Title: Self-management Education
1Self-management Education
Persona Hypothesis
- Shruti Bajaj
- Ann Hsieh
- Hane Kim
2Who would use this product?
- Patients with chronic diseases
- Patients who arent self-managing their care
- Can be used in a setting with doctors, nurses or
caregivers
3What are the users needs and motivations?
- To gain confidence to bring them to the point of
self-efficacy - The use of EIMT is making it possible for
patients to build new practices and routines
(e.g., monitoring daily symptoms) around their
illness, in a sense changing their perception of
control in managing it. (Jeremy, 2003) - A central concept in self-management is
self-efficacy confidence to carry out a
behavior necessary to reach a desired goal.
(Bodenheimer, 2002)
4What are their needs and motivations in using
this product?
- To learn self-management skills, such as
problem-solving and goal setting - Self-efficacy is enhanced when patients succeed
in solving patient-identified problems.
(Bodenheimer, 2002) -
5What are their needs and motivations in using
this product?
- To minimize physician dependency
- This partnership paradigm credits patients with
an expertise similar in importance to the
expertise of professionals. This paradigm implies
that while professionals are experts about
diseases, patients are experts about their own
lives. (Bodenheimer, 2002)
6How radically different might the needs and
behaviors be across different kinds of users?
- The needs can be very different since
self-management education is very dependent on
the lifestyle of the patient.
7Where will the product be used?
- Home / Workplace
- Doctors office
- Community settings such as senior centers,
churches, libraries and hospitals
8How might the physical environment influence how
the product will be used?
- In common, the product is expected to be used
personally to find resources and track their
treatment and progress, but depending on where to
be used, it will be - Home Can be referred by family
- Workplace Not intrusive to the work
- Doctors office To be shared with doctor about
patients progress - Community Setting - To be shared with and
referred by caregivers
9Who else besides the end-user has a stake in the
success of the product?
- Factory/designer of the product or programmer
- Doctors
- Caregivers
- Families
10Experience Interview with ex-Diabetes patient,
Mr. Kim
- Empowerment First!
- Need to be empowered to get over disease by being
master over the disease - Expert information is not needed to master the
disease
11Experience Interview with ex-Diabetes patient,
Mr. Kim
- Execution is Essential!
- Make a strategy and build it into daily life as a
new practice and daily routine - Motivation to execute the plan was from
confidence of the treatment, not from frequent
monitoring - Did not need much external support except a
pedometer and a couple of books internal
motivation is more important
12Research Articles
- Jeremy J. Nobel, M.D., M.P.H., and Gordon K.
Norman, M.D., M.B.A, Emerging Information
Management Technologies and the Future of Disease
Management, 2004 - E.D. Lehmann, Application of computers in
clinical diabetes care, 1997 - T. Bodenheimer, K. Lorig, H. Holman, K. Grumbah.
Patient Self-Management of Chronic Disease in
Primary Care, 2002