Table 1 The Self-Management Programme
Day/Health profession | Theme | Goal/objectives | Methods |
|---|---|---|---|
Sunday evening | Arrival | ||
Nurse | Welcome and introduction | Preparation for the week. | Individual welcome |
Group introduction (1 hr) | |||
Monday | Living with chronic disease | ||
Nurse | My expectations | Individual and group | |
My diagnoses | Clarify expectations. | exercises, discussions | |
Living with chronic disease | Awareness of the impact of the diagnoses. | Teaching and discussion | |
Own goals | Introduction to important issues such as learning and normal reactions to a chronic disease. Individual targeted focus. | Writing goals (2.5 hrs) | |
Physiotherapist | Exercise in swimming pool | Learning exercises. | Group exercises (0.5 hr) |
Rheumatologist, Assistant doctor | Medical consultation | Check of status. | Individual consultation (0.5 hr) |
Tuesday | Stress management | Awareness of what triggers stress in everyday life. | Individual exercise, group discussion Teaching about stressors and stress reactions (1 hr) |
Nurse | |||
Understanding stress mechanisms. | |||
Physiotherapist | Exercising and relaxing | Knowledge, exercises and relaxation. | Teaching and exercises (1 hr) |
Rheumatologist | Disease and treatment | Understanding mechanisms of the disease, what helps, and research. | TeachingDiscussions (2 hrs) |
Representatives from patient organizations | Evening Meeting | Patient organizations as external resource. | Presentation of the organizations (1 hr) |
Wednesday | Self-management | Awareness of own coping strategies, communication, values, choices. Connection between thoughts, feelings and bodily reactions. | Exercises Discussions Teaching Guided imagery (2.5 hrs) |
Nurse | |||
Ass. Occup.Therapist | Activity | Tour - walking in the local area | Walking (0.5) |
Occupational Therapist | My priorities in daily life | Awareness of how to affect own health through prioritization of daily activities and use of energy. | Teaching |
Exercise | |||
Discussion (1 hr) | |||
Ass. occup.therapist | My priorities in daily life,- daily activity | Staying focused on positive activities. | Creative activity or visiting a museum (1.25 hrs) |
Thursday | Health and social welfare | Knowledge on health and social rights, work rights. | Teaching |
Social worker | Discussions (2.5 hrs) | ||
Ass. occup.therapist | Nordic walking | Trying new activities. | Walking in groups (0.5 hr) |
Occupational therapist | Practical advice for everyday life | Knowledge on ergonomics, regulation of activity, aids. | Demonstration, testing and discussions (1.25 hrs) |
Friday | Healthy eating | Consciousness about own diet. | Teaching |
Dietician | Knowledge on nutrition, digestion, nutritional supplements and intolerance. Promotion of positive attitudes towards healthy eating. | Discussions (2 hrs) | |
Nurse | Evaluation and end of the program | Experiences from the SMP. | Oral and written evaluation |
Focus on individual goals and the way forward. | Sharing experiences (0.5 hr) | ||
Monday, Tuesday, Thursday evening | Group session in smaller groups | Articulating how to live with FM and how to find new coping strategies. | Discussions lead by health- care professionals (1 hr) |