Empowerment-oriented strategies to identify behavior change in patients with chronic diseases: An integrative review of the literature |
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| Authors: | Hannah Cardoso Barbosa João Antônio de Queiroz Oliveira Josiane Moreira da Costa Rebeca Priscilla de Melo Santos Leonardo Gonçalves Miranda Heloisa de Carvalho Torres Adriana Silvina Pagano Maria Auxiliadora Parreiras Martins |
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| Affiliation: | 1. Faculdade de Medicina, Universidade Federal de Minas Gerais, Minas Gerais, Brazil;2. Faculdade de Farmácia, Universidade Federal de Minas Gerais, Minas Gerais, Brazil;3. Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Minas Gerais, Brazil;4. Escola de Enfermagem, Universidade Federal de Minas Gerais, Minas Gerais, Brazil;5. Faculdade de Letras, Universidade Federal de Minas Gerais, Minas Gerais, Brazil;1. Fourth Military Medical University, School of Nursing, Xi’an, China;2. Fourth Military Medical University, The First Affiliated Hospital, Xi’an, China;1. Department of Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran;3. Department of Medical Surgical Nursing, Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran;1. CORE—Center for Outcomes Research and Clinical Epidemiology, Pescara, Italy;2. Laboratory of Clinical Epidemiology of Diabetes and Chronic Diseases, Fondazione Mario Negri Sud, S. Maria Imbaro (CH), Italy;3. Department of Medical Education, University of Michigan Medical School, Ann Arbor, MI, USA;4. S.S.D. Diabetologia, Niguarda Ca'' Granda Hospital, Milan, Italy;5. NovoNordisk SpA, Rome, Rome, Italy;6. Department of Clinical and Experimental Medicine, Second University of Naples, Naples, Italy;7. NovoNordisk A/S, Bagsvaerd, Denmark;8. Diabetes Unit, Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy;1. Institute of Philosophical Research, University Jean Moulin Lyon III, 18 rue Chevreul, 69007 Lyon, France;2. University Lyon I, Laboratory of Science, Society, History, Education and Practice (S2HEP), Lyon, France;3. Medical Center of La Teppe, 25 Avenue de la Bouterne, 26600 Tain-l’Hermitage, France;1. College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan;2. Lee’s Endocrinology Clinic, Pingtung, Taiwan;3. Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan;4. Division of Endocrinology and Metabolism, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan;5. Department of Medical Education, Beijing Ruijing Diabetes Hospital, Beijing, China;1. Toronto General Hospital Research Institute, University Health Network, Toronto, Canada;2. Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, Canada |
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| Abstract: | BackgroundChronic diseases in the Americas account for about 80 % (5.2 million) of all deaths. Instruments are needed to enhance knowledge, skills, behavior change and self-care attitudes drawing on patient autonomy.ObjectiveTo identify empowerment-oriented strategies focused on behavioral change in patients with chronic diseases.Patient InvolvementNone.MethodsThis is an integrative review of articles published from any period until June 2020 by journals indexed in the following databases: National Library of Medicine National Institutes of Health (PubMed), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Biblioteca Virtual em Saúde (BVS).ResultsOut of 1,287 articles, 25 met our selection criteria. Reported health interventions were based on self-management and behavior change, shared decisions and a personalized collaborative process, peer support and self-confidence, as well as strategies involving educational media and health literacy.DiscussionOver 80 % of health interventions were patient-centered and focused on patient knowledge and skill development towards personal goal setting, including effective problem-solving strategy development. Behavior change is not only an outcome of education, but also implicates revisiting values, attitudes, and experiences. Knowledge is important to facilitate decision-making leading to positive outcomes in chronic disease management.Practical ValueEmpowerment-oriented strategies are important tools for providing trust and motivation to people with chronic diseases. Healthcare professionals should support and encourage patient empowerment as a strategy for behavior change and able to offer qualified care for shared decision making. Thus, patients will be able to participate more actively in their own health condition management and to make decisions to promote self-care. |
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| Keywords: | Health behavior Patient education as topic Power (psychology) Chronic disease Self-care Health education |
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