“A reinstilled hope that they can change”
Facilitator perspectives on a self-care and health promotion peer group program for veterans
Bibliographic Data
| ID | 22080646 |
|---|---|
| Authors | Bonnie O Richard (0000-0002-5182-710X, Pacific Institute For Research and Evaluation, corresponding author), Melissa H Abadi (0000-0002-6745-4838, Pacific Institute For Research and Evaluation), Connor D Drake (Duke University), David Rychener (Pacific Institute For Research and Evaluation), Rachel Bauer (0000-0002-3246-5852, Pacific Institute For Research and Evaluation) |
| Year | 2023 |
| Volume | 10 |
| Pages | 968281-968281 |
| Publication date | 2023-01-05 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2022.968281 |
| PMID | 36684905 |
| OpenAlex | W4313535110 |
| Language | EN |
| References cited | 73 |
Introduction: This study assessed the relevance, value, and effectiveness of "Taking Charge of My Life and Health" (TCMLH), a patient wellbeing peer group program for U.S. veterans focused on empowering them to identify what really matters in their lives and to work toward health goals that align with their mission, aspirations, or purpose in life. The potential of TCMLH to empower veterans to engage in self-care behaviors, make health behavior changes, and participate in health care decision making is important, as veterans are more likely than the general population to suffer from multiple chronic conditions that require ongoing self-management. Methods: We conducted individual semi-structured interviews with 19 TCMLH facilitators serving in eight U.S. Veteran's Health Administration medical centers. Data were analyzed using an inductive approach to identify salient themes in facilitators' experiences. Results: Facilitators reported that TCMLH participants demonstrated positive attitude changes (e.g., greater confidence and hope) and behavior changes (e.g., making healthcare appointments and implementing self-care practices) by program completion. Further, findings show that mindful awareness practices, the peer group setting, Whole Health assessment tools, and goal setting tools were perceived as the most impactful program elements leading to positive health behavior change. Conclusion: Overall, findings suggest that this non-clinical peer group program can enhance patient wellbeing, and that there are certain program elements of TCMLH that are driving key attitudinal and behavioral changes
Behavior change · Facilitator · Health care · Health promotion · Medical education · Peer group · Peer support · Population · Public health · Diabetes Management and Education · Medicine · Mental Health and Patient Involvement · Nursing · Primary Care and Health Outcomes · Psychology · Social Psychology
The Effects of Mindfulness Meditation
Improving Chronic Illness Care
What The Evidence Shows About Patient Activation
Health Behavior Change
Health promotion from the perspective of social cognitive theory
Development of a framework and coding system for modifications and adaptations of evidence-based interventions
Patient Self-management of Chronic Disease in Primary Care
Modeling Health Behavior Change
The Assessment of Present-Moment Awareness and Acceptance
Peer support among persons with severe mental illnesses
A meta-analysis of the health action process approach.
Inside the Mindful Mind
Self-management education
But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation
Achieving Whole Health
The effects of peer support on empowerment, self-efficacy, and internalized stigma
National Implementation of a Group-Based Program Promoting Patient Engagement and Peer Support in the Veterans Health Administration
Evaluating Bang for the Buck
Self-Management
Patient Engagement in ACO Practices and Patient-reported Outcomes Among Adults With Co-occurring Chronic Disease and Mental Health Conditions
Costs Associated With Multimorbidity Among VA Patients
Whole Health
Transforming the Veterans Affairs to a Whole Health System of Care
Evidence Suggesting That a Chronic Disease Self-Management Program Can Improve Health Status While Reducing Hospitalization
In this together
How Many Interviews Are Enough
Coding In-depth Semistructured Interviews
Power of Peer Support to Change Health Behavior to Reduce Risks for Heart Disease and Stroke for African American Men in a Faith-Based Community
| Highly cited | No |
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