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

PATIENT EDUCATION AND COUNSELING

卷:98

Review

Sattoe, Jane N. T.^1,2  Bal, Marjolijn I.^1,3  Roelofs, Pepijn D. D. M.¹  Bal, Roland²  Miedema, Harald S.¹  van Staa, AnneLoes^1,2 

[1] Rotterdam Univ Appl Sci, Res Ctr Innovat Care, NL-3001 HA Rotterdam, Netherlands

[2] Erasmus Univ, Inst Hlth Policy & Management, Rotterdam, Netherlands

[3] Erasmus Univ, Dept Rehabil Med, Rotterdam, Netherlands

关键词: Self-care;    Self-management;    Chronic disease;    Young adults;    Adolescents;    Children;    Systematic review;    Evaluation;    Intervention;   

DOI  :  10.1016/j.pec.2015.03.004

来源: Elsevier

【 摘 要 】

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. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free