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Interventions to improve the self-management support health professionals provide for people with progressive neurological conditions: protocol for a realist synthesis
INTRODUCTION: Supporting self-management among people with long-term conditions is recognised as an important component of healthcare. Progressive neurological conditions (PNCs), for example, Parkinson's disease and multiple sclerosis are associated with problems such as fatigue and cognitive i...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372053/ https://www.ncbi.nlm.nih.gov/pubmed/28320798 http://dx.doi.org/10.1136/bmjopen-2016-014575 |
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author | Davies, Freya Wood, Fiona Bullock, Alison Wallace, Carolyn Edwards, Adrian |
author_facet | Davies, Freya Wood, Fiona Bullock, Alison Wallace, Carolyn Edwards, Adrian |
author_sort | Davies, Freya |
collection | PubMed |
description | INTRODUCTION: Supporting self-management among people with long-term conditions is recognised as an important component of healthcare. Progressive neurological conditions (PNCs), for example, Parkinson's disease and multiple sclerosis are associated with problems such as fatigue and cognitive impairment which may make self-management more challenging. Health professionals may need to develop specific skills in order to provide effective self-management support for these patients. The review aims to develop explanatory theories about how health professional-targeted interventions to improve self-management support provision for people with PNCs operate in different circumstances. METHODS AND ANALYSIS: A realist synthesis of the evidence is proposed. There are 2 priority questions for the review to address. These relate to the role of a shared concept of self-management support within the healthcare team, and the need to tailor the support provided to the requirements of people with PNCs. Key stakeholders will be involved throughout the process. The initial search strategy uses terms relating to (1) self-management, (2) health professionals and (3) PNCs. Searching, data extraction and synthesis will occur in parallel. Studies will be prioritised for inclusion based on anticipated contribution to generating explanatory theories. Key informant interviews are planned to direct supplementary searches and help further refine the theories developed. Results will be expressed in the form of context–mechanism–outcome configurations. ETHICS AND DISSEMINATION: Publication guidelines on realist synthesis will be followed. The results will be published in a peer-reviewed journal and made available to organisations involved in the provision of health professional training. |
format | Online Article Text |
id | pubmed-5372053 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-53720532017-04-12 Interventions to improve the self-management support health professionals provide for people with progressive neurological conditions: protocol for a realist synthesis Davies, Freya Wood, Fiona Bullock, Alison Wallace, Carolyn Edwards, Adrian BMJ Open Research Methods INTRODUCTION: Supporting self-management among people with long-term conditions is recognised as an important component of healthcare. Progressive neurological conditions (PNCs), for example, Parkinson's disease and multiple sclerosis are associated with problems such as fatigue and cognitive impairment which may make self-management more challenging. Health professionals may need to develop specific skills in order to provide effective self-management support for these patients. The review aims to develop explanatory theories about how health professional-targeted interventions to improve self-management support provision for people with PNCs operate in different circumstances. METHODS AND ANALYSIS: A realist synthesis of the evidence is proposed. There are 2 priority questions for the review to address. These relate to the role of a shared concept of self-management support within the healthcare team, and the need to tailor the support provided to the requirements of people with PNCs. Key stakeholders will be involved throughout the process. The initial search strategy uses terms relating to (1) self-management, (2) health professionals and (3) PNCs. Searching, data extraction and synthesis will occur in parallel. Studies will be prioritised for inclusion based on anticipated contribution to generating explanatory theories. Key informant interviews are planned to direct supplementary searches and help further refine the theories developed. Results will be expressed in the form of context–mechanism–outcome configurations. ETHICS AND DISSEMINATION: Publication guidelines on realist synthesis will be followed. The results will be published in a peer-reviewed journal and made available to organisations involved in the provision of health professional training. BMJ Publishing Group 2017-03-20 /pmc/articles/PMC5372053/ /pubmed/28320798 http://dx.doi.org/10.1136/bmjopen-2016-014575 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Research Methods Davies, Freya Wood, Fiona Bullock, Alison Wallace, Carolyn Edwards, Adrian Interventions to improve the self-management support health professionals provide for people with progressive neurological conditions: protocol for a realist synthesis |
title | Interventions to improve the self-management support health professionals provide for people with progressive neurological conditions: protocol for a realist synthesis |
title_full | Interventions to improve the self-management support health professionals provide for people with progressive neurological conditions: protocol for a realist synthesis |
title_fullStr | Interventions to improve the self-management support health professionals provide for people with progressive neurological conditions: protocol for a realist synthesis |
title_full_unstemmed | Interventions to improve the self-management support health professionals provide for people with progressive neurological conditions: protocol for a realist synthesis |
title_short | Interventions to improve the self-management support health professionals provide for people with progressive neurological conditions: protocol for a realist synthesis |
title_sort | interventions to improve the self-management support health professionals provide for people with progressive neurological conditions: protocol for a realist synthesis |
topic | Research Methods |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372053/ https://www.ncbi.nlm.nih.gov/pubmed/28320798 http://dx.doi.org/10.1136/bmjopen-2016-014575 |
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