Characteristics of self-care interventions for patients with a chronic condition: A scoping review

Riegel, Bárbara; Westland, Heleen; Iovino, Paolo; Barelds, Ingrid; Slot, Joyce Bruins; Stawnychy, Michael A; Osokpo, Onome; Tarbi, Elise; Trappenburg, Jaap C.A.; Vellone, Ercole; Strömberg, Anna; Jaarsma, Tiny

doi:10.1016/j.ijnurstu.2020.103713

Cited by 89 publications

(85 citation statements)

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“…The BCT Taxonomy (version 1 -BCTTv.1) has gained international acceptance as a tool for specifying the content of behaviour change interventions [8,11]. Notably, a recent scoping review found that BCTs remain underused in self-management interventions [12]. One reason that may explain this shortcoming is the poor permeation of behavioural science, and BCTs in particular, into the education and training of health and other professionals.…”

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confidence: 99%

Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

et al. 2021

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Background Healthcare and other professionals are expected to support behaviour change in people living with chronic disease. However, effective behaviour change interventions are largely absent in routine encounters. The Train4Health project, a European strategic partnership for higher education, sought to address this problem. The primary aim of this study, which is part of an early work package, was to develop an interprofessional competency framework for health and other professions to support behaviour change for the self-management of chronic disease at a European level. A secondary aim was to derive a set of behaviour change techniques (BCTs) from an established taxonomy to link with framework competencies. Methods The study comprised two interlinked parts. Part 1 involved a two-round e-Delphi study with an interprofessional panel of 48 experts across 12 European countries to develop the behaviour change competency framework. Preparatory work included drafting a list of competency statements based on seven existing frameworks. Part 2 involved an expert panel of six behavioural psychologists deriving a set of BCTs to link with framework competencies. Their feedback was based on preparatory work, which focused on seven high priority chronic diseases for self-management, identified through European projects on self-management and identifying five relevant target behaviours from key clinical guidelines. A literature search yielded 29 effective BCTs for the target behaviours in the selected chronic diseases. Results Twenty-seven competency statements, were presented in Round 1 to the Delphi panel. Consensus was achieved for all statements. Based on comments, two statements were removed, one was added, and 14 were modified. All 15 statements subjected to Round 2 were consensus-approved, yielding a total of 12 foundational competencies for behaviour change in self-management of chronic disease and 14 behaviour change competencies. Four behaviour change competencies related to BCTs. Behavioural psychologists’ feedback led to a core set of 21 BCTs deemed applicable to the five target behaviours across the seven chronic diseases. Conclusions A behaviour change competency framework comprising 26 statements for European health and other professionals to support self-management of chronic disease was developed, linked with a core set of 21 BCTs from an established taxonomy.

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Section: Introductionmentioning

confidence: 99%

Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

et al. 2021

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“…Many researchers underline that improving patients' self-care can result in better treatment adherence and quality of life, lower morbidity, mortality, re-hospitalisation rates, and healthcare costs (Jaarsma et al, 2020). We read with interest the scoping review by Riegel et al (2020) identifying the characteristics of interventions addressing self-care in patients with nine common chronic conditions. The authors conclude that health promotion behaviours intended to conserve physical wellbeing were the main focus of interventions promoting self-care in chronic illness contexts.…”

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confidence: 99%

“…The authors conclude that health promotion behaviours intended to conserve physical wellbeing were the main focus of interventions promoting self-care in chronic illness contexts. The scoping review also highlights incongruencies in the definition and theoretical underpinnings of self-care in complex interventions; heterogeneity of interventions to enhance selfcare; and limited consideration of symptom management behaviours, psychological consequences, and health and digital literacy challenges within the included studies (Riegel et al, 2020).…”

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confidence: 99%

“…Although interventions targeting patients with cancer have not been included in this review, we believe that the findings by Riegel et al (2020), including those specific self-care behaviours addressed, could also be applied to our understanding of self-care (and self-management) in cancer care. Promoting self-care among people living with and beyond cancer is the essence of nurse-led interventions across the cancer spectrum, from diagnosis to end of life care (Charalambous et al, 2018).…”

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confidence: 99%

“…(2019) andRiegel et al (2020). The latter authors underline that a clear conceptualisation of selfcare and its components, as well as guiding models and theories, such as the Middle-Range Theory of Self-Care of Chronic Illness(Riegel et al, 2019), are needed to identify effective interventions.However, it is not clear to what extent Riegel et al's theory of self-care (2019) can be applied to patients living with cancer.…”

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Self-care performed by patients and the caregiver contribution to this self-care are essential for improving cardiovascular outcomes; however, so far, no studies have sufficiently investigated this field in Italy. This paper describes a research protocol of a multi-center longitudinal study designed to investigate the self-care of patients affected by coronary heart disease (CHD), the caregiver's contribution to this selfcare, the predictors of patient and caregiver self-care, the mediating role of selfefficacy, and the self-care outcomes. Data collection will be performed across seven

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Characteristics of self-care interventions for patients with a chronic condition: A scoping review

Cited by 89 publications

References 32 publications

Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

Self-care and cancer: Comment on Riegel et al. (2020) ‘Characteristics of self-care interventions for patients with a chronic condition: A scoping review’

Self‐care in coronary heart disease patient and caregiver dyads (HEARTS‐IN‐DYADS)—Protocol of a multicenter longitudinal study

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