Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status
Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status
Samenvatting
AimTo assess the quality of evidence and determine the effect of patient-related and economic outcomes of self-management support interventions in chronically ill patients with a low socio-economic status. BackgroundIntegrated evidence on self-management support interventions in chronically ill people with low socio-economic status is lacking. DesignSystematic literature review. Data sourcesCochrane database of trials, PubMed, CINAHL, Web of Science, PsycINFO and Joanna Briggs Institute Library were searched (2000-2013). Randomized controlled trials addressing self-management support interventions for patients with cardiovascular disease, stroke, cancer, diabetes and/or chronic respiratory disease were included. Review methodsData extraction and quality assessment were performed by independent researchers using a data extraction form. ResultsStudies (n=27) focused mainly on diabetes. Fourteen studies cited an underlying theoretical basis. Most frequently used self-management support components were lifestyle advice, information provision and symptom management. Problem-solving and goal-setting strategies were frequently integrated. Eleven studies adapted interventions to the needs of patients with a low socio-economic status. No differences were found for interventions developed based on health behaviour theoretical models. ConclusionLimited evidence was found for self-management support interventions in chronically ill patients with low socio-economic status. Essential characteristics and component(s) of effective self-management support interventions for these patients could not be detected. Rigorous reporting on development and underlying theories in the intervention is recommended.
Organisatie | HAN University of Applied Sciences |
Afdeling | Academie Gezondheid en Vitaliteit |
Lectoraten | |
Lectoraat | Technologie voor Gezondheid |
Gepubliceerd in | Journal of Advanced Nursing Blackwell Science, Vol. 73, Uitgave: 4, Pagina's: 775-793 |
Jaar | 2017 |
Type | Artikel |
DOI | 10.1111/jan.13159 |
Taal | Onbekend |