Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2016
Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 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
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Interventions for improving medication-taking ability and adherence in older adults prescribed multiple medications.The Cochrane database of systematic reviews · 2020Pooled it
- Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice.PloS one · 2019Pooled it
- Does patient self-management education of primary care professionals improve patient outcomes: a systematic review.BMC family practice · 2018Pooled it
- Assessing the Implementation and Effectiveness of the Electronic Patient-Reported Outcome Tool for Older Adults With Complex Care Needs: Mixed Methods Study.Journal of medical Internet research · 2021Trial
- Patient Activation, Depressive Symptoms, and Self-Rated Health: Care Management Intervention Effects among High-Need, Medically Complex Adults.International journal of environmental research and public health · 2021Trial
- Exploring Barriers and Facilitators to Self-Management for Patients With Persistent Musculoskeletal Conditions Following NHS-Led Hydrotherapy: A Service Evaluation.Musculoskeletal care · 2025Article
- Supported self-management for all with musculoskeletal pain: an inclusive approach to intervention development: the EASIER study.BMC musculoskeletal disorders · 2023Article
- Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions.Respiratory research · 2022Review
- Patient activation is a treatable trait in patients with chronic airway diseases: An observational study.Frontiers in psychology · 2022Article
- Feasibility and Acceptability of a Digital Patient-Reported Outcome Tool in Routine Outpatient Diabetes Care: Mixed Methods Formative Pilot Study.JMIR formative research · 2021Article
- Generic Self-Reported Questionnaires Measuring Self-Management: A Scoping Review.Clinical nursing research · 2021Article
- Article
- Person-centered diabetes care and patient activation in people with type 2 diabetes.BMJ open diabetes research & care · 2020Observational
- eHealth for people with COPD in the Netherlands: a scoping review.International journal of chronic obstructive pulmonary disease · 2019Article
- Support for Self-Management and Prenatal Health Behavior Change: Implications for Pediatric Promotion of Interconception Care.Global pediatric health · 2018Article
- Social network composition of vascular patients and its associations with health behavior and clinical risk factors.PloS one · 2017Article
- Diabetes self-management education after pre-selection of patients: design of a randomised controlled trial.Diabetology & metabolic syndrome · 2016Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-management support is an important component of the clinical management of many chronic conditions. The validated Self-Management Screening questionnaire (SeMaS) assesses individual characteristics that influence a patient's ability to self-manage.
aimTo assess the effect of providing personalised self-management support in clinical practice on patients' activation and health-related behaviours. DESIGN AND
settingA cluster randomised controlled trial was conducted in 15 primary care group practices in the south of the Netherlands.
methodAfter attending a dedicated self-management support training session, practice nurses in the intervention arm discussed the results of SeMaS with the patient at baseline, and tailored the self-management support. Participants completed a 13-item Patient Activation Measure (PAM-13) and validated lifestyle questionnaires at baseline and after 6 months. Data, including individual care plans, referrals to self-management interventions, self-monitoring, and healthcare use, were extracted from patients' medical records. Multilevel multiple regression was used to assess the effect on outcomes.
resultsThe PAM-13 score did not differ significantly between the control (n = 348) and intervention (n = 296) arms at 6 months. In the intervention arm, 29.4% of the patients performed self-monitoring, versus 15.2% in the control arm (effect size r = 0.9, P = 0.01). In the per protocol analysis (control n = 348; intervention n = 136), the effect of the intervention was significant on the number of individual care plans (effect size r = 1.3, P = 0.04) and on self-monitoring (effect size r = 1.0, P = 0.01).
conclusionThis study showed that discussing SeMaS and offering tailored support did not affect patient activation or lifestyle, but did stimulate patients to self-monitor and use individual care plans.
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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.