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Self-management interventions for young people with chronic conditions: A systematic overview

Sattoe, J. N. T., Bal, M. I., Roelofs, P. D. D. M., Bal, R., Miedema, H. S. & van Staa, A., Jun-2015, In : Patient Education and Counseling. 98, 6, p. 704-715 12 p.

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  • Self-management interventions for young people with chronic conditions_ A systematic overview

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DOI

OBJECTIVE: To provide a systematic overview of self-management interventions (SMI) for young people with chronic conditions with respect to content, formats, theories, and evaluated outcomes.

METHODS: Embase, Medline, PsycINFO, Web-of-Science, CINAHL, and Cochrane were searched. Reviews' reference lists were scrutinized. Selected studies were: Original research articles in English published between 2003 and March 2014; about the evaluation of SMI for 7 to 25-year-olds with somatic chronic conditions/physical disabilities; with clear outcomes and intervention descriptions. The classification of medical, role and emotion management served to review content. Formats, theories, and evaluated outcomes were summarized.

RESULTS: 86 studies were reviewed. Most aimed at medical management and were unclear about theoretical bases. Although a variety of outcomes was evaluated and the distribution over self-management domains was quite unpredictable, outcomes conceptually related to specific content. A content-based framework for the evaluation of self-management interventions is presented.

CONCLUSIONS AND PRACTICE IMPLICATIONS: SMI relate to self-management tasks and skill-building. Yet, conceptualizations of self-management support often remained unclear and content focuses predominantly on the medical domain, neglecting psycho-social challenges for chronically ill young people. Future evaluations should match outcomes/themes to content and characteristics. Our framework and overview of SMI characteristics and outcomes may assist clinicians in providing self-management support.

Original languageEnglish
Pages (from-to)704-715
Number of pages12
JournalPatient Education and Counseling
Volume98
Issue number6
Publication statusPublished - Jun-2015
Externally publishedYes

    Keywords

  • Chronic Disease/rehabilitation, Humans, Outcome Assessment, Health Care, Patient Education as Topic/methods, Self Care/methods, Self Efficacy

ID: 131769822