Self-management interventions for people with severe mental illness: systematic review and meta-analysis
| Autor: | Alyssa Milton, Tim Kendall, Melanie Lean, Bronwyn Harrison-Stewart, Amina Yesufu-Udechuku, Sonia Johnson, Miriam Fornells-Ambrojo, Brynmor Lloyd-Evans |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Gerontology
community mental health teams psychosocial interventions media_common.quotation_subject Psychological intervention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) psychotic disorders medicine Humans 030212 general & internal medicine Empowerment Review Articles media_common Self-management business.industry Mental Disorders Self-Management Mental illness medicine.disease Mental health 030227 psychiatry Psychiatry and Mental health Schizophrenia Meta-analysis Quality of Life business bipolar affective disorders |
| Zdroj: | The British Journal of Psychiatry |
| ISSN: | 1472-1465 0007-1250 |
| Popis: | BackgroundSelf-management is intended to empower individuals in their recovery by providing the skills and confidence they need to take active steps in recognising and managing their own health problems. Evidence supports such interventions in a range of long-term physical health conditions, but a recent systematic synthesis is not available for people with severe mental health problems.AimsTo evaluate the effectiveness of self-management interventions for adults with severe mental illness (SMI).MethodA systematic review of randomised controlled trials was conducted. A meta-analysis of symptomatic, relapse, recovery, functioning and quality of life outcomes was conducted, using RevMan.ResultsA total of 37 trials were included with 5790 participants. From the meta-analysis, self-management interventions conferred benefits in terms of reducing symptoms and length of admission, and improving functioning and quality of life both at the end of treatment and at follow-up. Overall the effect size was small to medium. The evidence for self-management interventions on readmissions was mixed. However, self-management did have a significant effect compared with control on subjective measures of recovery such as hope and empowerment at follow-up, and self-rated recovery and self-efficacy at both time points.ConclusionThere is evidence that the provision of self-management interventions alongside standard care improves outcomes for people with SMI. Self-management interventions should form part of the standard package of care provided to people with SMI and should be prioritised in guidelines: research on best methods of implementing such interventions in routine practice is needed.Declaration of interestsNone. |
| Databáze: | OpenAIRE |
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