J. R. Anema, F. G. SchaafsmaAbstract:Working while having a Chronic Condition can be challenging. Self-control at work could play an important role for workers with a Chronic Condition in sustainable work participation. The aim of thi...
F. G. Schaafsma - One of the best experts on this subject based on the ideXlab platform.
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Facilitators, barriers and support needs for staying at work with a Chronic Condition: a focus group study.
BMC public health, 2020Co-Authors: A. R. Bosma, Cécile R. L. Boot, F. G. Schaafsma, J. R. AnemaAbstract:Working with a Chronic Condition can be challenging. Providing support to workers with a Chronic Condition can help them to stay at work and prevent work-related problems. Workers with a Chronic Condition who successfully stay at work can provide valuable input for the development of effective supportive interventions to prevent exit from work and facilitate sustainable employment. The aim of this study is to explore the lived experiences of workers with a Chronic Condition and identify existing barriers, facilitators and possible support needs for staying at work. Four focus groups were conducted between August and December 2017 with workers with one or more Chronic Conditions (n = 30). Participants included employees and (partially) self-employed workers. All focus group data were transcribed verbatim and thematically analyzed. Disclosure and expressing one’s needs were considered important personal facilitators for staying at work. Environmental facilitators included receiving practical information on working with a Chronic Condition and social and employer support. Environmental barriers were identified in the work environment, the health care system and service provision, e.g., manager and co-worker’s lack of knowledge about working with a Chronic Condition, a lack of focus on work in the course of treatment for a Chronic Condition, dissatisfaction with occupational physician support, and the absence of support for self-employed workers. Provided support should be available to all workers, and be proactive and tailored to the workers’ specific support needs. A variety of facilitators, barriers and support needs were identified in various domains. By addressing environmental barriers (e.g., by integrating work in the course of treatment and creating supportive work environments), sustainable employment by workers with a Chronic Condition can be promoted.
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Exploring self-control of workers with a Chronic Condition: a qualitative synthesis
European Journal of Work and Organizational Psychology, 2019Co-Authors: A. R. Bosma, Cécile R. L. Boot, M. De Maaker, H.r. Boeije, Linda J. Schoonmade, J. R. Anema, F. G. SchaafsmaAbstract:Working while having a Chronic Condition can be challenging. Self-control at work could play an important role for workers with a Chronic Condition in sustainable work participation. The aim of thi...