Ann Van Hecke1, Maud Heinen2, Paz Fernández-Ortega3, Marit Graue4, Jeroen M L Hendriks5, Bente Høy6, Sascha Köpke7, Maria Lithner8, Betsie G I Van Gaal2. 1. Faculty of Medicine and Health Sciences, University Center for Nursing and Midwifery, Ghent University, Belgium. 2. Nursing Science and Allied Healthcare, Radboud Institute for Health Sciences, IQ healthcare, Radboud University Medical Center, Nijmegen, The Netherlands. 3. Hospital Duran i Reynals, Institut Català d'Oncologia, Barcelona, Spain. 4. Faculty of Health and Social Sciences, Centre for Evidence-Based Practice, Bergen University College, Norway. 5. Centre for Heart Rhythm Disorders, Royal Adelaide Hospital and University of Adelaide, South Australia, Australia. 6. Department of Health care and Social Sciences, VIA University College, Aarhus, Denmark. 7. Institute for Social Medicine and Epidemiology, Nursing Research Unit, University of Lübeck, Germany. 8. Department of Surgery, Skane University Hospital Lund, Sweden.
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: 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.
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.
Authors: Danielle Jm Adriaans; Angelique Tm Dierick-van Daele; Marc Johannes Hubertus Maria van Bakel; Grard Ap Nieuwenhuijzen; Joep Aw Teijink; Fanny Fbm Heesakkers; Hanneke Wm van Laarhoven Journal: J Med Internet Res Date: 2021-06-29 Impact factor: 5.428