Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status
(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
- 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
- publishing date
- 2017
- 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
- pmid:27653960
- 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
- 2024-06-24 15:30:32
@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}},
keywords = {{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}},
doi = {{10.1111/jan.13159}},
volume = {{73}},
year = {{2017}},
}