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Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review

Bal, M. I., Sattoe, J. N. T., Roelofs, P. D. D. M., Bal, R., van Staa, A. & Miedema, H. S., Aug-2016, In : Patient Education and Counseling. 99, 8, p. 1293-1309 17 p.

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  • Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions_ A systematic review

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OBJECTIVE: To systematically explore the effectiveness and effective components of self-management interventions.

METHODS: Study selection criteria were: Original articles in English published between 2003 and 2015; focusing on youth with chronic conditions; describing self-management interventions; with clear outcome measures; using RCT design. The random effects analysis was applied in which standardized mean differences per study were calculated.

RESULTS: 42 RCTs were included. Interventions focused on medical management, provided individually in clinical settings or at home by mono-disciplinary teams showed a trend in improving adherence. Interventions delivered individually at home by mono-disciplinary teams showed a trend in improving dealing with a chronic condition.

CONCLUSIONS AND PRACTICAL IMPLICATIONS: Adherence could be improved through interventions focused on medical management, provided individually in a clinical or home setting by a mono-disciplinary team. Interventions focused on dealing with a chronic condition might be provided individually, through telemedicine programs facilitating peer-support. These intervention elements seemed effective irrespective of diagnosis, and may therefore act as good starting points for further research into and for improvement of self-management support for youth with chronic conditions in pediatric care. Results underlined the need to systematically develop and evaluate self-management interventions, since this may provide more evidence for effectiveness and effective intervention components.

Original languageEnglish
Pages (from-to)1293-1309
Number of pages17
JournalPatient Education and Counseling
Volume99
Issue number8
Publication statusPublished - Aug-2016
Externally publishedYes

    Keywords

  • Chronic Disease/rehabilitation, Communication, Delivery of Health Care, Disabled Persons, Humans, Outcome Assessment, Health Care, Patient Education as Topic/methods, Program Evaluation, Quality of Life, Self Care/methods, Self Efficacy

ID: 131768901