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Systematic literature review on effectiveness of self‐management support interventions in patients with chronic conditions and low socio‐economic status
Ist Teil von
Journal of advanced nursing, 2017-04, Vol.73 (4), p.775-793
Ort / Verlag
England: Wiley Subscription Services, Inc
Erscheinungsjahr
2017
Quelle
Applied Social Sciences Index & Abstracts (ASSIA)
Beschreibungen/Notizen
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.