Dataset Information

Creating 'good' self-managers?: facilitating and governing an online self care skills training course.

ABSTRACT:

Background

In chronic disease management, patients are increasingly called upon to undertake a new role as lay tutors within self-management training programmes. The internet constitutes an increasingly significant healthcare setting and a key arena for self-management support and communication. This study evaluates how a new quasi-professional health workforce - volunteer tutors - engage, guide and attempt to manage people with long-term conditions in the ways of 'good' self-management within the context of an online self-management course.

Methods

A qualitative analysis of postings to the discussion centre of 11 online classes (purposively selected from 27) run as part of the Expert Patients Programme. Facilitators (term for tutors online) and participants posted questions, comments and solutions related to self-management of long-term conditions; these were subjected to a textual and discursive analysis to explore: a) how facilitators, through the internet, engaged participants in issues related to self-management; b) how participants responded to and interacted with facilitators.

Results

Emergent themes included: techniques and mechanisms used to engage people with self-management; the process facilitators followed - 'sharing', 'modelling' and 'confirming'; and the emergence of a policing role regarding online disclosure. Whilst exchanging medical advice was discouraged, facilitators often professed to understand and give advice on psychological aspects of behaviour.

Conclusion

The study gave an insight into the roles tutors adopt - one being their ability to 'police' subjective management of long-term conditions and another being to attempt to enhance the psychological capabilities of participants.

SUBMITTER: Kennedy A

PROVIDER: S-EPMC2699343 | biostudies-literature | 2009 Jun

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Creating 'good' self-managers?: facilitating and governing an online self care skills training course.

Kennedy Anne A Rogers Anne A Sanders Caroline C Gately Claire C Lee Victoria V

BMC health services research 20090608

<h4>Background</h4>In chronic disease management, patients are increasingly called upon to undertake a new role as lay tutors within self-management training programmes. The internet constitutes an increasingly significant healthcare setting and a key arena for self-management support and communication. This study evaluates how a new quasi-professional health workforce - volunteer tutors - engage, guide and attempt to manage people with long-term conditions in the ways of 'good' self-management ...[more]

PMID: 19505302

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Dataset Information

Creating 'good' self-managers?: facilitating and governing an online self care skills training course.

Background

Methods

Results

Conclusion

Publications

Creating 'good' self-managers?: facilitating and governing an online self care skills training course.

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