AIM: To identify factors that may serve as facilitators and barriers to self-management described by adults living with chronic illness by conducting a qualitative metasynthesis. BACKGROUND: Self-management is an individuals' active management of a chronic illness in collaboration with their family members and clinicians. DESIGN: Qualitative metasynthesis. DATA SOURCES: We analysed studies (N = 53) published between January 2000-May 2013 that described factors affecting self-management in chronic illness as reported by adults aged over 18 years with chronic illness. REVIEW METHODS: Sandelowsi and Barroso approach to qualitative metasynthesis: literature search; quality appraisal; analysis and synthesis of findings. RESULTS: Collectively, article authors reported on sixteen chronic illnesses, most commonly diabetes (N = 28) and cardiovascular disease (N = 20). Participants included men and women (mean age = 57, range 18-94) from 20 countries representing diverse races and ethnicities. We identified five categories of factors affecting self-management: Personal/Lifestyle Characteristics; Health Status; Resources; Environmental Characteristics; and Health Care System. Factors may interact to affect self-management and may exist on a continuum of positive (facilitator) to negative (barrier). CONCLUSION: Understanding factors that influence self-management may improve assessment of self-management among adults with chronic illness and may inform interventions tailored to meet individuals' needs and improve health outcomes.
AIM: To identify factors that may serve as facilitators and barriers to self-management described by adults living with chronic illness by conducting a qualitative metasynthesis. BACKGROUND: Self-management is an individuals' active management of a chronic illness in collaboration with their family members and clinicians. DESIGN: Qualitative metasynthesis. DATA SOURCES: We analysed studies (N = 53) published between January 2000-May 2013 that described factors affecting self-management in chronic illness as reported by adults aged over 18 years with chronic illness. REVIEW METHODS: Sandelowsi and Barroso approach to qualitative metasynthesis: literature search; quality appraisal; analysis and synthesis of findings. RESULTS: Collectively, article authors reported on sixteen chronic illnesses, most commonly diabetes (N = 28) and cardiovascular disease (N = 20). Participants included men and women (mean age = 57, range 18-94) from 20 countries representing diverse races and ethnicities. We identified five categories of factors affecting self-management: Personal/Lifestyle Characteristics; Health Status; Resources; Environmental Characteristics; and Health Care System. Factors may interact to affect self-management and may exist on a continuum of positive (facilitator) to negative (barrier). CONCLUSION: Understanding factors that influence self-management may improve assessment of self-management among adults with chronic illness and may inform interventions tailored to meet individuals' needs and improve health outcomes.
Authors: Tanisha Jowsey; Yun-Hee Jeon; Paul Dugdale; Nicholas J Glasgow; Marjan Kljakovic; Tim Usherwood Journal: Aust New Zealand Health Policy Date: 2009-09-08
Authors: Katrina R Ellis; Tiffany L Young; Dana Carthron; Marcia Simms; Shirley McFarlin; Kia L Davis; Guarav Dave; Giselle Corbie-Smith; Crystal Cené Journal: Am J Health Promot Date: 2018-09-24
Authors: Dena Schulman-Green; Shelli L Feder; J Nicholas Dionne-Odom; Janene Batten; Victoria Jane En Long; Yolanda Harris; Abigail Wilpers; Tiffany Wong; Robin Whittemore Journal: J Fam Nurs Date: 2020-12-17 Impact factor: 3.818
Authors: Ivy Benjenk; Eva H DuGoff; Gwen C Jacobsohn; Nia Cayenne; Courtney M C Jones; Thomas V Caprio; Jeremy T Cushman; Rebecca K Green; Amy J H Kind; Michael Lohmeier; Ranran Mi; Manish N Shah Journal: Acad Emerg Med Date: 2020-09-07 Impact factor: 3.451