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

Abstract

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.

Does the Partners in Health scale allow meaningful comparisons of chronic condition self‐management between men and women? Testing measurement invariance

“…This study addresses this gap in the literature, with its objective to explore CCSM and any differences a person's gender can make using a flexible Bayesian modelling strategy. It also extends other research that has addressed socioeconomic and/or ethnic discrepancies in CCSM (Cai, Dong, Cui, You, & Golden, ; Van Hecke et al, ) by investigating disparities in gender and related factors when considered jointly.…”

“…This would enable nurse researchers and practitioners to appraise any discrepancies between observed and fitted data from both a statistical and clinical perspective. In a single step analysis, Bayesian confirmatory factor analysis (BCFA) allows for some 'wiggle room' by permitting the specification of the prior hypothesized major factor patterns as well as informative (close to zero) small-variance priors for cross-loadings and direct effects of covariates on factor indicators (Muthén & Asparouhov, 2012;Van De Schoot, Schmidt, Beuckelaer, Lek, & Zondervan-Zwijnenburg, 2015). Differential gender effects may also be compounded by co-morbidity and modifiable risk factors (e.g.…”

Effectiveness of e‐health based self‐management to improve cancer‐related fatigue, self‐efficacy and quality of life in cancer patients: Systematic review and meta‐analysis

“…Self‐management was defined as a series of integrated tasks based on self‐management theories or strategies (e.g., goal problem‐solving and behavior‐changing) for medical, role, or emotion management. We also listed the typical components of self‐management from published systematic reviews (Koller, Miaskowski, De Geest, Opitz, & Spichiger, ; Van Hecke et al, ) and studies where interventions comprising at least two of the following components were included: information provision, goal setting, behaviour management and communication; (d) types of outcome measures: studies assessing CRF, self‐efficacy and QOL with scales, but not a single item. The exclusion criteria were: participants diagnosed with childhood or adolescent cancer.…”

Dysglycemia-Based Chronic Disease: An American Association of Clinical Endocrinologists Position Statement

“…Introducing communications technology has been shown to facilitate adoption of a diabetes chronic care model and use of self-management strategies, while also lowering costs (170). Future economic studies on T2D prevention will need to concentrate on context, scope, payment models, income levels, self-management support, and impact on the labor market (169)(170)(171)(172). The economic model will also need validation for patients of different cultures and ethnicities, both of which are associated with differences in key mechanistic drivers, phenotypic expression of disease, and conversion rates among the DCBD stages (173)(174)(175)(176).…”