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Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Apr2017, Vol. 73 Issue 4, p775-793, 19p
- Publication Year :
- 2017
-
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, Psyc INFO 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC disease treatment
POVERTY areas
BEHAVIOR modification
CANCER patients
CARDIOVASCULAR diseases
CINAHL database
DATABASES
DIABETES
EMERGENCY medical services
EMPLOYMENT
HEALTH behavior
HEALTH status indicators
HOSPITAL care
INCOME
INFORMATION storage & retrieval systems
MEDICAL databases
MEDICAL information storage & retrieval systems
PSYCHOLOGY information storage & retrieval systems
EVALUATION of medical care
MEDICAL care use
MEDICAL protocols
MEDLINE
ONLINE information services
PATIENT compliance
QUALITY of life
RESEARCH funding
RESPIRATORY diseases
HEALTH self-care
SELF-efficacy
STROKE
TUMORS
SYSTEMATIC reviews
SOCIOECONOMIC factors
NARRATIVES
EDUCATIONAL attainment
HEALTH literacy
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 73
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 121698608
- Full Text :
- https://doi.org/10.1111/jan.13159