ReviewSAGE open medicine2014
Lay and health care professional understandings of self-management: A systematic review and narrative synthesis.
Review in SAGE open medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The impact of mobile health applications on the outcomes of patients with chronic kidney disease: a systematic review and meta-analysis.Journal of medicine and life · 2023Pooled it
- Social network participation towards enactment of self-care in people with chronic obstructive pulmonary disease: A qualitative meta-ethnography.Health expectations : an international journal of public participation in health care and health policy · 2021Pooled it
- An extended stroke rehabilitation service for people who have had a stroke: the EXTRAS RCT.Health technology assessment (Winchester, England) · 2020Trial
- Developing a Tailored eHealth Self-Management Intervention for Patients With Chronic Kidney Disease in China: Intervention Mapping Approach.JMIR formative research · 2024Article
- Article
- Needs and Constraints for Cardiac Rehabilitation Among Patients with Coronary Heart Disease Within a Community-Based Setting: A Study Based on Focus Group Interviews.Patient preference and adherence · 2024Article
- An optimal model of long-term post-stroke care.Frontiers in neurology · 2023Article
- Patients' experiences of, and engagement with, remote home monitoring services for COVID-19 patients: A rapid mixed-methods study.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Generational perspective on asthma self-management in the Bangladeshi and Pakistani community in the United Kingdom: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Health care providers' understanding of self-management support for people with chronic low back pain in Ethiopia: an interpretive description.BMC health services research · 2022Article
- Implementation of Self-Management Interventions in Cancer Survivors: Why Are We Not There Yet?Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Article
- The Seamless Communication on a Rural Island in Japan: A Qualitative Study from the Perspective of Healthcare Professionals.International journal of environmental research and public health · 2021Article
- Article
- The content and conduct of GP consultations for dermatology problems: a cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Training in health coaching skills for health professionals who work with people with progressive neurological conditions: A realist evaluation.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Health care professionals' views towards self-management and self-management education for people with type 2 diabetes.BMJ open · 2019Article
- Patient work from a context and time use perspective: a mixed-methods study protocol.BMJ open · 2018Observational
- Meeting patients where they are: improving outcomes in early chronic kidney disease with tailored self-management support (the CKD-SMS study).BMC nephrology · 2018Article
- mHealth Tools for the Self-Management of Patients With Multimorbidity in Primary Care Settings: Pilot Study to Explore User Experience.JMIR mHealth and uHealth · 2018Article
- Evaluating the prevalence and opportunity for technology use in chronic kidney disease patients: a cross-sectional study.BMC nephrology · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectivesSelf-management is widely promoted but evidence of effectiveness is limited. Policy encourages health care professionals to support people with long-term conditions to learn self-management skills, yet little is known about the extent to which both parties share a common understanding of self-management. Thus, we compared health care professional and lay understandings of self-management of long-term conditions.
methodsSystematic review and narrative synthesis of qualitative studies identified from relevant electronic databases, hand-searching of references lists, citation tracking and recommendations by experts.
resultsIn total, 55 studies were included and quality was assessed using a brief quality assessment tool. Three conceptual themes, each with two subthemes were generated: traditional and shifting models of the professional-patient relationship (self-management as a tool to promote compliance; different expectations of responsibility); quality of relationship between health care professional and lay person (self-management as a collaborative partnership; self-management as tailored support) and putting self-management into everyday practice (the lived experience of self-management; self-management as a social practice).
conclusionSelf-management was conceptualised by health care professionals as incorporating both a biomedical model of compliance and individual responsibility. Lay people understood self-management in wider terms, reflecting biomedical, psychological and social domains and different expectations of responsibility. In different ways, both deviated from the dominant model of self-management underpinned by the concept of self-efficacy. Different understandings help to explain how self-management is practised and may help to account for limited evidence of effectiveness of self-management interventions.
Indexed as
Identifiers
What OpenQuestion holds
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.