Chronic disease self-management programs : perspectives on enablers and barriers to GP and patient engagement

Aims & rationale/Objectives : Chronic disease self-management programs (CDSMP) are increasingly being integrated into the health system to improve the care of people with chronic conditions. Despite activity at both policy and program levels, GPs as the 'gatekeepers' to the health system have generally not been well informed or engaged in this process. This study, in collaboration with 3 Victorian Divisions of General Practice, sought both GP and patient perspectives on enablers and barriers to engagement in self-management programs.
Methods : Interviews were conducted with GPs (n=20) and consumers (n=45) purposefully recruited from metropolitan and rural Victoria, representing key demographics of interest including low socioeconomic areas.
Principal findings : Lack of education/information and uncertainty about the effectiveness of self-management programs were key barriers for both GP and patient engagement. Programs that were sustainable and utilised existing community resources were viewed as enablers to increase uptake. GP and patient preferences for disease specific or generic CDSMP differed.
Discussion : Outcomes from the recent Council of Australian Governments' meeting suggest that self-management will be a centerpiece in forthcoming chronic disease initiatives. International evidence has highlighted the need for GP and patient engagement as critical in ensuring the recruitment of a critical mass of individuals to participate in CDSMP to ensure the sustainability of such initiatives. Insight from this study indicates that GPs and patients are not well informed about self-management, have different preferences to current policy trends and identifies several other barriers which need to be addressed if CDSMP are to be successful.
Implications : Identification of barriers and enablers of GP and patient engagement in self-management is essential in shaping current policy initiatives and delivery of future programs. This is supported by international evidence which indicates strongly that GP engagement in particular is crucial to the success of these programs.
Presentation type : Paper

Universiti Sains Malaysia and the engagement with sustainability and civil society within globalization

According to some commentators, the dynamics and forces of globalization have lead to a radical rethink in respect to the role of the university in contemporary society. This rethink has taken several guises. For some it involves the radical privatization of universities. For others it involves the democratization of  universities. Universities exist therefore in a globalized world that is increasingly interconnected and where space and time are increasingly narrowed and  accelerated. Within these broad phenomenons’s neo-liberal globalization entails the increasing need to produce profit and the expansion of the logic of neo-liberal hegemony in education in the guise of reframing education as a service industry. The contradictions that characterize Malaysia s engagement with globalization at a national level manifest in debates over globalization and Higher Education. The most pertinent issue in regards to this relates to the problem of sustainability. In the context of neo-liberal globalization sustainability contradicts the fundamental essence of consumption. The idea of human beings as first and foremost  consumers of things is a normative ideal at odds with the concept of a  sustainable future. At a very basic philosophical level the concept and normative project of neo-liberal capitalism and globalization is tied to a concept of individual possessiveness and consumption that radically challenges cultures that do not share such possessively individualistic precepts. Marketization in Malaysian universities must be tempered by also connecting universities to civil society in such a way that tempers both extremes of the state and market and allows a more sustainable relationship between the social frameworks within which it operates.

Supporting gen Y's engagement, enrichment and entertainment in interactive technologies

This research explored the potential for expansion of the current function, and usage of Interactive Television. The interviews and group discussions assisted in the determination of the theoretical framework for "Interactive Digital Vision", including its inspiration from current technologies to provide an engaging, enriching and intertaining user experience.

Executive architect : designers becoming leaders through the "stakeholder approach"

The traditional role of an architect in today's competitive markets is no longer feasible. To remain competitive, the architect must combine business, design and technology to enhance and expand his services, redefine his role as a leader, and finally, transform into an "executive architect"

Re-engagement in education through community partnerships in south west Victoria

This case study provided policy direction for post-compulsory education. It highlighted the need for a mandated responsibility for the provision of on-going transition advice and re-engagement programs for young people who have left school. It confirmed the complexity of the work of networks formed in order to improve educational pathways.

Opening up pathways : engagement in STEM across the primary-secondary school transition

A review of the literature concerning supports and barriers to Science, Technology, Engineering and Mathematics engagement at Primary-Secondary transition. Commissioned by the Australian Department of Education, Employment and Workplace Relations.

CAS : student engagement requires unambiguous advantages

Encouraging students to develop effective use of Computer Algebra Systems (CAS) is not trivial. This paper reports on a group of undergraduate students who, despite carefully planned lectures and CAS availability for all learning and assessment tasks, failed to capitalize on its affordances. If students are to work within the technical constraints, and develop effective use of CAS, teachers need to provide assistance with technical difficulties, actively demonstrate CAS' value and unambiguously reward its strategic use in assessment.

Generational change : regional security and Australian engagement with Asia

The Australian Prime Minister Kevin Rudd has recently announced plans to develop greater regional integration and cooperation in the Asia-Pacific region.

Historically, Australian opinion, however, has expressed some anxiety about forging closer economic, political and security ties with Asia. Using trend data from the Australian Election Study and the Lowy Institute Poll, this article examines changes in Australian public opinion on closer engagement with Asia and whether the Australian public is likely to support the Rudd government’s push towards developing deeper regional diplomacy. The article finds a shift in opinion since the 1990s with a younger generation of voters who are moderately supportive of Australia’s engagement with Asia.

Factors facilitating successful engagement among patients with first-episode psychosis

This thesis investigated factors that facilitate successful engagement with psychiatric treatment among young patients experiencing first-onset psychosis. The results revealed the importance of the treatment setting and key relationships in achieving engagement. Service delivery implications include the need for a social relationship model between clinicians, patients, and their peers.

Measuring student engagement : using 'flow' theory to guide question development

In December 2009 the Department of Education, Employment and Workplace Relations (DEEWR) issued a discussion paper, ‘An Indicator Framework for Higher Education Performance Funding’, with the purpose of contributing to the development of indicators for guiding ‘compact’ negotiations between Australian universities and the government. The discussion paper makes it clear that ‘student experience’ will be an important part of the indicators and discusses the possibility that the Government will develop a new
questionnaire to investigate the engagement and satisfaction of students in their first year of study. This paper contributes ideas to assist the development of such an instrument, particularly for the measurement of student engagement. We discuss problems with the predictive validity of existing instruments and argue that predictive validity may be improved by a focus on highly engaging ‘flow-type’ activities. Specifically, we
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