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Self-Management in Neurological Patients and Its Relation to Health Outcomes

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health-Related Quality of Life and Well-Being".

Deadline for manuscript submissions: closed (30 September 2023) | Viewed by 2448

Special Issue Editors


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Guest Editor
Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Tel Aviv 69978, Israel
Interests: self-management in chronic conditions; neurological patients; gait; cognition; Parkinson’s disease

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Guest Editor
Department of Physical Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Tel Aviv 69978, Israel
Interests: self-management in neurological diseases; stroke rehabilitation; motor learning

Special Issue Information

Dear Colleagues,

Self-management is considered a pivotal element in the management of chronic diseases and is recommended by the World Health Organization as the best practice for improving clinical care and outcomes for patients with chronic conditions. Self-management refers to the actual actions that people perform to maintain their health, including engaging in physical activity, maintaining a healthy diet, and engaging in preventive care.

People with chronic neurological conditions, such as Parkinson disease, stroke, dementia and multiple sclerosis, often cope with the symptoms of serious illness, including severe disability, for many years. Engagement in self-management may be an effective tool to help alleviate the long-standing burden of these conditions. Although previous studies showed that engagement in self-management behaviors improved health and well-being in a variety of chronic conditions [7–10], the literature on intervention protocols, designated assessment tools, and the benefits of participating in self-management for patients with neurological conditions is limited.

This Special Issue of the International Journal of Environmental Research and Public Health (IJERPH) focuses on the current state of knowledge on self-management in neurological conditions throughout the entirety of life. New research papers, reviews, and position papers related to this topic are welcome.

We will accept manuscripts from diverse disciplines, including medical, public health, epidemiology, psychology, health technology and health and social policy, that incorporate different research methods, including quantitative, qualitative and mixed methods. Below is a (non-exhaustive) list of topics that are suitable for contributions to this Special Issue:

  • Integrative frameworks for self-management;
  • Assessment tools of self-management;
  • Self-management effectiveness on health and well-being;
  • Self-management determinants;
  • Environmental barriers and facilitators for self-management engagement;
  • Self-management education for health professionals;
  • Patients’ perspectives on self-management;
  • The caregiver’s perspective on self-management (roles, needs, and challenges);
  • Self-management in disadvantaged populations;
  • Self-management in developing countries;
  • Translation of knowledge to self-management supporting policy: roadmap for stakeholders;
  • Health technology to support self-management.

Dr. Galit Yogev-Seligmann
Dr. Michal Kafri
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • self-management
  • neurological diseases
  • health and well-being
  • assessment tools
  • environmental factors
  • caregivers
  • health policies
  • disadvantaged populations
  • health technology

Published Papers (1 paper)

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Research

12 pages, 984 KiB  
Article
Multidisciplinary Intensive Rehabilitation Program for People with Parkinson’s Disease: Gaps between the Clinic and Real-World Mobility
by Moriya Cohen, Talia Herman, Natalie Ganz, Inbal Badichi, Tanya Gurevich and Jeffrey M. Hausdorff
Int. J. Environ. Res. Public Health 2023, 20(5), 3806; https://doi.org/10.3390/ijerph20053806 - 21 Feb 2023
Cited by 2 | Viewed by 2102
Abstract
Intensive rehabilitation programs improve motor and non-motor symptoms in people with Parkinson’s disease (PD), however, it is not known whether transfer to daily-living walking occurs. The effects of multidisciplinary-intensive-outpatient rehabilitation (MIOR) on gait and balance in the clinic and on everyday walking were [...] Read more.
Intensive rehabilitation programs improve motor and non-motor symptoms in people with Parkinson’s disease (PD), however, it is not known whether transfer to daily-living walking occurs. The effects of multidisciplinary-intensive-outpatient rehabilitation (MIOR) on gait and balance in the clinic and on everyday walking were examined. Forty-six (46) people with PD were evaluated before and after the intensive program. A 3D accelerometer placed on the lower back measured daily-living walking during the week before and after the intervention. Participants were also stratified into “responders” and “non-responders” based on daily-living-step-counts. After the intervention, gait and balance significantly improved, e.g., MiniBest scores (p < 0.001), dual-task gait speed increased (p = 0.016) and 6-minute walk distance increased (p < 0.001). Many improvements persisted after 3 months. In contrast, daily-living number of steps and gait quality features did not change in response to the intervention (p > 0.1). Only among the “responders”, a significant increase in daily-living number of steps was found (p < 0.001). These findings demonstrate that in people with PD improvements in the clinic do not necessarily carry over to daily-living walking. In a select group of people with PD, it is possible to ameliorate daily-living walking quality, potentially also reducing fall risk. Nevertheless, we speculate that self-management in people with PD is relatively poor; therefore, to maintain health and everyday walking abilities, actions such as long-term engaging in physical activity and preserving mobility may be needed. Full article
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