Proactive Health Support

Proactive Health Support (PaHS) is a large-scale intervention in Denmark carried out by registered nurses (RNs) who provide self-management support to people at risk of hospital admission to enhance their health, coping, and quality of life. PaHS is initiated with a face-to-face session followed by telephone conversations. We aimed to explore the start-up sessions, including if and how the relationship between participants and RNs developed at the onset of PaHS. We used an ethnographic design including observations and informal interviews. Data were analyzed using a phenomenological-hermeneutical approach. The study showed that contexts such as hospitals and RNs legitimized the intervention. Face-to-face communication contributed to credibility, just as the same RN throughout the intervention ensured continuity. We conclude that start-up sessions before telephone-based self-management support enable a trust-based relationship between participants and RNs. Continuous contact with the same RNs throughout the session promoted participation in the intervention

Coping (psychology · Credibility · Face-to-face · Intervention (counseling · Medical education · Psychiatry · Session (web analytics · World Wide Web · Applied Psychology · Chronic Disease Management Strategies · Clinical Psychology · Computer Science · Diabetes Management and Education · Medicine · Nursing · Nursing Diagnosis and Documentation · Psychology

• A phenomenological hermeneutical method for researching lived experience

  Open Access•A Lindseth, Astrid Norberg•Scandinavian Journal of Caring…•2004

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• Self-management approaches for people with chronic conditions

  Open Access•Julie Barlow, Josep Maria Nadal et al.•Patient Education and Counseling•2002

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• Patient Self-management of Chronic Disease in Primary Care

  Thomas Bodenheimer•JAMA•2002

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• Trust, Health Care Relationships, and Chronic Illness

  Open Access•Chris A Robinson, Carole A Robinson•Global Qualitative Nursing Research•2016

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• Chronic Disease Self-Management Program

  Kate Lorig, Kate R Lorig et al.•Medical Care•2001

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• Mandates of Trust in the Doctor-Patient Relationship

  Open Access•Helge Skirbekk, Anne‐lise Middelthon et al.•Qualitative Health Research•2011

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• Do patient autonomy preferences matter? Linking patient-centered care to patient-physician relationships and health outcomes

  Open Access•Yin-Yang Lee, Julia L Lin•Social Science & Medicine•2010

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• Self-management Training for People with Chronic Disease

  Open Access•Julie H Barlow, Julie Barlow et al.•Journal of Health Psychology•2005

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