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

作者：Van Hecke Ann^*; Heinen Maud; Fernandez Ortega Paz; Graue Marit; Hendriks Jeroen M L; Hoy Bente; Koepke Sascha; Lithner Maria; Van Gaal Betsie G I

来源：Journal of Advanced Nursing, 2017, 73(4): 775-793.

DOI：10.1111/jan.13159

• chronic condition
• low socio-economic status
• nursing
• randomized controlled trials
• self-management
• systematic review

AimTo 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.
BackgroundIntegrated evidence on self-management support interventions in chronically ill people with low socio-economic status is lacking.
DesignSystematic literature review.
Data sourcesCochrane 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 methodsData extraction and quality assessment were performed by independent researchers using a data extraction form.
ResultsStudies (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.
ConclusionLimited 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.

• 出版日期2017-4