Evidence map›Paper›PMID 28029572›Full record

ReviewPatient education and counseling2017

Using digital interventions for self-management of chronic physical health conditions: A meta-ethnography review of published studies.

Katherine Morton, Laura Dennison, Carl May, Elizabeth Murray, Paul Little, Richard J McManus, Lucy Yardley

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05058547 (An Evidence-based Digital Support for One Year to Facilitate a Sustainable Return to Work for Persons With Chronic Musculoskeletal Pain and Their Employers), which is not on this map. Cited by 107 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 11 pooled it
29.4field-weighted citation impact, top 1% 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.

NCT05058547 naunknown statusnot on this mapstarted 2022, after this paper: background citation

An Evidence-based Digital Support for One Year to Facilitate a Sustainable Return to Work for Persons With Chronic Musculoskeletal Pain and Their Employers: Study Protocol for a Registry-based Multicentre Randomized Controlled Trial.

TypeinterventionalSponsorLinkoeping UniversityRan2022 to 2024Enrolled360ConditionsChronic PainArmsSWEPPE
3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 11 syntheses or guidelines pooled it, 217 citations in OpenAlex.

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  6. Digital Patient Experience: Umbrella Systematic Review.Journal of medical Internet research · 2022
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47 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 at 3 institutions in 1 country.

Katherine MortonAcademic unit of Psychology, University of Southampton, Southampton, UK. Electronic address: ksm1r13@soton.ac.uk.
Laura DennisonAcademic unit of Psychology, University of Southampton, Southampton, UK. Electronic address: l.k.dennison@soton.ac.uk.
Carl MayFaculty of Health Sciences, University of Southampton, Southampton, UK. Electronic address: c.r.may@soton.ac.uk.
Elizabeth MurrayResearch Department of Primary Care and Population Health, University College London, London, UK. Electronic address: Elizabeth.murray@ucl.ac.uk.
Paul LittlePrimary Care Research, University of Southampton, Southampton, UK. Electronic address: P.Little@soton.ac.uk.
Richard J McManusNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. Electronic address: richard.mcmanus@phc.ox.ac.uk.
Lucy YardleyAcademic unit of Psychology, University of Southampton, Southampton, UK. Electronic address: L.Yardley@soton.ac.uk.
University of Southampton · GBDepartment of Health and Social Care · GBUniversity of Oxford · GB

Funding

Department of Health NIHR-RP-02-12-015Department of Health RP-PG-1211-20001
6 · The paper itself

Abstract

objectivesTo understand the experiences of patients and healthcare professionals (HCPs) using self-management digital interventions (DIs) for chronic physical health conditions.

methodsA systematic search was conducted in 6 electronic databases. Qualitative studies describing users' experiences of self-management DIs were included, and authors' interpretations were synthesised using meta-ethnography.

results30 papers met the inclusion criteria, covering a range of DIs and chronic conditions, including hypertension, asthma and heart disease. The review found that patients monitoring their health felt reassured by the insight this provided, and perceived they had more meaningful consultations with the HCP. These benefits were elicited by simple tele-monitoring systems as well as multifaceted DIs. Patients appeared to feel more reliant on HCPs if they received regular feedback from the HCP. HCPs focused mainly on their improved clinical control, and some also appreciated patients' increased understanding of their condition.

conclusionsPatients using self-management DIs tend to feel well cared for and perceive that they adopt a more active role in consultations, whilst HCPs focus on the clinical benefits provided by DIs. PRACTICE IMPLICATIONS: DIs can simultaneously support patient condition management, and HCPs' control of patient health. Tele-monitoring physiological data can promote complex behaviour change amongst patients.

Indexed as

Self CareSelf-ManagementTelemedicineChronic DiseaseHumansInternetMobile ApplicationsSmartphoneDigitalInterventionsQualitativeSelf-management

Identifiers

PMID28029572
PMCPMC5380218
OpenAlexW2536985506

What OpenQuestion holds

Textmetadata
LicenceTDM
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.