Achieving Whole Health: A Preliminary Study of TCMLH, a Group-Based Program Promoting Self-Care and Empowerment Among Veterans.

Melissa Abadi, Bonnie Richard, Steve Shamblen, Connor Drake, April Schweinhart, Barbara Bokhour, Rachel Bauer, David Rychener
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引用次数: 13

Abstract

Objective: An emerging literature suggests patients with chronic illnesses can benefit from integrated, person-centric approaches to health care, including group-based programs. However, much of the research in this area is disease specific. The objective of this study was to collect preliminary evidence on the efficacy of Taking Charge of My Life and Health (TCMLH), a Whole Health group-based program that emphasizes self-care and empowerment on the overall health and well-being of veterans, a population burdened with high rates of multiple chronic conditions.

Method: Self-reported outcomes, including standardized survey measures, were collected at pretest, posttest, and 2-month follow-up from 77 participants across 15 groups at four VA sites. Random intercept mixed-model regressions were used to analyze data.

Results: Results from this initial study showed high satisfaction with the program and facilitators, and high attendance. There were significant pre-post gains in self-care attitudes and behaviors, patient motivation, meaning and purpose, mental health, perceived stress, goal progress, and goal-specific hope. Outcomes were maintained at 2-month follow-up for patient motivation, perceived stress, goal-specific hope, and goal progress. Significant gains were observed in health care empowerment and physical health from pretest to follow-up.

Conclusions: Preliminary findings support the efficacy of TCMLH, a Whole Health group-based program that emphasizes patient empowerment, self-care practices, and peer support. Future research priorities include a rigorous evaluation with a larger sample size and control group to assess effectiveness.

实现整体健康:TCMLH的初步研究,一个以小组为基础的项目,促进退伍军人的自我照顾和赋权。
目的:一项新兴的文献表明,慢性病患者可以从综合的、以人为中心的医疗保健方法中受益,包括基于群体的方案。然而,这一领域的许多研究都是针对特定疾病的。本研究的目的是收集关于“负责我的生活和健康”(TCMLH)的有效性的初步证据,TCMLH是一个以整体健康为基础的项目,强调退伍军人的整体健康和福祉的自我照顾和授权,这是一个负担着多种慢性疾病高发的人群。方法:自我报告的结果,包括标准化的调查措施,在测试前、测试后和2个月的随访中收集来自4个VA站点15组77名参与者的数据。采用随机截距混合模型回归分析数据。结果:初步研究的结果显示,学生对课程和辅导员非常满意,出勤率也很高。在自我护理态度和行为、患者动机、意义和目的、心理健康、感知压力、目标进展和目标具体希望方面,治疗前后均有显著提高。在2个月的随访中,患者动机、感知压力、目标特异性希望和目标进展的结果保持不变。从测试前到随访,在医疗保健授权和身体健康方面观察到显著的收益。结论:初步研究结果支持TCMLH的有效性,TCMLH是一个以整体健康为基础的项目,强调患者授权、自我保健实践和同伴支持。未来的研究重点包括用更大的样本量和对照组进行严格的评估,以评估有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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