Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status.

Autor: Van Hecke A; Faculty of Medicine and Health Sciences, University Center for Nursing and Midwifery, Ghent University, Belgium., Heinen M; Nursing Science and Allied Healthcare, Radboud Institute for Health Sciences, IQ healthcare, Radboud University Medical Center, Nijmegen, The Netherlands., Fernández-Ortega P; Hospital Duran i Reynals, Institut Català d'Oncologia, Barcelona, Spain., Graue M; Faculty of Health and Social Sciences, Centre for Evidence-Based Practice, Bergen University College, Norway., Hendriks JM; Centre for Heart Rhythm Disorders, Royal Adelaide Hospital and University of Adelaide, South Australia, Australia., Høy B; Department of Health care and Social Sciences, VIA University College, Aarhus, Denmark., Köpke S; Institute for Social Medicine and Epidemiology, Nursing Research Unit, University of Lübeck, Germany., Lithner M; Department of Surgery, Skane University Hospital Lund, Sweden., Van Gaal BG; Nursing Science and Allied Healthcare, Radboud Institute for Health Sciences, IQ healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
Jazyk: angličtina
Zdroj: Journal of advanced nursing [J Adv Nurs] 2017 Apr; Vol. 73 (4), pp. 775-793. Date of Electronic Publication: 2016 Oct 20.
DOI: 10.1111/jan.13159
Abstrakt: 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.
(© 2016 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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