Evaluating the role of simple assistive devices in promoting motivation and self-care in chronic disease management.

Kulkarni, Sanat; Chockalingam, Nachiappan; Chambers, Ruth; Poulose, Pegin; Suresh, Shamita; Thileepan, Laxmi; Nachiappan, Nitish

Abstract

This study evaluates the development and distribution of simple assistive devices designed to support individuals in managing their health conditions at home. The focus is on older adults from lower socio-economic groups in Stoke-on-Trent and Newcastle-under-Lyme, UK. Assistive kits were distributed to participants between December 2021 and April 2022, addressing weight management, diabetic foot care, mental wellbeing, and daily living independence. Each kit contained affordable and accessible assistive devices, including portion plates, exercise bands, and remote-operated plugs, alongside educational materials to promote self-care. Feedback was collected between March and June 2022 to assess user satisfaction and engagement. A qualitative analysis, informed by self-determination theory, explored how these kits supported autonomy, competence, and relatedness in self-management. Over 90 % of recipients reported using the kits more than once weekly and an increased confidence in managing their health conditions independently. Qualitative analysis indicated that the kits facilitated motivation towards self-management by enhancing users' autonomy, competence, and social connectedness. However, barriers such as cost, availability, and lack of support were identified as limiting factors for broader adoption. This study highlights the potential of affordable, simple assistive devices to empower individuals in managing their health and wellbeing. The initiative demonstrates a promising approach to addressing health management challenges in lower socio-economic groups. Further research is needed to expand access and refine interventions to maximise impact and improve quality of life. [Abstract copyright: Copyright © 2024. Published by Elsevier Inc.]

Citation

Kulkarni, S., Chockalingam, N., Chambers, R., Poulose, P., Suresh, S., Thileepan, L., & Nachiappan, N. (in press). Evaluating the role of simple assistive devices in promoting motivation and self-care in chronic disease management. Preventive Medicine, 193, 1-6. https://doi.org/10.1016/j.ypmed.2025.108256

• Journal Article Type: Article
• Acceptance Date: Feb 24, 2025
• Online Publication Date: Mar 1, 2025
• Deposit Date: Mar 28, 2025
• Journal: Preventive medicine
• Print ISSN: 0091-7435
• Electronic ISSN: 0091-7435
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 193
• Article Number: 108256
• Pages: 1-6
• DOI: https://doi.org/10.1016/j.ypmed.2025.108256
• Keywords: Self-management, Assistive technology, Chronic disease, Health promotion, Independent living, Self care
• Public URL: https://keele-repository.worktribe.com/output/1110128