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Portillo MC, Regaira E, Pumar-Méndez MJ, Mujika A, Vassilev I, Rogers A, Wensing M, Foss C, Ruud Knutsen I, Todorova E, Roukova P, Kennedy A, Serrano M, Lionis C, Angelaki A, Patelarou E, Koetsenruijter J. Voluntary Organizations and Community Groups as New Partners in Diabetes Self-management and Education: A Critical Interpretative Synthesis. DIABETES EDUCATOR 2015; 41:550-68. [PMID: 26160829 DOI: 10.1177/0145721715594026] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE The purpose of this study is to critically review the literature on the role and work of voluntary organizations and community groups and volunteers in diabetes self-management programs. It seeks to explain how these organizations are located and could be integrated further within a broader system of support. METHODS A critical interpretative synthesis of the literature was undertaken as part of the conceptual development of a European research project. Evidence (2000-November 2014) was searched in databases, with the use of key terms, and limited to the languages of the participating countries. This was supplemented by an additional hand search and snowballing technique. A total of 21 articles were included in the review. RESULTS Evidence regarding the involvement of voluntary organizations in diabetes self-management programs mainly related to: the nature and remit of their work, responsibilities, and attributes; key strategies of programs accounting for success; motivations/barriers for engaging in volunteering participation; relationships between volunteers and users; and connections/tensions with formal services. CONCLUSIONS This review has uncovered a range of facets of voluntary organizations and community groups relevant for supporting diabetes self-management such as the context within which they act and the nature of relationships developed with community and health services. The principles of "assistance, support, sharing, and link" seem essential for this voluntary initiative in self-management to establish effective reciprocal collaboration with health professionals.
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Affiliation(s)
- Mari Carmen Portillo
- Faculty of Health Sciences, University of Southampton, Hampshire, UK (Associate Prof Portillo)
| | - Elena Regaira
- Intensive Care Unit, Clinica Universidad de Navarra, Pamplona, Spain (Ms Regaira)
| | | | - Agurtzane Mujika
- School of Nursing, University of Navarra, Pamplona, Spain (Dr Pumar, Dr Mujika)
| | - Ivaylo Vassilev
- Faculty of Health Sciences, NIHR Wessex CLAHRC, University of Southampton, Hampshire, UK (Dr Vassilev, Prof Rogers, Prof Kennedy)
| | - Anne Rogers
- Faculty of Health Sciences, NIHR Wessex CLAHRC, University of Southampton, Hampshire, UK (Dr Vassilev, Prof Rogers, Prof Kennedy)
| | - Michel Wensing
- Radboud University Medical Centre, Radboud Institute for Health Sciences, Nijmegen, the Netherlands (Prof Wensing, Mr Koetsenruijter)
| | - Christina Foss
- Institute of Health and Society, University of Oslo, Olso, Norway (Prof Foss, Dr Knutsen)
| | - Ingrid Ruud Knutsen
- Institute of Health and Society, University of Oslo, Olso, Norway (Prof Foss, Dr Knutsen)
| | - Elka Todorova
- Department of Economic Sociology, University of National and World Economy, Sofia, Bulgaria (Prof Todorova)
| | - Poli Roukova
- Department of Economic and Social Geography, NIGGG, Bulgaria Academy of Sciences, Sofia, Bulgaria (Ms Roukova)
| | - Anne Kennedy
- Faculty of Health Sciences, NIHR Wessex CLAHRC, University of Southampton, Hampshire, UK (Dr Vassilev, Prof Rogers, Prof Kennedy)
| | - Manuel Serrano
- Education, Health and Society Foundation, Murcia, Spain (Dr Serrano)
| | - Christos Lionis
- Clinic of Social and Family Medicine, Department of Social Medicine, University of Crete, Heraklion, Greece (Prof Lionis, Ms Angelaki)
| | - Agapi Angelaki
- Clinic of Social and Family Medicine, Department of Social Medicine, University of Crete, Heraklion, Greece (Prof Lionis, Ms Angelaki)
| | - Evridiki Patelarou
- Florence Nightingale Faculty of Nursing and Midwifery, King's College London, London, UK (Dr Patelarou)
| | - Jan Koetsenruijter
- Radboud University Medical Centre, Radboud Institute for Health Sciences, Nijmegen, the Netherlands (Prof Wensing, Mr Koetsenruijter)
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Consumer health organisations for chronic conditions: why do some people access them and others don’t? Prim Health Care Res Dev 2014; 15:418-29. [PMID: 24499809 DOI: 10.1017/s1463423614000036] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Consumer health organisations (CHOs), which operate outside the mainstream healthcare system with a specific focus on supporting people to self-manage their health conditions, have become widespread. Yet, there has been little systematic research into CHOs, including their perceived benefits and barriers, which encourage or deter their access by people with a variety of chronic health conditions. AIM This study explored the benefits of CHOs in self-management and also the barriers that inhibit their access, from the perspective of people with chronic conditions and their unpaid carers. METHODS In-depth, semi-structured interviews were completed with 97 participants across four regions of Australia. The sample included a high representation of people from culturally and linguistically diverse backgrounds and Aboriginal and Torres Strait Islander people as well as non-indigenous Australians. FINDINGS Three inter-related themes were identified that represented the benefits of involvement and participation in CHOs: knowledge and information, connection and support and experiential learning. However, limited access pathways emerged as a barrier that inhibited a person’s entry into CHOs. Furthermore, the person’s beliefs and experiences about their own health condition(s) also inhibited their continued participation in CHO programmes. CONCLUSION Although our findings confirm that CHOs are a valuable resource in alleviating the ‘work of being a patient’ for some people, there seems to be some barriers that prevent their full access and utilisation.Structured integration systems to increase the reliable delivery and accessibility of CHOs are needed to ensure that people who would benefit from accessing them can do so.
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Gribbin E, Croaker D. Long-term follow-up of paediatric anorectal anomalies and the role and efficacy of parent support groups for such conditions. Pediatr Surg Int 2013; 29:931-6. [PMID: 23948813 DOI: 10.1007/s00383-013-3360-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND/PURPOSE There are a multitude of parent support groups for most life situations and medical conditions. The aim of this study was to discover defining characteristics and to evaluate the structure and effectiveness of parent support groups in paediatric anorectal anomalies. METHODS Over 200 non-profit organisations and parent support groups were sent questionnaires to determine their effectiveness. Many of these were excluded as they were deemed not relevant to the final study. A final 20 groups were included for review, questions were based around origins, activities, education and evaluation, organisational structure and their affiliations with the health care team. RESULTS Most groups had similar origins, usually an educated parent who had a child born with the condition and a zest for further knowledge and understanding and a desire to share this with others in a similar situation. Only 20% received government funding; few had paid staff and half had good relations with the local medical and paramedical fraternity. The majority had a team of long-term enthusiastic volunteers who remained with the group to support others long after their own child was no longer a concern. CONCLUSIONS Some support groups offer a valuable service to families alongside the medical and paramedical fraternity. These groups provide families with the day-to-day lived experiences through social media, networking and meetings. Some provide more formal educational conferences designed to bring families, the medical and paramedical fraternity together to learn valuable lessons from each other.
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Affiliation(s)
- Eunice Gribbin
- ANU Medical School, Australian National University, Canberra, ACT,
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Young CE, Mutch AJ, Boyle FM, Dean JH. Investigating referral pathways from primary care to consumer health organisations. Aust J Prim Health 2010; 16:260-7. [PMID: 20815997 DOI: 10.1071/py09081] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
While chronic disease places an increasing burden on Australia's primary care system it is unrealistic to expect GPs to meet the range of support needs experienced by patients managing chronic conditions. Consumer health organisations (CHO) have the potential to augment clinical care by providing a variety of supportive services; however, they are underutilised by patients and GPs. This qualitative study investigates GPs' knowledge and perceptions of CHO and their contributions to chronic disease care. The study involved semi-structured interviews with 10 GPs. Overall, participants demonstrated clear understanding of the role of CHO in chronic disease management, but a critical finding was the way GPs' view of their own chronic care role appears to influence referral practices. GPs operating in a traditional role were less likely to refer to CHO than those who had adopted a chronic care approach. A second key finding related to GPs' views of Diabetes Australia. All GPs identified this organisation as an important referral point, providing some reassurance that CHO can be integrated into the primary care sector. Further research is needed to determine how the 'definite advantages' associated with Diabetes Australia can be used to extend GP referral and enhance the health system's integration of other CHO.
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Affiliation(s)
- Charlotte E Young
- School of Population Health, The University of Queensland, Herston, Qld 4006, Australia.
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Boyle FM, Mutch AJ, Dean JH, Dick ML, Del Mar CB. Consumer health organisations for people with diabetes and arthritis: who contacts them and why? HEALTH & SOCIAL CARE IN THE COMMUNITY 2009; 17:628-635. [PMID: 19469913 DOI: 10.1111/j.1365-2524.2009.00864.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
As health systems worldwide confront a growing prevalence of chronic disease, attention has focused on self-management as a strategy for delivering better outcomes for individuals and the health system. Consumer health organisations (CHOs) offer an existing, but under-utilised, resource for supporting self-management. This paper reports on a study designed to investigate the use of CHOs among people with diabetes and arthritis. A cross-sectional computer-assisted telephone interview survey was completed by 279 people who had made contact with one of four CHOs in Queensland, Australia, between July and August 2006. Self-reported data were collected on the participants' socio-demographic and health-related characteristics, pathways to, use and benefits of CHO contact and subsequent health actions. People contacted CHOs primarily to obtain further information about their condition or to access services or products. Most believed CHOs offered useful information relevant to their health and better ways to manage health problems. Almost half reported that they had started exercising or changed diet following contact. More than two-thirds of diabetes contacts had been directed to the organisation by a health professional, compared with less than one-third of those with arthritis. Correspondingly, people with diabetes reported shorter periods between diagnosis and contact and more prior contact with the organisation and were less likely to wish they had made contact earlier. The study concludes that people who contact CHOs report benefits and health actions conducive to better self-management. The integration of CHOs within the wider health system, as in the case of the diabetes CHO in this study, is likely to facilitate contact. Further attention to the role of these organisations as part of a comprehensive approach to chronic illness care is warranted.
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Affiliation(s)
- Frances M Boyle
- School of Population Health, The University of Queensland, Australia.
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