Martyn Jones

Successful Grants 2005-2009

1. A Scoping Review to Inform the Development of Patient-directed Self-management interventions in people with chronic illness

2. Understanding and Enhancing Recovery from Stroke;  An Examination Patients and Health Professionals Illness Beliefs

Investigators

Institutions

Funding

Body

1.  A Scoping Review to Inform the Development of Patient-directed Self-management interventions in people with chronic illness

Chronic illness has increasingly become a major problem for public health, and it can be strongly argued that the management of such illness depends largely on the efficacy of self-care (MacClean, 1989). Self care is a broad concept that does not have clear boundaries, and consequently is difficult to define (NHS Scotland 2005b).  It does however appear to be interwoven into the fabric of people’s lives and will include a broad range of activities.

The aim and primary focus of this scoping study is to review the self-care literature in chronic disease management. It aims to identify and map the broad self-care literature in chronic disease management before focusing upon existing trials based evidence of patient directed secondary self-care interventions reported in systematic reviews.

This review provides broad guidance of what works and what does not in the areas of self-care and self-management in the areas of cardiovascular disease, stroke, diabetes and dementia.  The scoping review identifies those systematic reviews of interest to a practitioner with a particular clinical question, and enables the practitioner to source relevant RCT studies.  The practitioner may have to obtain the RCT papers to gain more information should they wish to replicate all or part of the self-care intervention. It is entirely possible that the published RCT paper does not contain all relevant information the practitioner may require, and they may have to contact the research group with specific questions.

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Martyn Jones

Steve MacGillivray

Sally Wyke

Thilo Kroll

Ali Zohoor

Debbie Baldie

Lesley Fleming

Dundee

Abertay

Stirling

NHS Tayside

2.  Understanding and Enhancing Recovery from Stroke;  An Examination of Patients' and Health Professionals' Illness Beliefs

A self help stroke workbook was shown to be effective in reducing disability and promoting confidence in recovery (Johnston et al 2007); however, adherence to recovery promoting activities was low. Anecdotal evidence suggested that patients were receiving differing m essages from health professionals (HP) about their recovery which may have influenced the uptake of the stroke workbook activities.

Therefore the aims of the current fellowship were:

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Sara Joice

Martyn Jones

Marie Johnston

Dundee

RGU

Aberdeen

NMHAP Training Scheme