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McInerney K, Cross A. A Phenomenological Study: Exploring the Meaning of Spirituality in Long-term Recovery in Alcoholics Anonymous. ALCOHOLISM TREATMENT QUARTERLY 2021. [DOI: 10.1080/07347324.2021.1895016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
| | - Ainslea Cross
- School of Psychology, University of Derby, Derby, UK
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De Giorgio A, Dante A, Cavioni V, Padovan AM, Rigonat D, Iseppi F, Graceffa G, Gulotta F. The IARA Model as an Integrative Approach to Promote Autonomy in COPD Patients through Improvement of Self-Efficacy Beliefs and Illness Perception: A Mixed-Method Pilot Study. Front Psychol 2017; 8:1682. [PMID: 29062286 PMCID: PMC5640890 DOI: 10.3389/fpsyg.2017.01682] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2017] [Accepted: 09/12/2017] [Indexed: 01/09/2023] Open
Abstract
Chronic obstructive pulmonary disease (COPD) is one of the most deadly and costly chronic diseases in the world characterized by many breathing problems. The management of COPD and the prevention of exacerbations are a priority goals to improve the quality of life in patients affected by this illness. In addition, it is also crucial to improve the patients' adherence to care which, in turn, depends on their knowledge and understanding of some factors such as the prescribed medical treatment, changes in dailylife, and the process of breathing. In turn, the adherence to care leads to greater autonomy for the patient who is thus able to better manage his illness. Here we presented the application of the Model IARA in patients affected by COPD in order to achieve their autonomy in illness management which, in turn, leads to a better quality of life. IARA is an intervention program which improve the awareness and knowledge of patients with respect to both the disease and symptoms through health education. Moreover, through IARA the patients are encouraged to become more actively involved in COPD care process, also regarding drug therapy adherence. Using St. George's Respiratory Questionnaire combined with qualitative analysis, we demonstrated that IARA could be considered a useful approach in COPD management.
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Affiliation(s)
- Andrea De Giorgio
- Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- Kiara Association, Turin, Italy
- Psychology, Università degli Studi eCampus, Novedrate, Italy
| | - Angelo Dante
- Department of Medicine, Surgery and Health Sciences, Nursing School, University of Trieste, Trieste, Italy
- Department of Health, Life and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Valeria Cavioni
- Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | | | - Desiree Rigonat
- Engineering and Architecture, University of Trieste, Trieste, Italy
| | - Francesca Iseppi
- Department of Medicine, Surgery and Health Sciences, Nursing School, University of Trieste, Trieste, Italy
| | - Giuseppina Graceffa
- Department of Medicine, Surgery and Health Sciences, Nursing School, University of Trieste, Trieste, Italy
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De Giorgio A, Loscalzo RM, Ponte M, Padovan AM, Graceffa G, Gulotta F. An innovative mindfulness and educational care approach in an adult patient affected by gastroesophageal reflux: the IARA model. JOURNAL OF COMPLEMENTARY & INTEGRATIVE MEDICINE 2017; 14:/j/jcim.ahead-of-print/jcim-2016-0154/jcim-2016-0154.xml. [PMID: 28731313 DOI: 10.1515/jcim-2016-0154] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 11/24/2016] [Accepted: 04/06/2017] [Indexed: 12/21/2022]
Abstract
Patients affected by gastroesophageal reflux disease (GERD) have a poor quality of life caused by several manifestations such as cough, asthma, laryngitis and dental erosion. The clinical conditions are highly disabling for patients and symptoms are difficult to manage. These conditions lead to many discomforts which contribute to an increase of the disease perception. For these reasons, it is important to improve the interventions on psychological aspects that ameliorate the patients' quality of life. The application of IARA model has proven useful to decrease GERD symptoms, distress and medication intake and to increase adherence to care, improving the patient's quality of life.
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