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A systematic review and meta-analysis of patient activation in people living with chronic conditions.
- Source :
-
Patient Education & Counseling . Sep2021, Vol. 104 Issue 9, p2200-2212. 13p. - Publication Year :
- 2021
-
Abstract
- <bold>Objective: </bold>The objectives of this review are to (1) describe the state of the science of patient activation interventions for the self-management of chronic conditions; (2) identify effective intervention elements for improving patient activation; and (3) compare intervention effectiveness across chronic conditions.<bold>Methods: </bold>This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA). PubMed, CINAHL, and Web of Science databases were searched.<bold>Results: </bold>Thirty-two articles published between 2005 and 2019 were identified with intervention elements of self-management, disease management, and education. Meta-analysis of a subset of seven randomized controlled trials (n = 7) that used the 13-item version of the Patient Activation Measure with data collection points at 6 months demonstrated that patient activation did not change significantly in comparison with controls (MD = 0.25, 95 % CI = 0.02-0.47).<bold>Conclusion: </bold>Most interventions reported significant improvement in patient activation and were linked to tasks such as regular exercise and monitoring glucose. However, the meta-analysis of RCTs did not confirm these findings.<bold>Practice Implications: </bold>Patient activation can be assessed and addressed uniformly across all chronic conditions to improve patient engagement in care. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 07383991
- Volume :
- 104
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- Patient Education & Counseling
- Publication Type :
- Academic Journal
- Accession number :
- 151951957
- Full Text :
- https://doi.org/10.1016/j.pec.2021.02.016