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The Relation between Self-Management of People with Chronic Diseases and Personality based on the Personal Health Record MijnGezondheidsPlatform

Reers, J. (2016) The Relation between Self-Management of People with Chronic Diseases and Personality based on the Personal Health Record MijnGezondheidsPlatform.

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Abstract:Objective: A high prevalence of chronic diseases, severe symptoms, a high mortality-rate of people with chronic diseases and high costs for the health care providers give reasons to improve the health care of the affected people. As patients with chronic diseases need to actively take part within their health care, an increase in patient activation through enhancing self-management could improve the patients’ situation. This study evaluated the effect of an eHealth selfmanagement intervention (MijnGezondheidsPlatform) within one year follow-up. Moreover the effect of personality on self-management was assessed. Finally, the association between personality and the commitment to the intervention was examined as well as the development of the commitment within one year and its effect on the change of self-management within this year. Method: The study included questionnaires about the self-management (PAM-13), personality (TIPI) and commitment to the intervention and was given to people with chronic diseases (asthma/COPD, diabetes mellitus type 2, and cardiovascular diseases) who were exposed to the intervention over one year as well as to a control group who got the care ‘as usual’. Results: No significant effect of the intervention and no association between personality and the change of self-management were found in this study. A positive association between the commitment to the intervention and the personality traits conscientiousness (p = .008) and extraversion (p = .043) was found, but between the commitment to the intervention and its effect, no association was found. The commitment did not change within the one year follow-up. Conclusion: The study revealed that the intervention did not have the desired effect, but further research is needed to examine if there are other effects on the health status of the patients. Furthermore, changes should be implemented to improve MGP, as for example the use of more design principles for persuasive systems. Tailoring for personality could actually affect selfmanagement through its effect on the commitment. Although this was not reflected in the results of this study, this connection should be evaluated within further research.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:https://purl.utwente.nl/essays/69840
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