Self-management education programmes by lay leaders for people with chronic conditions

Foster, Gill; Taylor, Stephanie J C; Eldridge, Sandra; Ramsay, Jean; Griffiths, Chris

doi:10.1002/14651858.cd005108.pub2

Cited by 451 publications

(456 citation statements)

References 76 publications

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“…It involves the decision-making and behaviours performed by individuals to manage illness on a daily basis and promote health, with or without the help or collaboration of healthcare providers (Omisakin and Ncama 2011;Griffiths et al, 2005;Henderson et al, 2014). Accordingly, self-management interventions are important and complex interventions designed to encourage people to take an active part in the management of their condition, improve individuals' confidence and ability to live with chronic disease, and the intention is (in part at least) to reduce the reliance on healthcare providers (Lorig et al, 2001;Foster et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness and experience of self-management following acute coronary syndrome: A review of the literature

Guo

Harris

2016

International Journal of Nursing Studies

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Please cite this article as: GUO, P., HARRIS, R.,The effectiveness and experience of self-management following acute coronary syndrome: a review of the literature, International Journal of Nursing Studies (2016), http://dx.doi.org/10. 1016/j.ijnurstu.2016.05.008 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conflicts of interestNone. Funding statementNo external funding.Page 3  Evidence has suggested the effects of self-management interventions on rehabilitation and recovery across a variety of chronic conditions. However, to date less is known about the extent of the literature on self-management for individuals following an acute cardiac event. Despite widespread use of the term 'self-management' and growing interest in the concept, defining how self-management is manifested in terms of observable behaviours remains challenging in the field of health and social care. What this paper adds? Evidence showed varying effects of the self-management interventions among people following acute coronary syndrome when compared with usual care.Most studies in this review were conducted in western countries and quantitative studies were UK centric. Therefore, more research is needed to explore self-management among people following acute coronary syndrome within different health care contexts.

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Section: Introductionmentioning

confidence: 99%

The effectiveness and experience of self-management following acute coronary syndrome: A review of the literature

Guo

Harris

2016

International Journal of Nursing Studies

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“…Our findings highlight the fact that LTCs are often co-morbid with one another (Vogeli et al 2007), and this might explain the emerging evidence that integrated care based on case management (Ham et al 2011) and including psychosocial interventions appears to be more effective than brief training in the self-management of individual disorders (Chodosh et al 2005 ;Foster et al 2007 ;Von Korff et al 2011 ;Snoek, 2012). The Improving Access to Psychological Treatments (IAPT) programme in Britain (http:// www.iapt.nhs.uk) has recruited and trained a workforce capable of delivering the psychosocial elements of integrated care across a wide range of chronic conditions.…”

Section: Discussionmentioning

confidence: 70%

“…Most LTCs are associated with increased rates of the common mental disorders (CMDs) such as anxiety and depressive disorders, both cross-sectionally (Egede, 2007) and longitudinally (Patten, 2001 ;Karakus & Patton, 2011). For almost all LTCs the presence of CMDs reduces quality of life (Moussavi et al 2007), increases disability (Scott et al 2009), impairs outcome and increases utilization of health care (Frasure-Smith et al 2000 ;Katon & Ciechanowski, 2002). Such links have been demonstrated in coronary artery disease (Penninx et al 2001 ;Stafford et al 2007), chronic obstructive pulmonary disease (COPD) (Ng et al 2007 ;Eisner et al 2010) and diabetes (Schram et al 2009 ;Ali et al 2010).…”

Section: Introductionmentioning

confidence: 99%

The population impact of common mental disorders and long-term physical conditions on disability and hospital admission

Weich

Bebbington²,

Rai³

et al. 2012

Psychol. Med.

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Background. Long-term physical conditions (LTCs) consume the largest share of healthcare budgets. Although common mental disorders (CMDs) and LTCs often co-occur, the potential impact of improved mental health treatment on severe disability and hospital admissions for physical health problems remains unknown. Method.A cross-sectional study of 7403 adults aged 16-95 years living in private households in England was performed. LTCs were ascertained by prompted self-report. CMDs were ascertained by structured clinical interview. Disability was assessed using questions about problems with activities of daily living. Population impact and potential preventive gain were estimated using population-attributable fraction (PAF), and conservative estimates were obtained using ' treated non-cases ' as the reference group.Results. Of the respondents, 20.7 % reported at least one LTC. The prevalence of CMDs increased with the number of LTCs, but over two-thirds (71.2 %) of CMD cases in people with LTCs were untreated. Statistically significant PAFs were found for CMDs and recent hospital admission [13.5 %, 95 % confidence intervals (CI) 6.6-20.0] and severe disability (31.3 %, 95 % CI 27.1-35.2) after adjusting for LTCs and other confounders. Only the latter remained significant when using the most conservative estimate of PAF (21.8 %, 95 % CI 14.0-28.9), and this was reduced only slightly when considering only participants with LTCs (18.5 %, 95 % CI 7.9-27.9).Conclusions. Better treatments for CMDs in people with LTCs could achieve almost the same population health gain in terms of reducing severe disability as those targeted at the entire population. Interventions to reduce the prevalence of CMDs among people with LTCs should be part of routine medical care.

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“…Across studies, participants had improvements in pain, disability/functional impairments, fatigue, psychological well-being, self-rated health, distress, aerobic capacity, cognitive symptom management, self-efficacy, and ability to communicate with health care professionals after program completion (37). Benefits of participating in the CDSMP may extend up to 2 years (34).…”

Section: Diabetes As An Example and Opportunitymentioning

confidence: 99%

Type 2 Translational Research for CKD

Tuot

Corbett

Setter

et al. 2013

Clinical Journal of the American Society of Nephrology

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SummaryStrategies to effectively treat people with CKD have been identified by conventional clinical research. Despite this evidence, awareness, screening, detection, diagnosis, risk factor control, treatment, and outcomes remain substandard. Translating clinical evidence into actionable measures that reduce the burden of CKD is a pressing need. Expansion from a "bench-to-bedside" paradigm (conventional type 1 translation) to research that encompasses "clinic and community" is the core concept of type 2 translation. Specifically, this is the discipline of identifying factors and using strategies that lead to adoption, maintenance, and sustainability of science-based interventions in practice. This review identifies key elements of type 2 translational research and highlights the current scope of this type of research for CKD. For type 2 translation to achieve the goals of providing high-quality care and better health outcomes, key facilitators (e.g., theory-based frameworks, adaptable interventions, and inclusion of sustainability and evaluation metrics) and essential elements (e.g., multidisciplinary team care, health information technology, and stakeholder engagement) must be integrated. The National Institute of Diabetes and Digestive and Kidney Diseases recently funded five proposals that aim to improve outcomes for people with CKD, focusing on diverse components of the healthcare continuum: patient safety and transitions; delivery of highquality, evidence-based CKD care; and elimination of disparities. The need for type 2 translational research in CKD is urgent because of preventable human suffering and unsustainable costs of providing care. Focus on the theory, framework, and approaches we have suggested may help us meet that challenge.

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Self-management education programmes by lay leaders for people with chronic conditions

Cited by 451 publications

References 76 publications

The effectiveness and experience of self-management following acute coronary syndrome: A review of the literature

The effectiveness and experience of self-management following acute coronary syndrome: A review of the literature

The population impact of common mental disorders and long-term physical conditions on disability and hospital admission

Type 2 Translational Research for CKD

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