Patient empowerment: the LIFE approach

Authors

  • M.M Funnell
  • M.A Weiss

DOI:

https://doi.org/10.1002/edn.114

Keywords:

Patient-centred, LIFE plan, diabetes self-management, patient education, self-management support

Abstract

Abstract

In spite of the great strides that have been made in the treatment of diabetes, many patients do not achieve optimal outcomes. In an effort to address the gap between the promise and the reality of diabetes care, empowerment has been recognised as an effective patient-centred approach to diabetes care and education. A great deal of effort has been spent training healthcare professionals and developing patient education strategies within this framework. However, less effort has been spent helping patients to learn the lessons and acquire the skills needed to collaborate in the design of a workable diabetes care plan. This article outlines four fundamental lessons that need to be addressed as part of patient education and provides a simple approach called the LIFE plan to help patients truly take charge of their diabetes.

Downloads

Download data is not yet available.

References

Piette JD, Glasgow RE. Strategies for improving behavioral and health outcomes among patients with diabetes: self-management education. In: Evidence-based Diabetes Care. Gerstein HC, Haynes RB (eds). Ontario: BC Decker, 2000.

Funnell MM, Anderson RM, Arnold MS, et aL Empowerment: an idea whose time has come in diabetes education. Diabetes Educ 1991; 17: 37–41.

Anderson RM. Patient empower-ment and the traditional medical model. Diabetes Care 1995; 18: 412–415.

Anderson RM, Funnell MM. Patient empowerment: reflections on the challenge of fostering the adoption of a new paradigm. Patient Educ Couns 2005; 57: 153–157.

Anderson RM, Funnell MM. The Art of Empowerment: Stories and Strategies for Diabetes Educators, 2nd edn. Alexandria: American Diabetes Association, 2005.

Funnell MM, Anderson RM. Empowerment and self-management education. Clin Diabetes 2004; 22: 123–127.

Weiss MA. Empowerment: a patient's perspective. Diabetes Spectr 2006; 19: 116–118.

Funnell MM, Anderson RM. Patient empowerment: a look back, a look ahead. Diabetes Educ 2003; 29: 454–464.

Funnell MM, Anderson RM, Nwankwo R, et al. A study of certi-fied diabetes educators: influences and barriers. Diabetes Educ 2006; 32: 359–372.

Funnell MM, Anderson RM. Patient empowerment. In: Psychology in Diabetes Care, 2nd edn. Snoek FJ, Skinner TC (eds). Chichester: John Wiley and Sons, 2005; 95–108.

Anderson RM, Funnell MM, Butler PM, et al. Patient empowerment: results of a randomized controlled trial. Diabetes Care 1995; 18: 943–949.

Glasgow RE, Funnell MM, et al. Self-management aspects of the Improving Chronic Illness Care Breakthrough series: design and implementation with diabetes and heart failure teams. Ann Behav Med 2002; 24: 80–87.

Norris SL, Lau J, Smith SJ, et al. Self-management education for adults with type 2 diabetes: a meta-analysis on the effect on glycemic control. Diabetes Care 2002; 25: 1159–1171.

Anderson RM, Funnell MM, Nowankwo R, et al. Evaluating a problem based empowerment program for African Americans with diabetes: results of a random-ized controlled trial. Ethn Dis 2005; 15: 671–678.

Arnold MS, Butler PM, Anderson RM, et al. Guidelines for facilitating a patient empowerment program. Diabetes Educ 1995; 21: 308–312.

Funnell MM, Nwankwo R, Gillard ML, et al. Implementing an empow-erment-based diabetes self-manage-ment education program. Diabetes Educ 2005; 31: 53–61.

Tang TS, Gillard ML, Funnell MM, et al. Developing a new generation of ongoing diabetes self-manage-ment support interventions: a pre-liminary report. Diabetes Educ 2005; 31: 91–97.

Tang TS, Funnell MM, Anderson RM, Group education strategies for diabetes self-management. Diabetes Spedr 2006; 19: 99–105.

Deakin T, McShane CE, Cade JE, et al. Review: group based education in self-management strategies improves outcomes in type 2 dia-betes mellitus. Cochrane Database Syst Rev 2005; (2): CD003417.

Kulzer B, Hermanns N, Reinecker H, Haak T. Effects of self-manage-ment training in type 2 diabetes: a randomized, prospective trial. Diabet Med 2007; 24: 415–423.

Deakin TA, Cade JE, Williams R, Greenwood DC. Structured patient education: the Diabetes X-PERT programme makes a difference. Diabet Med 2006; 23: 944–954.

Von Korff M, Gruman J, Schaefer J, et al. Collaborative management of chronic illness. Ann Intern Med 1997; 27: 1097–1102.

Polonsky WH, Earles J, Smith S, et al. Integrating medical manage-ment with diabetes self-manage-ment training: a randomized control trial of the Diabetes Outpatient Intensive Treatment Program. Diabetes Care 2003; 26: 3048–3053.

Skovlund SE, Peyrot M, on behalf, of the DAWN International Advisory Panel. The Diabetes Attitudes, Wishes and Needs pro-gram: a new approach to improving outcomes of diabetes care. Diabetes Spedr 2005; 18: 136–142.

Green AJ, Bazata DD, Fox KM, Grandy S For the SHIELD Study Group. Health-related behaviours of people with diabetes and those with cardiometabolic risk factors: results from SHIELD. Intl J Clin Prad 2007; 61: 1791–1797.

Weiss MA, Funnell MM. The Little Diabetes Book You Need to Read. Philadelphia: Running Press, 2007.

Weiss MA, Funnell MM. Your dia-betes management plan: why it pays to have one. Diabetes Self Manag 2006; 23: 46–51.

Downloads

Published

2008-09-01

How to Cite

Funnell, M., & Weiss, M. (2008). Patient empowerment: the LIFE approach. International Diabetes Nursing, 5(2), 75–78. https://doi.org/10.1002/edn.114

Issue

Section

Research Article