Cargando…

Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views

INTRODUCTION: Self-management has received growing attention as an effective approach for long-term condition management. Little is known about which outcomes of supported self-management are valued by patients, their families, health professionals and those who commission self-management services....

Descripción completa

Detalles Bibliográficos
Autores principales: Boger, Emma, Ellis, Jaimie, Latter, Sue, Foster, Claire, Kennedy, Anne, Jones, Fiona, Fenerty, Vicky, Kellar, Ian, Demain, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4498685/
https://www.ncbi.nlm.nih.gov/pubmed/26162086
http://dx.doi.org/10.1371/journal.pone.0130990
_version_ 1782380658319949824
author Boger, Emma
Ellis, Jaimie
Latter, Sue
Foster, Claire
Kennedy, Anne
Jones, Fiona
Fenerty, Vicky
Kellar, Ian
Demain, Sara
author_facet Boger, Emma
Ellis, Jaimie
Latter, Sue
Foster, Claire
Kennedy, Anne
Jones, Fiona
Fenerty, Vicky
Kellar, Ian
Demain, Sara
author_sort Boger, Emma
collection PubMed
description INTRODUCTION: Self-management has received growing attention as an effective approach for long-term condition management. Little is known about which outcomes of supported self-management are valued by patients, their families, health professionals and those who commission self-management services. This study systematically reviewed published empirical evidence in accordance with PRISMA guidelines to determine the outcomes of self-management valued by these key stakeholder groups, using three prominent exemplar conditions: colorectal cancer, diabetes and stroke. AIM: To systematically review the literature to identify which generic outcomes of self-management have been targeted and are considered important using three exemplar conditions (colorectal cancer, diabetes and stroke), which collectively have a range of features that are likely to be representative of generic self-management issues. METHODS: Systematic searching of nine electronic databases was conducted in addition to hand searches of review articles. Abstracts were identified against inclusion criteria and appraised independently by two reviewers, using a critical appraisal tool. Synthesis of findings was conducted using mixed research synthesis. RESULTS: Over 20,536 abstracts were screened. 41 studies which met the review criteria were fully retrieved and appraised. The majority of evidence related to diabetes. Few studies directly focussed on stakeholders’ views concerning desired self-management outcomes; the majority of evidence was derived from studies focusing upon the experience of self-management. The views of health care commissioners were absent from the literature. We identified that self-management outcomes embrace a range of indicators, from knowledge, skills, and bio-psychosocial markers of health through to positive social networks. CONCLUSIONS: Patients’, families’, health professionals’ and commissioners’ views regarding which outcomes of self-management are important have not been clearly elicited. The extent to which bio-psychosocial indicators relate to successful self-management from the perspectives of all groups of stakeholders is unknown. Further investigation regarding which self-management outcomes are considered important by all stakeholders is necessary to guide the commissioning and design of future self-management services.
format Online
Article
Text
id pubmed-4498685
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-44986852015-07-17 Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views Boger, Emma Ellis, Jaimie Latter, Sue Foster, Claire Kennedy, Anne Jones, Fiona Fenerty, Vicky Kellar, Ian Demain, Sara PLoS One Research Article INTRODUCTION: Self-management has received growing attention as an effective approach for long-term condition management. Little is known about which outcomes of supported self-management are valued by patients, their families, health professionals and those who commission self-management services. This study systematically reviewed published empirical evidence in accordance with PRISMA guidelines to determine the outcomes of self-management valued by these key stakeholder groups, using three prominent exemplar conditions: colorectal cancer, diabetes and stroke. AIM: To systematically review the literature to identify which generic outcomes of self-management have been targeted and are considered important using three exemplar conditions (colorectal cancer, diabetes and stroke), which collectively have a range of features that are likely to be representative of generic self-management issues. METHODS: Systematic searching of nine electronic databases was conducted in addition to hand searches of review articles. Abstracts were identified against inclusion criteria and appraised independently by two reviewers, using a critical appraisal tool. Synthesis of findings was conducted using mixed research synthesis. RESULTS: Over 20,536 abstracts were screened. 41 studies which met the review criteria were fully retrieved and appraised. The majority of evidence related to diabetes. Few studies directly focussed on stakeholders’ views concerning desired self-management outcomes; the majority of evidence was derived from studies focusing upon the experience of self-management. The views of health care commissioners were absent from the literature. We identified that self-management outcomes embrace a range of indicators, from knowledge, skills, and bio-psychosocial markers of health through to positive social networks. CONCLUSIONS: Patients’, families’, health professionals’ and commissioners’ views regarding which outcomes of self-management are important have not been clearly elicited. The extent to which bio-psychosocial indicators relate to successful self-management from the perspectives of all groups of stakeholders is unknown. Further investigation regarding which self-management outcomes are considered important by all stakeholders is necessary to guide the commissioning and design of future self-management services. Public Library of Science 2015-07-10 /pmc/articles/PMC4498685/ /pubmed/26162086 http://dx.doi.org/10.1371/journal.pone.0130990 Text en © 2015 Boger et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Boger, Emma
Ellis, Jaimie
Latter, Sue
Foster, Claire
Kennedy, Anne
Jones, Fiona
Fenerty, Vicky
Kellar, Ian
Demain, Sara
Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views
title Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views
title_full Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views
title_fullStr Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views
title_full_unstemmed Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views
title_short Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views
title_sort self-management and self-management support outcomes: a systematic review and mixed research synthesis of stakeholder views
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4498685/
https://www.ncbi.nlm.nih.gov/pubmed/26162086
http://dx.doi.org/10.1371/journal.pone.0130990
work_keys_str_mv AT bogeremma selfmanagementandselfmanagementsupportoutcomesasystematicreviewandmixedresearchsynthesisofstakeholderviews
AT ellisjaimie selfmanagementandselfmanagementsupportoutcomesasystematicreviewandmixedresearchsynthesisofstakeholderviews
AT lattersue selfmanagementandselfmanagementsupportoutcomesasystematicreviewandmixedresearchsynthesisofstakeholderviews
AT fosterclaire selfmanagementandselfmanagementsupportoutcomesasystematicreviewandmixedresearchsynthesisofstakeholderviews
AT kennedyanne selfmanagementandselfmanagementsupportoutcomesasystematicreviewandmixedresearchsynthesisofstakeholderviews
AT jonesfiona selfmanagementandselfmanagementsupportoutcomesasystematicreviewandmixedresearchsynthesisofstakeholderviews
AT fenertyvicky selfmanagementandselfmanagementsupportoutcomesasystematicreviewandmixedresearchsynthesisofstakeholderviews
AT kellarian selfmanagementandselfmanagementsupportoutcomesasystematicreviewandmixedresearchsynthesisofstakeholderviews
AT demainsara selfmanagementandselfmanagementsupportoutcomesasystematicreviewandmixedresearchsynthesisofstakeholderviews