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本文引用的文献

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Self-management education programmes by lay leaders for people with chronic conditions.由非专业领导者为慢性病患者开展的自我管理教育项目。
Cochrane Database Syst Rev. 2007 Oct 17(4):CD005108. doi: 10.1002/14651858.CD005108.pub2.
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Effectiveness of a time-limited cognitive behavior therapy type intervention among primary care patients with medically unexplained symptoms.限时认知行为疗法类型干预对患有医学无法解释症状的初级保健患者的有效性。
Ann Fam Med. 2007 Jul-Aug;5(4):328-35. doi: 10.1370/afm.702.
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Personality and medical illness burden among older adults in primary care.初级保健中老年人的人格与疾病负担
Psychosom Med. 2007 Apr;69(3):277-82. doi: 10.1097/PSY.0b013e3180313975. Epub 2007 Mar 30.
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Internet-based chronic disease self-management: a randomized trial.基于互联网的慢性病自我管理：一项随机试验。
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A new Big Five: fundamental principles for an integrative science of personality.一种新的“大五”人格：人格综合科学的基本原则。
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Patients' perceived barriers to active self-management of chronic conditions.患者对慢性病主动自我管理的认知障碍。
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A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: implications for health education practice (part II).一项关于增强自我效能干预措施以减少慢性残疾的研究证据综述与整合：对健康教育实践的启示（第二部分）
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五因素模型人格因素调节了一项旨在提高慢性病管理自我效能的干预措施的效果。

Five factor model personality factors moderated the effects of an intervention to enhance chronic disease management self-efficacy.

作者信息

Franks Peter, Chapman Benjamin, Duberstein Paul, Jerant Anthony

机构信息

Center for Healthcare Policy and Research, Department of Family and Community Medicine, University of California Davis School of Medicine, Sacramento, California 95618, USA.

出版信息

Br J Health Psychol. 2009 Sep;14(Pt 3):473-87. doi: 10.1348/135910708X360700. Epub 2008 Sep 20.

DOI:10.1348/135910708X360700
PMID:18808733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2745728/
Abstract

OBJECTIVES

Peer led interventions can enhance patient self-efficacy for managing chronic illnesses, but little is known regarding the moderators or duration of their effects. We hypothesized Homing in on Health (HIOH), a variant of the Chronic Disease Self-Management Program, would be most effective in patients high in neuroticism and low in extraversion, openness, agreeableness, and/or conscientiousness.

DESIGN

Analysis of data from subjects (N=415) enrolled in an ongoing randomized controlled trial.

METHODS

Regression analyses were conducted to explore whether Five Factor Model (FFM) personality factors moderated the effects of HIOH, delivered in subjects' homes or via telephone, on disease management self-efficacy. Data were collected at 6 time points over the course of 1 year.

RESULTS

Compared with control and telephone HIOH, home HIOH significantly increased self-efficacy, an effect peaking at 6 weeks and fully attenuating by 1 year. Moderation analyses revealed the benefit was confined to patients higher in neuroticism and/or lower in conscientiousness, agreeableness, and extraversion.

CONCLUSIONS

A peer led intervention to enhance disease management self-efficacy had only short-term effects, and FFM personality factors moderated those effects. Measuring personality factors in chronically ill individuals may facilitate targeting of self-management interventions to those most likely to respond.

摘要

目的

同伴主导的干预措施可提高患者管理慢性病的自我效能，但对于其效果的调节因素或持续时间知之甚少。我们假设，作为慢性病自我管理项目变体的“聚焦健康”（HIOH），对神经质得分高、外向性、开放性、宜人性和/或尽责性得分低的患者最为有效。

设计

对参与一项正在进行的随机对照试验的受试者（N = 415）的数据进行分析。

方法

进行回归分析，以探究五因素模型（FFM）人格因素是否调节了在受试者家中或通过电话实施的HIOH对疾病管理自我效能的影响。在1年的时间里分6个时间点收集数据。

结果

与对照组和电话干预的HIOH相比，家庭干预的HIOH显著提高了自我效能，这种效果在6周时达到峰值，并在1年后完全减弱。调节分析显示，这种益处仅限于神经质得分较高和/或尽责性、宜人性和外向性得分较低的患者。

结论

同伴主导的提高疾病管理自我效能的干预措施只有短期效果，且FFM人格因素调节了这些效果。对慢性病患者的人格因素进行测量，可能有助于将自我管理干预措施针对最有可能产生反应的人群。