Creating 'good' self-managers?: Facilitating and governing an online self care skills training course
<p>Abstract</p> <p>Background</p> <p>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...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2009-06-01
|
| Series: | BMC Health Services Research |
| Online Access: | http://www.biomedcentral.com/1472-6963/9/93 |
| _version_ | 1811282730395107328 |
|---|---|
| author | Gately Claire Sanders Caroline Rogers Anne Kennedy Anne Lee Victoria |
| author_facet | Gately Claire Sanders Caroline Rogers Anne Kennedy Anne Lee Victoria |
| author_sort | Gately Claire |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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:</p> <p>a) how facilitators, through the internet, engaged participants in issues related to self-management;</p> <p>b) how participants responded to and interacted with facilitators.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p> |
| first_indexed | 2024-04-13T01:57:49Z |
| format | Article |
| id | doaj.art-fff7106b63204be3a087a0a9875594d8 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T01:57:49Z |
| publishDate | 2009-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-fff7106b63204be3a087a0a9875594d82022-12-22T03:07:43ZengBMCBMC Health Services Research1472-69632009-06-01919310.1186/1472-6963-9-93Creating 'good' self-managers?: Facilitating and governing an online self care skills training courseGately ClaireSanders CarolineRogers AnneKennedy AnneLee Victoria<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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:</p> <p>a) how facilitators, through the internet, engaged participants in issues related to self-management;</p> <p>b) how participants responded to and interacted with facilitators.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>http://www.biomedcentral.com/1472-6963/9/93 |
| spellingShingle | Gately Claire Sanders Caroline Rogers Anne Kennedy Anne Lee Victoria Creating 'good' self-managers?: Facilitating and governing an online self care skills training course BMC Health Services Research |
| title | Creating 'good' self-managers?: Facilitating and governing an online self care skills training course |
| title_full | Creating 'good' self-managers?: Facilitating and governing an online self care skills training course |
| title_fullStr | Creating 'good' self-managers?: Facilitating and governing an online self care skills training course |
| title_full_unstemmed | Creating 'good' self-managers?: Facilitating and governing an online self care skills training course |
| title_short | Creating 'good' self-managers?: Facilitating and governing an online self care skills training course |
| title_sort | creating good self managers facilitating and governing an online self care skills training course |
| url | http://www.biomedcentral.com/1472-6963/9/93 |
| work_keys_str_mv | AT gatelyclaire creatinggoodselfmanagersfacilitatingandgoverninganonlineselfcareskillstrainingcourse AT sanderscaroline creatinggoodselfmanagersfacilitatingandgoverninganonlineselfcareskillstrainingcourse AT rogersanne creatinggoodselfmanagersfacilitatingandgoverninganonlineselfcareskillstrainingcourse AT kennedyanne creatinggoodselfmanagersfacilitatingandgoverninganonlineselfcareskillstrainingcourse AT leevictoria creatinggoodselfmanagersfacilitatingandgoverninganonlineselfcareskillstrainingcourse |