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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...

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Autores principales: Davies, Freya, Wood, Fiona, Bullock, Alison, Wallace, Carolyn, Edwards, Adrian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
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.
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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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