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Family members' perceptions and experiences of older people displaying major depression. Arch Psychiatr Nurs 2020; 34:2-7. [PMID: 32248929 DOI: 10.1016/j.apnu.2019.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Accepted: 10/18/2019] [Indexed: 02/03/2023]
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Yue P, Lamb KV, Chen X, Wang Y, Xiao S, Feng X, Wu Y. Identification of Family Factors That Affect Self-Management Behaviors Among Patients With Type 2 Diabetes: A Qualitative Descriptive Study in Chinese Communities. J Transcult Nurs 2018; 30:250-259. [PMID: 30132743 DOI: 10.1177/1043659618793713] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
INTRODUCTION In the past 30 years, the prevalence of diabetes in China has increased from 0.67% to 11.6%. Self-management behaviors (SMBs) are significant to improve health outcomes for diabetics. However, little is known about self-management experiences of Chinese diabetic patients. The purpose of this study was to explore family factors affecting SMBs. METHODOLOGY A qualitative descriptive study was used. Purposive samples were recruited from Chinese communities. Semistructured interviews were conducted, and audio-recordings transcripts were analyzed using content analysis methods. RESULTS Twenty participants were interviewed, including 8 with well-controlled HbA1c while 12 were poorly controlled. Facilitators that promote patients' SMBs were responsibility toward children and commitment to spouse; barriers that hinder patients' SMBs were family experiences about starvation, seeking harmony-eating in a big family, living in an "empty nest," and family financial burden. DISCUSSION This study provides insight into SMBs of Chinese diabetic patients. Professionals can develop tailored interventions in a Chinese cultural context according to patients' perceptions of family responsibility, early experience, activities, and resources.
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Affiliation(s)
- Peng Yue
- 1 School of Nursing, Capital Medical University, Beijing, China
| | - Karen V Lamb
- 2 College of Nursing, Rush University, Chicago, IL, USA
| | - Xiangyun Chen
- 1 School of Nursing, Capital Medical University, Beijing, China
| | - Yongli Wang
- 3 Yuetan Community Health Center, Fuxing Hospital of Capital Medical University, Beijing, China
| | - Shuqin Xiao
- 1 School of Nursing, Capital Medical University, Beijing, China
| | - Xinwei Feng
- 1 School of Nursing, Capital Medical University, Beijing, China
| | - Ying Wu
- 1 School of Nursing, Capital Medical University, Beijing, China
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McCusker J, Yaffe M, Sussman T, Cole M, Sewitch M, Strumpf E, Freeman E, Lambert S, de Raad M. La gestion de la dépression chez les aînés et leurs aidants naturels : résultats d’un programme de recherche au Québec. SANTE MENTALE AU QUEBEC 2017. [DOI: 10.7202/1040254ar] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
La dépression est un problème répandu, sérieux, et souvent chronique chez les aînés, qui sont souvent atteints de maladies physiques chroniques, et affecte de façon négative leurs traitements et leurs soins. Malheureusement, le taux de détection et de suivi adéquat de la dépression est faible dans cette population. Au cours des deux dernières décennies, notre équipe a mené une série d’études pour mieux comprendre et améliorer la gestion de la dépression chez les aînés. Nous présentons une revue narrative et synthèse de 25 articles qui incluent : 4 revues systématiques, 10 études observationnelles, 9 essais d’interventions, et 2 conférences de consensus. Nous proposons en conclusion nos recommandations pour 1) la détection de la dépression dans les soins de santé primaires ; 2) les soins collaboratifs de la dépression ; 3) des interventions d’autogestion de la dépression ; 4) le rôle des aidants naturels dans les interventions d’autogestion de la dépression.
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Affiliation(s)
- Jane McCusker
- Centre de recherche de St. Mary, Montréal, Canada
- Département d’épidémiologie, biostatistique et santé au travail, Université McGill, Montréal, Canada
| | - Mark Yaffe
- Département de médecine familiale, Centre hospitalier de St. Mary, Montréal, Canada
- Département de médecine de famille, Université McGill, Montréal, Canada
| | - Tamara Sussman
- École de travail social, Université McGill, Montréal, Canada
| | - Martin Cole
- Centre de recherche de St. Mary, Montréal, Canada
- Département de psychiatrie, Centre hospitalier de St. Mary, Montréal, Canada
- Département de psychiatrie, Université McGill, Montréal, Canada
| | - Maida Sewitch
- Département d’épidémiologie, biostatistique et santé au travail, Université McGill, Montréal, Canada
- Institut de recherche du Centre universitaire de santé McGill, Montréal, Canada
- Centre universitaire de santé McGill, Divisions de gastroentérologie et d’épidémiologie clinique, Montréal, Canada
| | - Erin Strumpf
- Département d’économie, Université McGill, Montréal, Canada
| | - Ellen Freeman
- Centre de recherche, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, Canada
| | - Sylvie Lambert
- Centre de recherche de St. Mary, Montréal, Canada
- École des sciences infirmières Ingram, Université McGill, Montréal, Canada
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Sussman T, Mccusker J, Yaffe M, Belzile E, Sewitch M, Cole M, Strumpf E. Family members' or friends' involvement in self-care for patients with depressive symptoms and co-morbid chronic conditions. Chronic Illn 2016; 12:182-98. [PMID: 26935233 DOI: 10.1177/1742395316633510] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2015] [Accepted: 11/30/2015] [Indexed: 11/16/2022]
Abstract
OBJECTIVES To describe the support that patients reported receiving from family or friends (F/F) while participating in a self-care intervention for depressive symptoms; examine associations between patient-reported F/F support and use of self-care materials; and describe F/F perceptions of involvement in a subsample of F/F. METHODS One hundred eighty-nine of 223 (85%) patients aged 40+ with chronic physical conditions and co-morbid depressive symptoms participating in a randomized self-care intervention trial, completed structured telephone surveys at three months about the F/F support received. Ten F/F participated in post study qualitative interviews on the support provided. RESULTS 30%, 44%, and 91% of patients reported overall F/F support with self-care, F/F involvement with the self-care intervention and emotional support, respectively. 61% felt positively and 10% felt negatively or conflicted with F/F support. F/F involvement in the self-care intervention was the only variable associated with patient use of self-care materials when examined alongside all F/F support variables (Proportional Odds Ratio = 1.21; 95% C.I. = 1.01, 1.45). F/F perceived less involvement in the self-care intervention than patients. DISCUSSION Patients engaged in a self-care intervention for depressive symptoms use more self-care materials when they perceive F/F involvement in the intervention. Patients and F/F may perceive involvement differently and benefit from discussions about potential F/F roles.
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Affiliation(s)
- Tamara Sussman
- School of Social Work, McGill University, Montreal, QC, Canada
| | - Jane Mccusker
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University St Mary's Research Centre, Montreal, QC, Canada
| | - Mark Yaffe
- Department of Family Medicine, McGill University, Montreal, QC, Canada Department of Family Medicine, St. Mary's Hospital Centre, St. Mary's Hospital Centre, Montreal, QC, Canada
| | | | - Maida Sewitch
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University Department of Medicine, McGill University, Montreal, QC, Canada Divisions of Gastroenterology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada
| | - Martin Cole
- St Mary's Research Centre, Montreal, QC, Canada Department of Psychiatry, McGill University, Montreal, QC, Canada
| | - Erin Strumpf
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University Department of Economics, McGill University, Montreal, QC, Canada
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McCusker J, Lambert SD, Cole MG, Ciampi A, Strumpf E, Freeman EE, Belzile E. Activation and Self-Efficacy in a Randomized Trial of a Depression Self-Care Intervention. HEALTH EDUCATION & BEHAVIOR 2016; 43:716-725. [PMID: 27179288 DOI: 10.1177/1090198116637601] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
OBJECTIVES In a sample of primary care participants with chronic physical conditions and comorbid depressive symptoms: to describe the cross-sectional and longitudinal associations of activation and self-efficacy with demographic, physical and mental health status, health behaviors, depression self-care, health care utilization, and use of self-care tools; and to examine the effects of a depression self-care coaching intervention on these two outcomes. Design/Study Setting. A secondary analysis of activation and self-efficacy data collected as part of a randomized trial to compare the effects of a telephone-based coached depression self-care intervention with a noncoached intervention. Activation (Patient Activation Measure) was measured at baseline and 6 months. Depression self-care self-efficacy was assessed at baseline, at 3 months, and at 6 months. PRINCIPAL FINDINGS In multivariable cross-sectional analyses (n = 215), activation and/or self-efficacy were associated with language, birthplace, better physical and mental health, individual exercise, specialist visits, and antidepressant nonuse. In longitudinal analyses (n = 158), an increase in activation was associated with increased medication adherence; an increase in self-efficacy was associated with use of cognitive self-care strategies and increases in social and solitary activities. There were significant improvements from baseline to 6 months in activation and self-efficacy scores both among coached and noncoached groups. The self-care coaching intervention did not affect 6-month activation or self-efficacy but was associated with quicker improvement in self-efficacy. CONCLUSIONS Overall, the results for activation and self-efficacy were similar, although self-efficacy correlated more consistently than activation with depression-specific behaviors and was responsive to a depression self-care coaching intervention.
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Affiliation(s)
- Jane McCusker
- McGill University, Montreal, Quebec, Canada .,St. Mary's Research Centre, Montreal, Quebec, Canada
| | - Sylvie D Lambert
- McGill University, Montreal, Quebec, Canada.,St. Mary's Research Centre, Montreal, Quebec, Canada
| | - Martin G Cole
- McGill University, Montreal, Quebec, Canada.,St. Mary's Hospital Center, Montreal, Quebec, Canada
| | | | | | - Ellen E Freeman
- Université de Montréal, Montreal, Quebec, Canada.,Maisonneuve-Rosemont Hospital Research Centre, Montreal, Quebec, Canada
| | - Eric Belzile
- St. Mary's Research Centre, Montreal, Quebec, Canada
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O'Connor K, Vizcaino M, Ibarra JM, Balcazar H, Perez E, Flores L, Anders RL. Multimorbidity in a Mexican Community: Secondary Analysis of Chronic Illness and Depression Outcomes. ACTA ACUST UNITED AC 2015; 2:35-47. [PMID: 26640817 DOI: 10.15640/ijn.v2n1a4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
The aims of this article are: 1) to examine the associations between health provider-diagnosed depression and multimorbidity, the condition of suffering from more than two chronic illnesses; 2) to assess the unique contribution of chronic illness in the prediction of depression; and 3) to suggest practice changes that would address risk of depression among individuals with chronic illnesses. Data collected in a cross-sectional community health study among adult Mexicans (n= 274) living in a low income neighborhood (colonia) in Ciudad Juárez, Chihuahua, Mexico, were examined. We tested the hypotheses that individuals who reported suffering chronic illnesses would also report higher rates of depression than healthy individuals; and having that two or more chronic illnesses further increased the risk of depression.
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Affiliation(s)
- Kathleen O'Connor
- Student co-author. University of Texas, El Paso, Interdisciplinary PhD Program, College of Health Sciences, 500 University, El Paso TX 79968
| | - Maricarmen Vizcaino
- Student co-author. University of Texas, El Paso, Interdisciplinary PhD Program, College of Health Sciences, 500 University, El Paso TX 79968
| | - Jorge M Ibarra
- Adjunct Faculty, University of Texas, El Paso, School of Nursing and Statistical Consulting Laboratory, 500 University, El Paso TX 79968
| | - Hector Balcazar
- Regional Dean, The University of Texas School of Public Health at Houston El Paso Regional Campus, 1101 N. Campbell, CH 410, El Paso, Texas 79902
| | - Eduardo Perez
- Universidad Autónoma de Ciudad Juárez; Juárez, Chihuahua, Mexico
| | - Luis Flores
- Instituto Mexicano de Seguridad Social; Juárez, Chihuahua, Mexico
| | - Robert L Anders
- University of Texas, El Paso, School of Nursing, 500 University, El Paso TX 79968
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