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Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status

Van Hecke, Ann; Heinen, Maud; Fernández-Ortega, Paz; Graue, Marit; Hendriks, Jeroen M L; Høy, Bente; Köpke, Sascha; Lithner, Maria LU and Van Gaal, Betsie G I (2017) In Journal of Advanced Nursing 73(4). p.775-793
Abstract

Aim: To 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. Background: Integrated evidence on self-management support interventions in chronically ill people with low socio-economic status is lacking. Design: Systematic literature review. Data sources: Cochrane 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 methods:... (More)

Aim: To 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. Background: Integrated evidence on self-management support interventions in chronically ill people with low socio-economic status is lacking. Design: Systematic literature review. Data sources: Cochrane 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 methods: Data extraction and quality assessment were performed by independent researchers using a data extraction form. Results: Studies (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. Conclusion: Limited 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.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Chronic condition, Low socio-economic status, Nursing, Randomized controlled trials, Self-management, Systematic review
in
Journal of Advanced Nursing
volume
73
issue
4
pages
775 - 793
publisher
Wiley-Blackwell
external identifiers
  • scopus:84995377818
ISSN
0309-2402
DOI
10.1111/jan.13159
language
English
LU publication?
no
id
5a2f8361-1a0d-408a-8111-bece75a3bbbb
date added to LUP
2017-02-20 14:36:55
date last changed
2018-11-18 04:52:01
@article{5a2f8361-1a0d-408a-8111-bece75a3bbbb,
  abstract     = {<p>Aim: To 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. Background: Integrated evidence on self-management support interventions in chronically ill people with low socio-economic status is lacking. Design: Systematic literature review. Data sources: Cochrane 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 methods: Data extraction and quality assessment were performed by independent researchers using a data extraction form. Results: Studies (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. Conclusion: Limited 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.</p>},
  author       = {Van Hecke, Ann and Heinen, Maud and Fernández-Ortega, Paz and Graue, Marit and Hendriks, Jeroen M L and Høy, Bente and Köpke, Sascha and Lithner, Maria and Van Gaal, Betsie G I},
  issn         = {0309-2402},
  keyword      = {Chronic condition,Low socio-economic status,Nursing,Randomized controlled trials,Self-management,Systematic review},
  language     = {eng},
  number       = {4},
  pages        = {775--793},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Advanced Nursing},
  title        = {Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status},
  url          = {http://dx.doi.org/10.1111/jan.13159},
  volume       = {73},
  year         = {2017},
}