Self-management assessment in multiple chronic conditions: A narrative review of literature

Ko, Dami; Bratzke, Lisa C.; Roberts, Tonya

doi:10.1016/j.ijnurstu.2018.04.009

Cited by 40 publications

(35 citation statements)

References 28 publications

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“…Patients with multimorbidity may be especially vulnerable in the management of their chronic illnesses. Our results, in line with previous research,25 32 showed that self-management is a dynamic process that changes rapidly during the first weeks post-discharge. The patients experienced shifting needs and struggled with self-management in a system that was designed for a single-disease population, not one of increasing age and with an increasing number of diseases.…”

Section: Discussionsupporting

confidence: 93%

Self-management challenges following hospital discharge for patients with multimorbidity: a longitudinal qualitative study of a motivational interviewing intervention

2021

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ObjectivesThe aim of this study was to describe challenges in self-management activities among people with multimorbidity during a 4-week post-discharge period.DesignThis is a longitudinal qualitative study using data from a randomised controlled trial (RCT) of motivational interviewing (MI) sessions.SettingThe RCT was conducted at six wards in two hospitals—one university hospital and one general hospital in Stockholm, Sweden, during 2016–2018.ParticipantsSixteen participants from the intervention group, diagnosed with heart failure or chronic obstructive pulmonary disease and at least one other chronic condition, were purposively selected for this study.InterventionsEach participant had four or five post-discharge MI sessions with a trained social worker during a period of approximately 4 weeks. The sessions were recorded digitally and analysed using content analysis. Altogether, 70 recorded sessions were analysed.ResultsSelf-management after hospital discharge was a dynamic process with several shifting features that evolved gradually over time. Patients with multimorbidity experienced two major challenges with self-management in the first 4 weeks following hospital discharge: ‘Managing a system-centred care’ and ‘Handling the burden of living with multiple illnesses at home post-discharge’.ConclusionsSelf-management for patients with multimorbidity in the first post-discharge period does not equate to a fixed set of tasks, but varies over the post-discharge period. Self-management challenges include not only the burden of the disease itself, but also that of navigating and understanding the healthcare system. Hence, self-management support post-discharge involves both aiding patients with care coordination and meeting their gradually shifting disease-related needs.Trial registration numberNCT02823795.

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Section: Discussionsupporting

confidence: 93%

Self-management challenges following hospital discharge for patients with multimorbidity: a longitudinal qualitative study of a motivational interviewing intervention

2021

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“…Self‐management thus plays a crucial role in hypertension management (Gebrezgi et al, 2017). Self‐management is defined as the presence of prerequisites including the attitudes, perceived ability and knowledge required to successfully self‐manage, and the actual behaviours involved in self‐management (Ko et al, 2018). Five self‐management interventions have been proposed, namely cognitive‐behavioural (Newman et al, 2009), self‐efficacy, self‐regulation, education, and self‐care interventions (Dinh et al, 2019; Maes & Karoly, 2005; Novak et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Effects of self‐management programs on blood pressure, self‐efficacy, medication adherence and body mass index in older adults with hypertension: Meta‐analysis of randomized controlled trials

Trường

Apriliyasari

Lin

et al. 2021

Int J of Nursing Practice

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Aim To assess the effects of self‐management interventions on systolic blood pressure, diastolic blood pressure, self‐efficacy, medication adherence and body mass index in older adults with hypertension. Background Effective treatment of hypertension may require the practice of self‐management behaviours. However, evidence on effects of self‐management interventions on blood pressure, self‐efficacy, medication adherence and body mass index in older adults with hypertension is lacking. Design A systematic review and meta‐analysis. Data sources CINAHL, Cochrane Library, Embase, Ovid‐Medline, PubMed, Scopus, Web of Science and other sources were searched to October 2020. Review methods Data were analysed using Comprehensive Meta‐Analysis 2.0 and quality assessment was done using ROB 2.0. The pooled effect sizes were reported as Hedges' g values with corresponding 95% confidence intervals using a random‐effects model. Results Twelve randomized controlled trials met our inclusion criteria. The results revealed that self‐management interventions significantly decreased blood pressure and increased self‐efficacy and medication adherence in older adult patients with hypertension, with no significant effect on body mass index. Conclusions Self‐management interventions have considerable beneficial effects in older adults with hypertension. Health care providers should implement self‐management interventions to strengthen the patient's role in managing their health.

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“…Efforts must go beyond the individual's chronic illness and limitations to include holistic health that focuses on personal goals, evidence-based treatment and care tailored to the person, and a willingness to adjust a plan as needed [2]. Self-care combined with health promotion efforts conducted together with health care providers (and peers) is necessary to optimize health outcomes [14]. Self-care involves both the ability to care for oneself and the performance of activities necessary to achieve, maintain, or promote optimal health [15].…”

Section: Health Promotion In Chronic Illnessmentioning

confidence: 99%

Health Promotion Among Individuals Facing Chronic Illness: The Unique Contribution of the Bodyknowledging Program

Heggdal

2021

Health Promotion in Health Care – Vital Theories and Research

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This chapter offers an oversight of the concept of chronic illness and the meaning of health promotion in this context. Bodyknowledging is a theory describing patients’ process of health promotion in chronic illness that has been used as a theoretical frame for a new health intervention; the Bodyknowledging Program (BKP). This program is outlined as the aim of BKP is to activate and strengthen patients’ resources for health in chronic illness. Outcomes for patients and implications for practice are discussed.

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Self-management assessment in multiple chronic conditions: A narrative review of literature

Cited by 40 publications

References 28 publications

Self-management challenges following hospital discharge for patients with multimorbidity: a longitudinal qualitative study of a motivational interviewing intervention

Self-management challenges following hospital discharge for patients with multimorbidity: a longitudinal qualitative study of a motivational interviewing intervention

Effects of self‐management programs on blood pressure, self‐efficacy, medication adherence and body mass index in older adults with hypertension: Meta‐analysis of randomized controlled trials

Health Promotion Among Individuals Facing Chronic Illness: The Unique Contribution of the Bodyknowledging Program

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