Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status

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Aim: To assess the quality of evidence and determine the effect of patient-related and economic outcomes of self-management support interventions in chronically ill patients with a low socio-economic status. Background: Integrated evidence on self-management support interventions in chronically ill people with low socio-economic status is lacking. Design: Systematic literature review. Data sources: Cochrane database of trials, PubMed, CINAHL, Web of Science, PsycINFO and Joanna Briggs Institute Library were searched (2000-2013). Randomized controlled trials addressing self-management support interventions for patients with cardiovascular disease, stroke, cancer, diabetes and/or chronic respiratory disease were included. Review methods: Data extraction and quality assessment were performed by independent researchers using a data extraction form. Results: Studies (n = 27) focused mainly on diabetes. Fourteen studies cited an underlying theoretical basis. Most frequently used self-management support components were lifestyle advice, information provision and symptom management. Problem-solving and goal-setting strategies were frequently integrated. Eleven studies adapted interventions to the needs of patients with a low socio-economic status. No differences were found for interventions developed based on health behaviour theoretical models. Conclusion: Limited evidence was found for self-management support interventions in chronically ill patients with low socio-economic status. Essential characteristics and component(s) of effective self-management support interventions for these patients could not be detected. Rigorous reporting on development and underlying theories in the intervention is recommended.


  • Ann Van Hecke
  • Maud Heinen
  • Paz Fernández-Ortega
  • Marit Graue
  • Jeroen M L Hendriks
  • Bente Høy
  • Sascha Köpke
  • Maria Lithner
  • Betsie G I Van Gaal
Externa organisationer
  • Ghent University
  • Radboud University Medical Center
  • Catalan Institute of Oncology
  • Bergen University College
  • Royal Adelaide Hospital
  • VIA University College
  • University of Lübeck
  • Skåne University Hospital

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Omvårdnad


Sidor (från-till)775-793
TidskriftJournal of Advanced Nursing
Utgåva nummer4
Tidigt onlinedatum2016 okt 20
StatusPublished - 2017
Peer review utfördJa
Externt publiceradJa