1,354,668 research outputs found
Consumer-brand engagement: toward a comprehensive theoretical framework
No full textConsumer-brand engagement (CBE) is a recent concept in the marketing literature expanding the domain of relationship marketing. The concept of CBE has become increasingly important in the academic and managerial marketing debate over the last years, as Brodie et al. (2011) and Gambetti and Graffigna (2010) pointed out, being recently recognized as a central marketing issue by the Marketing Science Institute (2010). CBE has been seen by academics as a fundamental driver of both consumer decision-making process and brand equity, being considered by marketers as a priority in branding strategies. In the current academic marketing debate there is a clear intention toward the development of a unitary definition of the CBE concept. Extant studies made a great effort in defining the key dimensions which play a role in the development of CBE as well as the main drivers of this construct. However, authoritative scholars interested in defining and measuring CBE focused so far on this concept as a static state of mind of an individual that can be circumscribed to an affinity-based oneto- one relationship form between brand and consumer. Only a few scholars put forth the idea that CBE is a process-based phenomenon, acting as an overarching construct that has a dynamic nature and that includes and organizes other dimensions of the consumption experience. In this regard, we believe that in order to attempt a realistic definition of CBE, it is necessary to found the construct on the basis of a context-driven, inductive, field research approach. Hence, our study develops a Grounded Theory methodological approach pursuing an inductive point of view rooted in the field and firmly anchored in data that investigates consumers’ and practitioners’ experience of CBE. Our aim is to draft a first ecological foundation of the CBE construct
Innovating healthcare in the era of patient engagement: Challenges, opportunities & new trends
No full textMaking patients active participants in their healthcare is recognized as a crucial component of high-quality healthcare services, particularly in the treatment of chronic diseases. The growing understanding of the key role of patient engagement in improving healthy behaviours and clinical outcomes has led healthcare to search for innovative ways to foster individuals’ roles in the care process: patient engagement may lead to more responsive services and better outcomes of care by incorporating the patient’s values and preferences into care plans. While, patient (dis)engagement may produce a waste of healthcare resources and poor clinical outcomes, comprehensive patient engagement across the continuum of care still presents a challenging task for hospitals and health systems, as it requires not only redesigning current care approaches, but also working with patients to identify ways to integrate care management into daily routines and activities; with this aim, new technologies may play a fundamental role. Based on these premises, this chapter sets the ground for the topics presented in this book and introduces the main challenges that healthcare systems currently face. Within this framework, this chapter also highlight the reasons why healthcare professionals and managers must regard patient engagement as the key to redesigning healthcare and making it more sustainable at the economic, sociological, and psychological levels
Understanding the Meaning of Fatigue at the End of Life: An Ethnoscience Approach
No full textPurpose: Fatigue is a devastating state of body and mind associated with distress at the end of life. We report the results of the third in a series of papers outlining a novel approach we have developed for understanding the meaning of fatigue by exploring how this meaning is shaped by beliefs and values. The aims of the study were to examine the perception and experiences of fatigue held by patients attending a hospice in England; identify the behavioural patterns that distinguish fatigue from tiredness and exhaustion; provide conceptual definitions of tiredness, fatigue and exhaustion.
Method: An Ethnoscience design was selected. The sample comprised nine people who attended a hospice between May and December 2009. Inclusion criteria included: at least 18 years of age, experiencing fatigue, able to provide informed consent and resident in the selected city in northern England for 10 years. Data were collected from two consecutive semi-structured interviews for each participant.
Results: We found that tiredness, fatigue and exhaustion are markers of progressive functional decline. Fatigue had two dimensions: 1) Mental Challenge, which included: emotional effects, cognitive realisation of decline and mental tenacity and 2) Physical Challenge, which included: limitations in leisure activities, limitations in functional roles and re-patterning routines.
Conclusions: This study provides evidence that symptom experience is socially constructed, which has potential implications for the development of effective interventions
Giving (Back) a Role to Patients in the Delivery of Healthcare Services: Theoretical Roots of Patient Engagement
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Evaluating Patient Engagement and User Experience of a Positive Technology Intervention: The H-CIM Case
No full textThe present chapter will provide an example of an intervention evaluation from the joint viewpoints of patient engagement and user experience. The authors evaluated H-CIM, a technological platform for the intelligent monitoring of physiological data of elderly patients performing physiotherapy exercises. Descriptive quantitative measures, behavioral observation, and qualitative interviews are integrated to evaluate H-CIM ability in (1) guaranteeing a positive experience to its users and (2) supporting them in advancing through a patient engagement development. This contribution would constitute a practical example of how these fundamental factors should be considered and evaluated when implementing positive technology for healthcare
How does patient engagement work in a real-world setting? Recommendations, caveats, and challenges from a psychosocial perspective
No full textObjective: To propose a possible taxonomy for diverse stakeholders outside the healthcare communication field and to promote meaningful patient engagement in healthcare settings. Moreover, to support them in making more coherent policy, strategy, and practice decisions to enhance patient participation in their healthcare systems. Discussion: This paper is part of the pEACH Position Papers Series and provides a critical and experience-based reflection on patient engagement in different healthcare-related settings. We propose a framework that operationalises actionable patient engagement at the micro-meso-macro levels. Finally, the authors will highlight some “points of attention” that need to be addressed to support patient engagement implementation in healthcare organisations. Conclusion and practice implications: Understanding and systematising the established meanings of patient engagement through a psychosocial lens is critical to addressing the following questions: "how can various health care organisations ensure that authentic patient engagement informs decision-making and strategies", "how can these organisations build authentic connections with their patients", and importantly, "how can patients gain valuable and reliable insights through patient engagement"? Answering these questions can enable key stakeholders to make informed decisions that ensure the quality and effectiveness of patient engagement initiatives in different healthcare settings
The role of Patient Health Engagement model (PHE-model) in affecting patient activation and medication adherence: A structural equation model
No full textBackground: Increasing bodies of scientific research today examines the factors and interventions affecting patients' ability to self-manage and adhere to treatment. Patient activation is considered the most reliable indicator of patients' ability to manage health autonomously. Only a few studies have tried to assess the role of psychosocial factors in promoting patient activation. A more systematic modeling of the psychosocial factors explaining the variance of patient activation is needed. Objective: To test the hypothesized effect of patient activation on medication adherence; to test the the hypothesized effects of positive emotions and of the quality of the patient/doctor relationship on patient activation; and to test the hypothesized mediating effect of Patient Health Engagement (PHE-model) in this pathway. Material and methods: This cross-sectional study involved 352 Italian-speaking adult chronic patients. The survey included measures of i) patient activation (Patient Activation Measure 13-short form); ii) Patient Health Engagement model (Patient Health Engagement Scale); iii) patient adherence (4 item-Morinsky Medication Adherence Scale); iv) the quality of the patients' emotional feelings (Manikin Self Assessment Scale); v) the quality of the patient/doctor relationship (Health Care Climate Questionnaire). Structural equation modeling was used to test the hypotheses proposed. Results: According to the theoretical model we hypothesized, research results confirmed that patients' activation significantly affects their reported medication adherence. Moreover, psychosocial factors, such as the patients' quality of the emotional feelings and the quality of the patient/doctor relationship were demonstrated to be factors affecting the level of patient activation. Finally, the mediation effect of the Patient Health Engagement model was confirmed by the analysis. Conclusions: Consistently with the results of previous studies, these findings demonstrate that the Patient Health Engagement Model is a critical factor in enhancing the quality of care. The Patient Health Engagement Model might acts as a mechanism to increase patient activation and adherence
Is a Transdisciplinary Theory of Engagement in Organized Settings Possible? A Concept Analysis of the Literature on Employee Engagement, Consumer Engagement and Patient Engagement
No full textOrganizations are experiencing increased competition, disruptive innovation, and continuous changes in their social and economic context. Furthermore, the decrease of resources (economic and human) in such a demanding context make it imperative for organizations to find new models and strategies to make their service delivery more sustainable at the economic, environmental and psychological levels. In such a complex scenario the concept of engagement of the individuals involved in organized settings (either as service providers or as final receivers) is a promising lever for innovation. However, despite the number of studies on the matter, the debate on engagement is still very fragmented because the corpus of literature addressing the different areas of engagement is divided and diverse in its nature. In this paper, we discuss the results of a conceptual analysis of the literature conducted in order to investigate overlapping features and areas of divergence among three different areas of investigation and application of the engagement phenomenon in organized settings: the domains of employee engagement, consumer engagement, and patient engagement. These are deliberately selected as prototypical of the phenomenon of engagement along the “inside/outside” of organizational settings. The analysis consisted in a qualitative conceptual survey? Of the scholarly literature indexed with the key terms “employee engagement,” “consumer engagement,” and “patient engagement.” We performed a key-word based survey? Of the literature in the Scopus database. A total of 163 articles were selected and analyzed. The analysis cast light on the following areas of conceptual overlap among employee, consumer and patient engagement: (1) engagement is different from empowerment and activation; (2) engagement is a multi-componential psychological experience; (3) engagement is a self-transformative experience; (4) engagement develops within a relational context; (5) engagement is a systemic phenomenon. These findings, although preliminary and in need of further investigation, suggest the feasibility of promoting a transdisciplinary reflection on the phenomenon of engagement in organized settings
A transdisciplinary scenario for health: A new paradigm for psychology and psychologists?
No full textA new transdisciplinary approach to health (TDH) based on the participatory involvement of multiple disciplines and multiple actors (scientific and lay) in the construction of answers to social questions of health is affirmed in the scientific field. After describing the phenomenon of TDH in its main features (historical, theoretical, methodological) open questions and perspectives that this approach presents are here focused on. Finally, the reasons for a participatory involvement of psychology and psychologists in the TDH approach are argued
Caring for Health Professionals in the COVID-19 Pandemic Emergency: Toward an “Epidemic of Empathy” in Healthcare
No full textPsychological research into healthcare opened the door to understanding people's emotional reactions when experiencing events perceived as life-threatening. This is the case of the current outbreak of the novel Coronavirus disease (COVID-19) that has recently been declared “a public health emergency of international concern (PHEIC)” by the World Health Organization (WHO). The response to an influenza pandemic might generate remarkable stress and emotional turmoil to healthcare providers who work during the outbreak. Prior experience with disasters, pandemics, and major traumatic events indicates that enhanced support to healthcare professionals enabling them to become aware of their own emotions and effectively share their perspective and lived experience with patients can help them in remaining efficient and focused during these stressful events. This outbreak marks a vital moment where healthcare systems can endorse an “epidemic of empathy” aimed at bringing science and humanism together to benefit patients and consolidate citizens' trust in healthcare providers during this and future healthcare crisis. Perhaps, the greatest opportunity for managing people fears during health emergencies—like the COVID-19 one—lies, in the short term, in restoring our connections with each other. Today, we are all called to rebuild a sense of community and the ties that bind us together as human beings
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