Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status.
J Adv Nurs
; 73(4): 775-793, 2017 Apr.
Article
em En
| MEDLINE
| ID: mdl-27653960
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. REVIEWMETHODS:
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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Autocuidado
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Comportamentos Relacionados com a Saúde
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Doença Crônica
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Diabetes Mellitus
Tipo de estudo:
Clinical_trials
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Health_economic_evaluation
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Prognostic_studies
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Systematic_reviews
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article