SynthesisJournal of advanced nursing2016
A metasynthesis of factors affecting self-management of chronic illness.
Synthesis in Journal of advanced nursing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 131 papers, 8 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
131 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Key determinants of self-management in patients with non-dialysis-dependent chronic kidney disease: a systematic review.Public health reviews · 2026Pooled it
- Pediatric to Adult Transition in Inflammatory Bowel Disease: Consensus Guidelines for Australia and New Zealand.Inflammatory bowel diseases · 2025Guideline
- Systematic Review and Meta-Analysis of Telecoaching for Self-Care Management among Persons with Type 2 Diabetes Mellitus.International journal of environmental research and public health · 2022Pooled it
- Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic review.BMJ open · 2022Pooled it
- [Integrated care management for older people with chronic diseases in domesticity: evidence from Cochrane reviews].Zeitschrift fur Gerontologie und Geriatrie · 2021Pooled it
- Computer-Controlled Virtual Humans in Patient-Facing Systems: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2020Pooled it
- What impact do chronic disease self-management support interventions have on health inequity gaps related to socioeconomic status: a systematic review.BMC health services research · 2020Pooled it
- Qualitative systematic review of barriers and facilitators to self-management of chronic obstructive pulmonary disease: views of patients and healthcare professionals.NPJ primary care respiratory medicine · 2018Pooled it
- The feasibility of sharing digital audio-recordings of clinic visits online with older adults in primary care settings: A multisite trial.Patient education and counseling · 2025Trial
- A feasibility randomised controlled trial of a Fibromyalgia Self-management Programme for adults in a community setting with a nested qualitative study (FALCON).BMC musculoskeletal disorders · 2022Trial
- Analysis of the Application Effect of Multidisciplinary Team Cooperation Model in Chronic Heart Failure under WeChat Platform.Computational intelligence and neuroscience · 2022Trial
- Health Behavior Change Processes Among Adults With Serious Mental Illness Engaged in Illness Self-Management.Qualitative health research · 2021Trial
- Predictors of Older Adult Adherence With Emergency Department Discharge Instructions.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Trial
- Telephone-based cognitive behavioral therapy for depression in Parkinson disease: A randomized controlled trial.Neurology · 2020Trial
- Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study.Annals of family medicine · 2018Trial
- Trial
- Self-Management of Chronic Illness Among Chinese Immigrants: An Integrative Review.Journal of advanced nursing · 2026Review
- The Role of Nurse-Patient Mutuality on Self-Care Behaviors in Adults Living with Inflammatory Bowel Disease: A Multicenter Cross-Sectional Study.Digestive diseases and sciences · 2026Article
- Comparing TCIM use and patient satisfaction in germany: impact of health self-management across migration backgrounds.Journal of health, population, and nutrition · 2026Article
- A Minority Within a Minority: Lived Meanings of Cancer Among Arab Young Adults in East Jerusalem.Psycho-oncology · 2026Article
71 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
aimTo identify factors that may serve as facilitators and barriers to self-management described by adults living with chronic illness by conducting a qualitative metasynthesis.
backgroundSelf-management is an individuals' active management of a chronic illness in collaboration with their family members and clinicians.
designQualitative metasynthesis. DATA SOURCES: We analysed studies (N = 53) published between January 2000-May 2013 that described factors affecting self-management in chronic illness as reported by adults aged over 18 years with chronic illness. REVIEW
methodsSandelowsi and Barroso approach to qualitative metasynthesis: literature search; quality appraisal; analysis and synthesis of findings.
resultsCollectively, article authors reported on sixteen chronic illnesses, most commonly diabetes (N = 28) and cardiovascular disease (N = 20). Participants included men and women (mean age = 57, range 18-94) from 20 countries representing diverse races and ethnicities. We identified five categories of factors affecting self-management: Personal/Lifestyle Characteristics; Health Status; Resources; Environmental Characteristics; and Health Care System. Factors may interact to affect self-management and may exist on a continuum of positive (facilitator) to negative (barrier).
conclusionUnderstanding factors that influence self-management may improve assessment of self-management among adults with chronic illness and may inform interventions tailored to meet individuals' needs and improve health outcomes.
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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.