Evidence map›Paper›PMID 24887107›Full record

ArticlePloS one2014

The contribution of social networks to the health and self-management of patients with long-term conditions: a longitudinal study.

David Reeves, Christian Blickem, Ivaylo Vassilev, Helen Brooks, Anne Kennedy, Gerry Richardson, Anne Rogers

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  15. Social Networks and Loneliness in the Blackfeet American Indian Community.International journal of behavioral medicine · 2026
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52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

David ReevesNational Institute for Health Research Collaboration for Leadership in Applied Health Research (NIHR CLAHRC) Greater Manchester, Centre for Primary Care, Institute of Population Health, University of Manchester, Manchester, United Kingdom.
Christian BlickemNational Institute for Health Research Collaboration for Leadership in Applied Health Research (NIHR CLAHRC) Greater Manchester, Centre for Primary Care, Institute of Population Health, University of Manchester, Manchester, United Kingdom.
Ivaylo VassilevNational Institute for Health Research Collaboration for Leadership in Applied Health Research (NIHR CLAHRC) Wessex, Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom.
Helen BrooksSchool of Nursing, Midwifery and Social Work, University of Manchester, Manchester, United Kingdom.
Anne KennedyNational Institute for Health Research Collaboration for Leadership in Applied Health Research (NIHR CLAHRC) Wessex, Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom.
Gerry RichardsonCentre for Health Economics and NIHR Research Design Service for Yorkshire and the Humber, University of York, York, United Kingdom.
Anne RogersNational Institute for Health Research Collaboration for Leadership in Applied Health Research (NIHR CLAHRC) Wessex, Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledEvidence for the effectiveness of patient education programmes in changing individual self-management behaviour is equivocal. More distal elements of personal social relationships and the availability of social capital at the community level may be key to the mobilisation of resources needed for long-term condition self-management to be effective.

aimTo determine how the social networks of people with long-term conditions (diabetes and heart disease) are associated with health-related outcomes and changes in outcomes over time.

methodsPatients with chronic heart disease (CHD) or diabetes (n = 300) randomly selected from the disease registers of 19 GP practices in the North West of England. Data on personal social networks collected using a postal questionnaire, alongside face-to-face interviewing. Follow-up at 12 months via postal questionnaire using a self-report grid for network members identified at baseline. ANALYSIS: Multiple regression analysis of relationships between health status, self-management and health-economics outcomes, and characteristics of patients' social networks.

resultsFindings indicated that: (1) social involvement with a wider variety of people and groups supports personal self-management and physical and mental well-being; (2) support work undertaken by personal networks expands in accordance with health needs helping people to cope with their condition; (3) network support substitutes for formal care and can produce substantial saving in traditional health service utilisation costs. Health service costs were significantly (p<0.01) reduced for patients receiving greater levels of illness work through their networks.

conclusionsSupport for self-management which achieves desirable policy outcomes should be construed less as an individualised set of actions and behaviour and more as a social network phenomenon. This study shows the need for a greater focus on harnessing and sustaining the capacity of networks and the importance of social involvement with community groups and resources for producing a more desirable and cost-effective way of supporting long term illness management.

Indexed as

Health StatusSocial SupportAdultAgedAged, 80 and overChronic DiseaseEnglandFemaleHumansLongitudinal StudiesMaleMiddle AgedSelf CareYoung Adult

Identifiers

PMID24887107
PMCPMC4041782

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.