Evidence map›Paper›PMID 30268092›Full record

SynthesisBMC family practice2018

Does patient self-management education of primary care professionals improve patient outcomes: a systematic review.

Andree Rochfort, Sinead Beirne, Gillian Doran, Patricia Patton, Jochen Gensichen, Ilkka Kunnamo, Susan Smith, Tina Eriksson, Claire Collins

Abstract readSystematic Review
In one paragraph

Synthesis in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Review
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  11. "From Health Experts to Health Guides": Motivational Interviewing Learning Processes and Influencing Factors.Health education & behavior : the official publication of the Society for Public Health Education · 2024
    Article
  12. Article
  13. Use of podcasts for health education: a scoping review.Revista brasileira de enfermagem · 2024
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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

9 authors.

Andree RochfortIrish College of General Practitioners, 4-5 Lincoln Place, Dublin 2, Ireland.
Sinead BeirneIrish College of General Practitioners, 4-5 Lincoln Place, Dublin 2, Ireland.
Gillian DoranIrish College of General Practitioners, 4-5 Lincoln Place, Dublin 2, Ireland.
Patricia PattonIrish College of General Practitioners, 4-5 Lincoln Place, Dublin 2, Ireland.
Jochen GensichenInstitute of General Practice and Family Medicine, University Hospital, LMU, Munich, Germany.
Ilkka KunnamoUniversity of Helsinki, EBM Guidelines, Duodecim Medical Publications Ltd, Helsinki, Finland.
Susan SmithRoyal College of Surgeons in Ireland, Dublin, Ireland.
Tina ErikssonGP Copenhagen, Copenhagen, Denmark.
Claire CollinsIrish College of General Practitioners, 4-5 Lincoln Place, Dublin 2, Ireland. claire.collins@icgp.ie.ORCID 0000-0001-8967-5159

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient self-management support is recognised as a key component of chronic care. Education and training for health professionals has been shown in the literature to be associated with better uptake, implementation and effectiveness of self-management programs, however, there is no clear evidence regarding whether this training results in improved health outcomes for patients with chronic conditions.

methodsA systematic review was undertaken using the PRISMA guidelines using the Cochrane Library, PubMEd, ERIC, EMBASE, CINAHL, PsycINFO, Web searches, Hand searches and Bibliographies. Articles published from inception to September 1st, 2013 were included. Systematic reviews, Meta-analysis, Randomized controlled trials (RCTs), Controlled clinical trials, Interrupted time series and Controlled before and after studies, which reported on primary care health professionals' continuing education or evidence-based medicine/education on patient self-management for any chronic condition, were included. A minimum of two reviewers participated independently at each stage of review.

resultsFrom 7533 abstracts found, only two papers provided evidence on the effectiveness of self-management education for primary healthcare professionals in terms of measured outcomes in patients. These two articles show improvement in patient outcomes for chronic back pain and diabetes based on RCTs. The educational interventions with health professionals spanned a range of techniques and modalities but both RCTs included a motivational interviewing component.

conclusionsBefore and up to 2 years after the incorporation of patient empowerment for self-management into the WONCA Europe definition of general practice, there was a scarcity of high quality evidence showing improved outcomes for patients as a result of educating health professionals in patient self-management of chronic conditions.

Indexed as

Education, Medical, ContinuingSelf CareSelf-ManagementChronic DiseaseEvidence-Based MedicineHumansPatient Outcome AssessmentPhysicians, Primary CarePrimary Health CareChronic conditionsPatient empowermentPrimary careSelf-management

Identifiers

PMID30268092
PMCPMC6164169

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.