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首页> 外文学位 >Professional and lay facilitator's perceptions of roles, goals, and strategies to promote social support and self-management in face-to-face support groups for adults with multiple sclerosis and myotonic muscular dystrophy.
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Professional and lay facilitator's perceptions of roles, goals, and strategies to promote social support and self-management in face-to-face support groups for adults with multiple sclerosis and myotonic muscular dystrophy.

机译：专业人士和外行促进者对角色，目标和策略的认知，以促进面对多发性硬化症和强直性肌营养不良症的成年人面对面的支持小组中的社会支持和自我管理。

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摘要

Chronic health conditions are on the rise and increase approximately 1% each year in the United States. Though this crisis can be cost prohibitive, there are economical treatment options available. One option is support groups for adults with chronic health conditions. Research has shown that social support experienced by group participants improves coping skills, lowers depression, and enhances quality of life. Another option for chronically ill people to help themselves is by participating in patient self- management programs. Patients taught self-management skills have improved their health status, made fewer physician visits, and have reduced hospital stays compared to control subjects. Unfortunately, these patient programs are often short-lived and limited to hospital settings.;The role of the facilitator is critical to the success of a support group achieving the goals of either social support or self-management. There is little research about support group facilitators promoting both goals of social support and self-management. The purpose of this study was to survey support group facilitators to determine their roles and strategies used to achieve the goals of social support and self-management behaviors. Transformative learning theory and goal-setting theory provided the theoretical underpinning for a conceptual model of support group facilitation.;A researcher-designed survey was used to gather descriptive data. Over 300 facilitators of support groups for adults with Multiple Sclerosis or Myotonic Muscular Dystrophy participated in the survey. Additionally, data were used to compare the strategies used by professionally-trained facilitators to strategies used by lay and peer facilitators.;Survey results revealed statistically significant differences in attitudes toward goal-setting; both professional and professional-peer facilitators responded more favorably to goal-setting. Peers and professionals differed on role perceptions as well as the strategies used to promote self-management health behaviors. Overall, facilitators chose to handle self-management topics with group conversation and made limited use of other collaborative strategies such as demonstration and participatory activities.
机译：慢性健康状况正在上升，在美国每年约增加1％。尽管此危机可能会导致成本高昂，但仍有一些经济的治疗选择。一种选择是为患有慢性健康状况的成年人提供支持。研究表明，小组参与者所获得的社会支持可以提高应对能力，降低抑郁感并提高生活质量。慢性病患者自助的另一种选择是参加患者自我管理计划。与对照组相比，教会患者自我管理技能的健康状况得到改善，医生就诊次数减少，住院时间减少。不幸的是，这些患者计划通常是短暂的，并且仅限于医院环境。促进者的作用对于支持小组成功实现社会支持或自我管理的目标至关重要。关于支持团体促进者既促进社会支持目标又实现自我管理的研究很少。这项研究的目的是调查支持小组的协助者，以确定他们的角色和策略，以实现社会支持和自我管理行为的目标。变革性学习理论和目标设定理论为支持小组便利化的概念模型提供了理论基础。;研究人员设计的调查用于收集描述性数据。成年人多发性硬化症或强直性肌营养不良症支持小组的300多名主持人参加了调查。此外，还使用数据将经过专业培训的辅导员使用的策略与非专业和同伴辅导员使用的策略进行比较。调查结果表明，在设定目标的态度上存在统计学差异；专业和专业同伴的协助者对目标设定的反应都更佳。同行和专业人员在角色观念以及用于促进自我管理健康行为的策略方面存在差异。总体而言，主持人选择通过小组对话来处理自我管理的主题，并很少使用其他协作策略，例如演示和参与性活动。

著录项

  • 作者

    Krongold, Leslie.;

  • 作者单位

    University of San Francisco.;

  • 授予单位 University of San Francisco.;
  • 学科 Social Work.;Education Adult and Continuing.;Education Health.
  • 学位 Ed.D.
  • 年度 2010
  • 页码 188 p.
  • 总页数 188
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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