Chronic disease self-management interventions for adults with serious mental illness: a systematic review of the literature

Siantz, Elizabeth; Aranda, María P.

doi:10.1016/j.genhosppsych.2014.01.014

Cited by 59 publications

(54 citation statements)

References 28 publications

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“…Compared to previous systematic reviews (14, 15), we found five additional studies and three additional interventions. This study expands on earlier systematic reviews that focused on medical self-management only (14) and psychiatric self-management only (15) by focusing on integrated medical and psychiatric disease states and identifying potential mechanisms to facilitate implementation.…”

Section: Discussioncontrasting

confidence: 60%

“…This study expands on earlier systematic reviews that focused on medical self-management only (14) and psychiatric self-management only (15) by focusing on integrated medical and psychiatric disease states and identifying potential mechanisms to facilitate implementation. The available evidence on integrated medical and psychiatric self-management interventions has established strong support for the feasibility, acceptability, and potential clinical effectiveness.…”

Section: Discussionmentioning

confidence: 94%

“…However, the current state of evidence of integrated medical and psychiatric self-management interventions has not been examined. Our objective was to expand on prior reviews that focused on medical self-management only (14) or selective reviews of illness self-management (15) and conduct a systematic review to assess the feasibility, acceptability, and potential effectiveness of integrated medical and psychiatric self-management interventions that target adults with serious mental illnesses and chronic medical conditions. We also examined the potential for implementation of these interventions.…”

mentioning

confidence: 99%

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Systematic Review of Integrated General Medical and Psychiatric Self-Management Interventions for Adults With Serious Mental Illness

Whiteman¹,

Naslund²,

DiNapoli³

et al. 2016

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Objective Adults with serious mental illness are disproportionately affected by medical comorbidity, earlier onset of disease, and premature mortality. Integrated self-management interventions have been developed to address both medical and psychiatric illnesses. This systematic review aimed to: review the evidence of the effect of self-management interventions targeting both medical and psychiatric illnesses and evaluate the potential for implementation. Methods Databases including CINAHL, Cochrane Central, Ovid Medline, PsycINFO, and Web of Science were searched for articles published between 1946 and July 2015. Studies evaluating integrated medical and psychiatric self-management interventions for adults with schizophrenia spectrum or mood disorders and medical comorbidity were included. Results Fifteen studies reported on nine interventions (i.e., nine randomized control trials, six pre/post designs). Most studies demonstrated feasibility, acceptability, and preliminary effectiveness; however, clinical effectiveness could not be established in most of the studies due to methodological limitations. Factors identified that may deter implementation included operating costs, impractical length of the intervention, and the workforce needs of these interventions. Conclusions Integrated medical and psychiatric illness self-management interventions appear feasible and acceptable, with high potential for clinical effectiveness. However, implementation considerations were rarely considered in intervention development, contributing to limited uptake and reach in real-world settings.

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Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 94%

mentioning

confidence: 99%

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Systematic Review of Integrated General Medical and Psychiatric Self-Management Interventions for Adults With Serious Mental Illness

Whiteman¹,

Naslund²,

DiNapoli³

et al. 2016

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“…As noted in a recent review, data on evidence-based care for these comorbid conditions is limited 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Psychiatric symptoms, including mood, are an important determinant of diabetes outcomes and a core dimension of self-management 2 . A recent review emphasizes the contribution of depression to poor glycemic control, medical complications, poor outcomes and quality of life in diabetic patients.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Features of Clinically Relevant Patient Subgroups With Serious Mental Illness and Comorbid Diabetes

Gunzler

Sajatovic

McCormick

et al. 2017

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Objective Care for people with serious mental illness and diabetes is complicated by clinical heterogeneity. This cross-sectional analysis of 200 individuals comorbid for serious mental illness and diabetes explored differentiation of patient sub-groups characterized on selected dimensions within a biopsychosocial framework. Methods Relationships between self-efficacy, treatment expectation, social support and psychiatric symptom severity were first assessed via bivariate Spearman correlations among 200 individuals participating in a randomized trial who have diabetes and major depression, bipolar disorder, or schizophrenia. Next, latent profile analysis were conducted to determine underlying subgroups based on these variables. The resultant groups were compared on diabetes control, function, and symptoms. Results In the two sub-groups, group A was high on psychiatric symptoms, low on other psychosocial variables and had worse diabetes control. Group B was low on depression and high on other variables and had better diabetes control. Conclusions Symptom presentation, internal and external resources appear related to diabetes control in people comorbid for diabetes and serious mental illness. Care approaches need to go beyond standard education and consider biopsychosocial variables.

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Effect of chronic disease self‐management program on the quality of life of HIV‐infected men who have sex with men: An empirical study in Shanghai, China

Zhang

Gao

Wang

et al. 2019

Health Planning & Management

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Summary Objectives The HIV/AIDS epidemic rages on in China, particularly among men who have sex with men (MSM). MSM with HIV/AIDS also tend to have poorer quality of life than other members of the population. A major contributor to these issues is the huge gap between the increasing demand of MSM for medical services and the availability of such services; their current needs cannot be met only with the services of the Chinese Center for Disease Control and Prevention. The aim of the present study was to examine the quality of life of MSM with HIV/AIDS in Shanghai, as well as determine whether it is influenced by chronic disease self‐management (CDSM). Methods We conducted a pre‐post study to evaluate the effect of CDSM on participants' quality of life. Four hundred twenty participants were assigned to either the CDSM group (n = 210) or the control group (n = 210). We collected data on quality of life (using the Medical Outcomes Study HIV Health Survey [MOS‐HIV]) and various psychological and behavioral variables via interviewer‐administered questionnaires. Results The physical and mental health summary scores of the MOS‐HIV were 53.7 and 49.9, respectively. The CDSM group showed a significant improvement in quality of life and a significant decrease in the proportion of participants with anxiety symptoms (from 38.6% to 22.6%). Furthermore, the frequency of condom use increased from 43.3% to 47.3%. Conclusion MSM with HIV generally had low quality of life in Shanghai. The CDSM program might help promote the quality of life of MSM while helping them practice healthy behaviors.

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Chronic disease self-management interventions for adults with serious mental illness: a systematic review of the literature

Cited by 59 publications

References 28 publications

Systematic Review of Integrated General Medical and Psychiatric Self-Management Interventions for Adults With Serious Mental Illness

Systematic Review of Integrated General Medical and Psychiatric Self-Management Interventions for Adults With Serious Mental Illness

Psychosocial Features of Clinically Relevant Patient Subgroups With Serious Mental Illness and Comorbid Diabetes

Effect of chronic disease self‐management program on the quality of life of HIV‐infected men who have sex with men: An empirical study in Shanghai, China

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