Self-Management untuk Mengatasi Perilaku Prokrastinasi Akademik pada Peserta Didik: Studi Kepustakaan

The purpose of the research is to identify the targets, procedures and successful implementation of self-management techniques to overcome the academic procrastination behaviour of students. The research method used is a literature study. The primary research data is 21 national and international articles. The article selection criteria are: meet both variables, carried out within the last ten years. Data collection techniques use documentation as well, as data analysis techniques using content analysis. The results of the study: (1) The targets were students who pursued formal education at the high school level who were identified as having behavioural problems with academic procrastination; (2) The implementation procedures in this study generally include self-monitoring, positive reinforcement, self-contracting, self-control, and follow-up;  and (3) the successful implementation of self-management to overcome academic procrastination behaviour in the form of a significant decrease in the level of academic procrastination. Based on 21 articles that researchers have analyzed, it shows that the achievement of the effectiveness of self-management in academic procrastination reaches 100%. Researchers are further advised to test the efficacy of self-management techniques to overcome academic procrastination behaviours for learners. Another piece of advice is to conduct research and development to produce self-management implementation guide products to overcome academic procrastination

Implementation of self management support for long term conditions in routine primary care settings: cluster randomised controlled trial

ObjectiveTo determine the effectiveness of an intervention to enhance self management support for patients with chronic conditions in UK primary care. Design Pragmatic, two arm, cluster randomised controlled trial.SettingGeneral practices, serving a population in northwest England with high levels of deprivation.Participants5599 patients with a diagnosis of diabetes (n=2546), chronic obstructive pulmonary disease (n=1634), and irritable bowel syndrome(n=1419) from 43 practices (19 intervention and 22 control practices).Intervention Practice level training in a whole systems approach to self management support. Practices were trained to use a range of resources: a tool to assess the support needs of patients, guidebooks on self management, and a web based directory of local self management resources. Training facilitators were employed by the health management organisation.Main Outcome MeasuresPrimary outcomes were shared decision making, self efficacy, and generic health related quality of life measured at 12 months. Secondary outcomes were general health, social or role limitations, energy and vitality, psychological wellbeing, self care activity,and enablement.ResultsWe randomised 44 practices and recruited 5599 patients, representing 43% of the eligible population on the practice lists. 4533 patients (81.0%) completed the six month follow-up and 4076 (72.8%)the 12 month follow-up.No statistically significant differences were found between patients attending trained practices and those attending control practices on any of the primary or secondary outcomes. All effect size estimates were well below the prespecified threshold of clinically important difference

A systematic review of influences on implementation of supported self-management interventions for people with severe mental health problems in secondary mental health care settings

PURPOSE: There is robust evidence for offering supported self-management interventions for people with severe mental illness (SMI) throughout secondary mental health services, but their availability remains patchy. The aim of this systematic review is to synthesise the evidence on barriers and facilitators to implementing self-management interventions for people with SMI in secondary mental health care settings. METHODS: The review protocol was registered with PROSPERO (CRD42021257078). Five databases were searched to identify relevant studies. We included full-text journal articles with primary qualitative or quantitative data on factors which affect the implementation of self-management interventions for people with SMI in secondary mental health services. The included studies were analysed using narrative synthesis, using the Consolidated Framework for Implementation Research and an established taxonomy of implementation outcomes. RESULTS: Twenty-three studies from five countries met eligibility criteria. The barriers and facilitators identified in the review were mainly on the organisational level, but included some individual-level influences. Facilitators included high feasibility, high fidelity, a strong team structure, sufficient number of staff, support from colleagues, staff training, supervision, the presence of an implementation champion and adaptability of the intervention. Barriers to implementation include high staff turnover, staff shortage, lack of supervision, lack of support for staff delivering the programme, staff struggling with their increased workload, a lack of senior clinical leadership, and programme content perceived as irrelevant. CONCLUSION: The findings from this research suggest promising strategies to improve implementation of self-management interventions. For services providing support for people with SMI, organisational culture should be considered, as well as the adaptability of interventions

The Psychosomatic Practice.

There is increasing awareness of the limitations of the disease-oriented approach in medical care. The primary goal of psychosomatic medicine is to correct this inadequacy by incorporation of innovative operational strategies into clinical practice. Psychosomatic practice can be recognized by 2 distinctive features: the holistic approach to patient management (encompassing psychosocial factors) and the clinical model of reasoning (which reflects a multifactorial frame of reference). A basic psychosomatic assumption is the consideration of patients as partners in managing disease. The partnership paradigm includes collaborative care (a patient-physician relationship in which physicians and patients make health decisions together) and implementation of self-management (a plan that provides patients with problem-solving skills to enhance their self-efficacy). Pointing to strategies that focus on individual needs may improve patient quality of life and final outcomes

2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis

Background An important but often insufficient aspect of care in people with inflammatory arthritis (IA) is empowering patients to acquire a good understanding of their disease and building their ability to deal effectively with the practical, physical and psychological impacts of it. Self-management skills can be helpful in this regard. Objectives To develop recommendations for the implementation of self-management strategies in IA. Methods A multidisciplinary taskforce of 18 members from 11 European countries was convened. A systematic review and other supportive information (survey of healthcare professionals (HCPs) and patient organisations) were used to formulate the recommendations. Results Three overarching principles and nine recommendations were formulated. These focused on empowering patients to become active partners of the team and to take a more proactive role. The importance of patient education and key self-management interventions such as problem solving, goal setting and cognitive behavioural therapy were highlighted. Role of patient organisations and HCPs in promoting and signposting patients to available resources has been highlighted through the promotion of physical activity, lifestyle advice, support with mental health aspects and ability to remain at work. Digital healthcare is essential in supporting and optimising self-management and the HCPs need to be aware of available resources to signpost patients. Conclusion These recommendations support the inclusion of self-management advice and resources in the routine management of people with IA and aim to empower and support patients and encourage a more holistic, patient-centred approach to care which could result in improved patient experience of care and outcomes

2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis

© 2021 The Authors. Published by BMJ. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: http://dx.doi.org/10.1136/annrheumdis-2021-220249Background: An important but often insufficient aspect of care in people with inflammatory arthritis (IA) is empowering patients to acquire a good understanding of their disease and building their ability to deal effectively with the practical, physical and psychological impacts of it. Self-management skills can be helpful in this regard. Objectives: To develop recommendations for the implementation of self-management strategies in IA. Methods: A multidisciplinary taskforce of 18 members from 11 European countries was convened. A systematic review and other supportive information (survey of healthcare professionals (HCPs) and patient organisations) were used to formulate the recommendations. Results: Three overarching principles and nine recommendations were formulated. These focused on empowering patients to become active partners of the team and to take a more proactive role. The importance of patient education and key self-management interventions such as problem solving, goal setting and cognitive behavioural therapy were highlighted. Role of patient organisations and HCPs in promoting and signposting patients to available resources has been highlighted through the promotion of physical activity, lifestyle advice, support with mental health aspects and ability to remain at work. Digital healthcare is essential in supporting and optimising self-management and the HCPs need to be aware of available resources to signpost patients. Conclusion: These recommendations support the inclusion of self-management advice and resources in the routine management of people with IA and aim to empower and support patients and encourage a more holistic, patient-centred approach to care which could result in improved patient experience of care and outcomes.This project has received funding by the European League Against Rheumatism, Project number: PAR028.Published versio

IMPLEMENTASI LAYANAN KONSELING KELOMPOK DENGAN TEKNIK SELF-MANAGEMENT DALAM MEREDUKSI PERILAKU BULLYING PADA PESERTA DIDIK DI SMP NEGERI 7 BANDAR LAMPUNG

ABSTRAK Penelitian ini bertujuan untuk mengetahui gambaran, Implementasi Konseling Kelompok Teknik Self Management dan hasil Implementasi Konseling Kelompok Teknik Self Management Dalam Mereduksi perilaku bullying yang dilakukan oleh peserta didik di SMP Negeri 7 Bandar Lampung. Penelitian ini merupakan penelitian pendekatan deskriptif kualitatif. Data tersebut dapat diperoleh dari hasil wawancara, catatan lapangan, foto dan dokumentasi. Dalam penelitian ini penulis menggambarkan bagaimana bentuk perilaku bullying, implementasi konseling kelompok teknik self-management dan hasilnya pada prilaku bullying peserta didik Di SMP Negeri 7 Bandar Lampung. Hasil penelitian ini menunjukkan : (1) Gambaran perilaku bullying pada peserta didik di SMP Negeri 7 Bandar Lampung yang mengalami hasil positif atau penurunan ini terbukti dari hasil wawancara dan observasi yang dilakukan oleh peneliti. (2) Implementasi konseling kelompok teknik self-management dalam mereduksi perilaku bullying pada peserta didik di SMP Negeri 7 Bandar Lampung dilakukan dengan tiga tahapan, yakni tahapan observasi diri (self monitoring), tahap evaluasi diri dan tahap pemberian penguatan, penghapusan dan hukuman. (3) Hasil implementasi konseling kelompok teknik self management dalam mereduksi perilaku bullying pada peserta didik di SMP Negeri 7 Bandar Lampung mendapatkan hasil y ang positif dan efektif dalam mereduksi perilaku bullying, hal ini sejalan dengan hasil wawancara dengan guru bimbingan dan konseling yang Bernama ibu Sulistiana Pella S.Pd dan dengan wawancara pada dua peserta didik teman sekelasnya sekaligus menadi korban bullying yang mengatakan bahwa adanya hasil yang positif dengan berkurangnya perilaku bullying yang dilakukan oleh peserta didik yang terindikasi melakukan perilaku bullying dan mendapatkan layanan konseling kelompok teknik self�management. Kata kunci : konseling kelompok, teknik self management, bullying iv ABSTRACK This study aims to find out the description, Implementation of Self Management Technique Group Counseling and the results of Self Management Technique Group Counseling Implementation in Reducing bullying behavior carried out by students at SMP Negeri 7 Bandar Lampung. This research is a qualitative descriptive approach. The data can be obtained from interviews, field notes, photographs and documentation. In this study the authors describe how bullying behavior forms, the implementation of self-management technique group counseling and the results on bullying behavior of students at SMP Negeri 7 Bandar Lampung. The results of this study indicate: (1) The description of bullying behavior students at SMP Negeri 7 Bandar Lampung who experienced positive results or decreased was evident from the results of interviews and observations conducted by researchers. (2) The implementation of self-management technique group counseling in reducing bullying behavior students at SMP Negeri 7 Bandar Lampung was carried out in three stages, namely the self-observation stage (self monitoring), the self-evaluation stage and the stage of giving reinforcement, eliminating and punishment. (3) The results of the implementation of self-management group counseling techniques in reducing bullying behavior students at SMP Negeri 7 Bandar Lampung obtained positive and effective results in reducing bullying behavior, this is in line with the results of interviews with classroom guidance and counseling whose name is Mrs. Sulistiana Pella S.Pd and by interviewing two of her classmate students who were also victims of bullying who said that there were positive results with reduced bullying behavior carried out by students who indicated bullying behavior and received group counseling services self�management techniques. Keywords: group counseling, self management techniques, bullyin

A New Approach for Quality Management in Pervasive Computing Environments

This paper provides an extension of MDA called Context-aware Quality Model Driven Architecture (CQ-MDA) which can be used for quality control in pervasive computing environments. The proposed CQ-MDA approach based on ContextualArchRQMM (Contextual ARCHitecture Quality Requirement MetaModel), being an extension to the MDA, allows for considering quality and resources-awareness while conducting the design process. The contributions of this paper are a meta-model for architecture quality control of context-aware applications and a model driven approach to separate architecture concerns from context and quality concerns and to configure reconfigurable software architectures of distributed systems. To demonstrate the utility of our approach, we use a videoconference system.Comment: 10 pages, 10 Figures, Oral Presentation in ECSA 201

MyAirCoach: The use of home-monitoring and mHealth systems to predict deterioration in asthma control and the occurrence of asthma exacerbations; Study protocol of an observational study

© Published by the BMJ Publishing Group Limited. Introduction Asthma is a variable lung condition whereby patients experience periods of controlled and uncontrolled asthma symptoms. Patients who experience prolonged periods of uncontrolled asthma have a higher incidence of exacerbations and increased morbidity and mortality rates. The ability to determine and to predict levels of asthma control and the occurrence of exacerbations is crucial in asthma management. Therefore, we aimed to determine to what extent physiological, behavioural and environmental data, obtained by mobile healthcare (mHealth) and home-monitoring sensors, as well as patient characteristics, can be used to predict episodes of uncontrolled asthma and the onset of asthma exacerbations. Methods and analysis In an 1-year observational study, patients will be provided with mHealth and home-monitoring systems to record daily measurements for the first-month (phase I) and weekly measurements during a follow-up period of 11 months (phase II). Our study population consists of 150 patients, aged ≥18 years, with a clinician's diagnosis of asthma, currently on controller medication, with uncontrolled asthma and/or minimally one exacerbation in the past 12 months. They will be enrolled over three participating centres, including Leiden, London and Manchester. Our main outcomes are the association between physiological, behavioural and environmental data and (1) the loss of asthma control and (2) the occurrence of asthma exacerbations. Ethics This study was approved by the Medical Ethics Committee of the Leiden University Medical Center in the Netherlands and by the NHS ethics service in the UK. Trial registration number NCT02774772

Experiences with tailoring of primary diabetes care in well-organised general practices: a mixed-methods study

Background Dutch standard diabetes care is generally protocol-driven. However, considering that general practices wish to tailor diabetes care to individual patients and encourage self-management, particularly in light of current COVID-19 related constraints, protocols and other barriers may hinder implementation. The impact of dispensing with protocol and implementation of self-management interventions on patient monitoring and experiences are not known. This study aims to evaluate tailoring of care by understanding experiences of well-organised practices 1) when dispensing with protocol; 2) determining the key conditions for successful implementation of self-management interventions; and furthermore exploring patients' experiences regarding dispensing with protocol and self-management interventions. Methods in this mixed-methods prospective study, practices (n = 49) were invited to participate if they met protocol-related quality targets, and their adult patients with well-controlled type 2 diabetes were invited if they had received protocol-based diabetes care for a minimum of 1 year. For practices, study participation consisted of the opportunity to deliver protocol-free diabetes care, with selection and implementation of self-management interventions. For patients, study participation provided exposure to protocol-free diabetes care and self-management interventions. Qualitative outcomes (practices: 5 focus groups, 2 individual interviews) included experiences of dispensing with protocol and the implementation process of self-management interventions, operationalised as implementation fidelity. Quantitative outcomes (patients: routine registry data, surveys) consisted of diabetes monitoring completeness, satisfaction, wellbeing and health status at baseline and follow-up (24 months). Results Qualitative: In participating practices ( = 4), dispensing with protocol encouraged reflection on tailored care and selection of various self-management interventions nA focus on patient preferences, team collaboration and intervention feasibility was associated with high implementation fidelity Quantitative: In patients ( = 126), likelihood of complete monitoring decreased significantly after two years (OR 0.2 (95% CI 0.1-0.5), < 0.001) npSatisfaction decreased slightly (- 1.6 (95% CI -2.6;-0.6), = 0.001) pNon-significant declines were found in wellbeing (- 1.3 (95% CI -5.4; 2.9), p = 0.55) and health status (- 3.0 (95% CI -7.1; 1.2), p = 0.16). Conclusions To tailor diabetes care to individual patients within well-organised practices, we recommend dispensing with protocol while maintaining one structural annual monitoring consultation, combined with the well-supported implementation of feasible self-management interventions. Interventions should be selected and delivered with the involvement of patients and should involve population preferences and solid team collaborations.Public Health and primary carePrevention, Population and Disease management (PrePoD