Evidence map›Paper›PMID 25642490›Full record

SynthesisCanadian family physician Medecin de famille canadien2014

Challenges of self-management when living with multiple chronic conditions: systematic review of the qualitative literature.

Clare Liddy, Valerie Blazkho, Karina Mill

Registry-linked trialOpen access · greenAbstract readSystematic Review
PubMed Full text at PMC
In one paragraph

Synthesis in Canadian family physician Medecin de famille canadien, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05543720 (Nurse-led Integrated Care of Complex Patients Facilitated By Telemonitoring), which is not on this map. Cited by 137 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
137citing papers in PubMed, 8 pooled it
5.1field-weighted citation impact, top 4% of its field
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.

NCT05543720 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

Nurse-led Integrated Care of Complex Patients Facilitated By Telemonitoring: The Safe, Managed, and Responsive Transitions (SMaRT) Study

TypeinterventionalSponsorUniversity Health Network, TorontoRan2022 to 2026Enrolled350ConditionsHeart Failure，Congestive, Mental Health (Depression), Diabetes Mellitus, Chronic Obstructive Pulmonary DiseaseArmsMedly
3 · Its place in the literature

Who cites it

137 citing papers in PubMed, 8 syntheses or guidelines pooled it, 163 citations in OpenAlex.

  1. Pooled it
  2. Everyday Lives of Middle-Aged Persons with Multimorbidity: A Mixed Methods Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
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  7. Guideline
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  9. Transition readiness of youth with co-occurring chronic health and mental health conditions: A mixed methods study.Health expectations : an international journal of public participation in health care and health policy · 2023
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  16. A randomized clinical trial of a culturally responsive intervention for African American women with asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2017
    Trial
  17. Impact of Goal Setting and Goal Attainment Methods on Asthma Outcomes.Health education & behavior : the official publication of the Society for Public Health Education · 2017
    Trial
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  19. Article
  20. Article

77 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

3 authors at 3 institutions in 3 countries.

Clare Liddy
Valerie Blazkho
Karina Mill
American University of the Caribbean School of Medicine · SXBruyère · CAPrimary Health Care · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the perspectives of patients who live with multiple chronic conditions as they relate to the challenges of self-management. DATA SOURCES: On September 30, 2013, we searched MEDLINE, EMBASE, and CINAHL using relevant key words including chronic disease, comorbidity, multimorbidity, multiple chronic conditions, self-care, self-management, perspective, and perception. STUDY SELECTION: Three reviewers assessed and extracted the data from the included studies after study quality was rated. Qualitative thematic synthesis method was then used to identify common themes. Twenty-three articles met the inclusion criteria, with most coming from the United States. SYNTHESIS: Important themes raised by people living with multiple chronic conditions related to their ability to self-manage included living with undesirable physical and emotional symptoms, with pain and depression highlighted. Issues with conflicting knowledge, access to care, and communication with health care providers were raised. The use of cognitive strategies, including reframing, prioritizing, and changing beliefs, was reported to improve people's ability to self-manage their multiple chronic conditions.

conclusionThis study provides a unique view into patients' perspectives of living with multiple chronic conditions, which are clearly linked to common functional challenges as opposed to specific diseases. Future policy and programming in self-management support should be better aligned with patients' perspectives on living with multiple chronic conditions. This might be achieved by ensuring a more patient-centred approach is adopted by providers and health service organizations.

Indexed as

Chronic DiseaseCommunicationComorbidityHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansQualitative ResearchQuality of LifeSelf Care

Identifiers

PMID25642490
PMCPMC4264810
OpenAlexW2264432662

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.