Dr. Fang-yu Chou currently holds position as the Associate Professor, at School of Nursing, San Francisco State University. She received her Ph.D. in Nursing from the University of California San Francisco in 2002. She also completed a Postdoctoral Fellowship at UCSF. Dr. Chou's scholarship interests include self-management, quality of care, and cross-cultural care in adult patients experiencing complex and stigmatized chronic conditions in the community, specifically in cancer patients. She has an increasing scholarship interest in the application of consumer health technology in culturally diverse patients.She also was a Fulbright exchange senior scholar. Dr. Chou's teaching portfolio include topics in the graduate programs, related to adult chronic illness management, cultural issues in cancer care, research and evidence-based practice, health system management and outcomes, and e-Technology and Educational Principals. Dr. Chou has also served in the leadership roles for SFSU chapter of the Honor Society of Nursing, Transcultural Nursing Issues SIG for Oncology Nursing Society, PD/PI for the HRSA Advanced Nursing Education Traineeship, and coordinator for the CNS and ELM programs
Optimal chronic disease care requires long- term support from the community, monitoring from providers, and proactive self- management by patients. The long-term treatment regimen, navigation in the complex health system, and interaction with health care providers require active participation from patients to take part in managing their illness. For instance in cancer care, to effectively manage the side effects and symptom distress brought by cancer treatments, a collaboration between the providers and patients is required to alleviate these symptoms and prevent them from become worsening impediments and delaying further treatments. Cancer patients need to learn how to recognize, monitor, and control their own symptoms, and they also need to know how and when to solve problems while navigating within the complexity of the cancer treatment courses. To support patient self-management, research evidence has suggested interventions, such as patient education and peer support, can help enhance patient self-efficacy and skills. On the other hand, there is also an increasing trend to utilize digital mobile tools to support patientsto access health services via mobile devices and application software, a concept called mobile health (mhealth). The application of mhealth to chronic illness self-management remains to be further explored. This presentation will discuss the conceptual domains of patient self-management, interventions to enhance self-management and outcomes, and current literature evidence of mobile health application in chronic illness self-management. Summary from an integrative review will be presented.
Audience take away:
- The audience can consider applying the conceptual domains and approaches to enhance patient self-management.
- The presentation can help inform clinicians about different approaches on supporting patient self-management.
- The applicability of mhealth can be further explored and tested in research for its usability and effectiveness on long-term behavior change and health service outcomes in chronic illness management.