Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review

Marjolijn I Bal; Jane N T Sattoe; Pepijn D D M Roelofs; Roland Bal; AnneLoes van Staa; Harald S Miedema

doi:10.1016/j.pec.2016.02.012

Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review

Marjolijn I Bal, Jane N T Sattoe, Pepijn D D M Roelofs, Roland Bal, AnneLoes van Staa, Harald S Miedema

Research output: Contribution to journal › Review article › peer-review

Abstract

OBJECTIVE: To systematically explore the effectiveness and effective components of self-management interventions.

METHODS: Study selection criteria were: Original articles in English published between 2003 and 2015; focusing on youth with chronic conditions; describing self-management interventions; with clear outcome measures; using RCT design. The random effects analysis was applied in which standardized mean differences per study were calculated.

RESULTS: 42 RCTs were included. Interventions focused on medical management, provided individually in clinical settings or at home by mono-disciplinary teams showed a trend in improving adherence. Interventions delivered individually at home by mono-disciplinary teams showed a trend in improving dealing with a chronic condition.

CONCLUSIONS AND PRACTICAL IMPLICATIONS: Adherence could be improved through interventions focused on medical management, provided individually in a clinical or home setting by a mono-disciplinary team. Interventions focused on dealing with a chronic condition might be provided individually, through telemedicine programs facilitating peer-support. These intervention elements seemed effective irrespective of diagnosis, and may therefore act as good starting points for further research into and for improvement of self-management support for youth with chronic conditions in pediatric care. Results underlined the need to systematically develop and evaluate self-management interventions, since this may provide more evidence for effectiveness and effective intervention components.

Original language	English
Pages (from-to)	1293-309
Number of pages	17
Journal	Patient Education and Counseling
Volume	99
Issue number	8
DOIs	https://doi.org/10.1016/j.pec.2016.02.012
Publication status	Published - Aug 2016
Externally published	Yes

Keywords

Chronic Disease/rehabilitation
Communication
Delivery of Health Care
Disabled Persons
Humans
Outcome Assessment, Health Care
Patient Education as Topic/methods
Program Evaluation
Quality of Life
Self Care/methods
Self Efficacy

Access to Document

10.1016/j.pec.2016.02.012

Cite this

@article{1adf90d8dd964c66afa58b144f353246,

title = "Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review",

abstract = "OBJECTIVE: To systematically explore the effectiveness and effective components of self-management interventions.METHODS: Study selection criteria were: Original articles in English published between 2003 and 2015; focusing on youth with chronic conditions; describing self-management interventions; with clear outcome measures; using RCT design. The random effects analysis was applied in which standardized mean differences per study were calculated.RESULTS: 42 RCTs were included. Interventions focused on medical management, provided individually in clinical settings or at home by mono-disciplinary teams showed a trend in improving adherence. Interventions delivered individually at home by mono-disciplinary teams showed a trend in improving dealing with a chronic condition.CONCLUSIONS AND PRACTICAL IMPLICATIONS: Adherence could be improved through interventions focused on medical management, provided individually in a clinical or home setting by a mono-disciplinary team. Interventions focused on dealing with a chronic condition might be provided individually, through telemedicine programs facilitating peer-support. These intervention elements seemed effective irrespective of diagnosis, and may therefore act as good starting points for further research into and for improvement of self-management support for youth with chronic conditions in pediatric care. Results underlined the need to systematically develop and evaluate self-management interventions, since this may provide more evidence for effectiveness and effective intervention components.",

keywords = "Chronic Disease/rehabilitation, Communication, Delivery of Health Care, Disabled Persons, Humans, Outcome Assessment, Health Care, Patient Education as Topic/methods, Program Evaluation, Quality of Life, Self Care/methods, Self Efficacy",

author = "Bal, {Marjolijn I} and Sattoe, {Jane N T} and Roelofs, {Pepijn D D M} and Roland Bal and {van Staa}, AnneLoes and Miedema, {Harald S}",

year = "2016",

month = aug,

doi = "10.1016/j.pec.2016.02.012",

language = "English",

volume = "99",

pages = "1293--309",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier Ireland Ltd",

number = "8",

}

Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review. / Bal, Marjolijn I; Sattoe, Jane N T; Roelofs, Pepijn D D M et al.
In: Patient Education and Counseling, Vol. 99, No. 8, 08.2016, p. 1293-309.

Research output: Contribution to journal › Review article › peer-review

TY - JOUR

T1 - Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions

T2 - A systematic review

AU - Bal, Marjolijn I

AU - Sattoe, Jane N T

AU - Roelofs, Pepijn D D M

AU - Bal, Roland

AU - van Staa, AnneLoes

AU - Miedema, Harald S

PY - 2016/8

Y1 - 2016/8

N2 - OBJECTIVE: To systematically explore the effectiveness and effective components of self-management interventions.METHODS: Study selection criteria were: Original articles in English published between 2003 and 2015; focusing on youth with chronic conditions; describing self-management interventions; with clear outcome measures; using RCT design. The random effects analysis was applied in which standardized mean differences per study were calculated.RESULTS: 42 RCTs were included. Interventions focused on medical management, provided individually in clinical settings or at home by mono-disciplinary teams showed a trend in improving adherence. Interventions delivered individually at home by mono-disciplinary teams showed a trend in improving dealing with a chronic condition.CONCLUSIONS AND PRACTICAL IMPLICATIONS: Adherence could be improved through interventions focused on medical management, provided individually in a clinical or home setting by a mono-disciplinary team. Interventions focused on dealing with a chronic condition might be provided individually, through telemedicine programs facilitating peer-support. These intervention elements seemed effective irrespective of diagnosis, and may therefore act as good starting points for further research into and for improvement of self-management support for youth with chronic conditions in pediatric care. Results underlined the need to systematically develop and evaluate self-management interventions, since this may provide more evidence for effectiveness and effective intervention components.

AB - OBJECTIVE: To systematically explore the effectiveness and effective components of self-management interventions.METHODS: Study selection criteria were: Original articles in English published between 2003 and 2015; focusing on youth with chronic conditions; describing self-management interventions; with clear outcome measures; using RCT design. The random effects analysis was applied in which standardized mean differences per study were calculated.RESULTS: 42 RCTs were included. Interventions focused on medical management, provided individually in clinical settings or at home by mono-disciplinary teams showed a trend in improving adherence. Interventions delivered individually at home by mono-disciplinary teams showed a trend in improving dealing with a chronic condition.CONCLUSIONS AND PRACTICAL IMPLICATIONS: Adherence could be improved through interventions focused on medical management, provided individually in a clinical or home setting by a mono-disciplinary team. Interventions focused on dealing with a chronic condition might be provided individually, through telemedicine programs facilitating peer-support. These intervention elements seemed effective irrespective of diagnosis, and may therefore act as good starting points for further research into and for improvement of self-management support for youth with chronic conditions in pediatric care. Results underlined the need to systematically develop and evaluate self-management interventions, since this may provide more evidence for effectiveness and effective intervention components.

KW - Chronic Disease/rehabilitation

KW - Communication

KW - Delivery of Health Care

KW - Disabled Persons

KW - Humans

KW - Outcome Assessment, Health Care

KW - Patient Education as Topic/methods

KW - Program Evaluation

KW - Quality of Life

KW - Self Care/methods

KW - Self Efficacy

U2 - 10.1016/j.pec.2016.02.012

DO - 10.1016/j.pec.2016.02.012

M3 - Review article

C2 - 26954345

SN - 0738-3991

VL - 99

SP - 1293

EP - 1309

JO - Patient Education and Counseling

JF - Patient Education and Counseling

IS - 8

ER -

Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review

Abstract

Keywords

Access to Document

Fingerprint

Cite this