ReviewBMJ open2019
Characteristics of self-management among patients with complex health needs: a thematic analysis review.
Review in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis 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
48 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Comorbidities and depressive symptoms among older adults with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022Trial
- Promoting physical activity with self-management support for those with multimorbidity: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Trial
- Developing a Core Outcome Set for the Evaluation of Remote Patient Monitoring Interventions Using the Sextuple Aim: Modified Delphi Study.Journal of medical Internet research · 2026Article
- Are participants with disability referred for social prescribing? Findings from the English Longitudinal Study of Ageing.Journal of public health (Oxford, England) · 2026Article
- Association between team functioning and self-efficacy and quality of life for primary care patients in British Columbia, Nova Scotia, and Ontario.Primary health care research & development · 2026Article
- Health Storylines Mobile Application and Self-management among Chronically Ill Patients: A Quasi-experimental Research Design.Acta medica Philippina · 2026Article
- Article
- Unraveling the pathway from treatment burden to holistic health status in older adults with complex multimorbidity: the mediating roles of stress adaptation and depressive symptoms.Frontiers in public health · 2026Article
- Factors and Strategies Influencing Integrated Self-Management Support for People With Chronic Diseases and Common Mental Disorders: A Qualitative Study of Canadian Primary Care Nurses' Experience.Journal of advanced nursing · 2025Article
- Adaptation of the hemodialysis self-management scale into Turkish culture: a psychometric study.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025Article
- Living with chronic kidney disease: future perspectives and prognostic needs of patients - a qualitative study.BMC nephrology · 2025Article
- User Personas for eHealth Regarding the Self-Management of Depressive Symptoms in People Living With HIV: Mixed Methods Study.Journal of medical Internet research · 2025Article
- Examining the impact of psychosocial safety climate on working conditions, well-being and safety of healthcare providers: a scoping review.BMC health services research · 2025Article
- Employment type and policy compliance with strict measures during public health crises: evidence from self-employed workers in China.Frontiers in public health · 2025Article
- EMPOWER-PD: Evaluation of an 8-Week Co-Designed Self-Management Program in People With Parkinson's Disease and Their Caregivers: An Intervention Study With Long-Term Follow-Up.Parkinson's disease · 2025Article
- The impact of living with multiple long-term conditions (multimorbidity) on everyday life - a qualitative evidence synthesis.BMC public health · 2024Article
- Article
- Patient-managed interventions for adults with bronchiectasis: evidence, challenges and prospects.European respiratory review : an official journal of the European Respiratory Society · 2024Review
- Treatment burden in multimorbidity: an integrative review.BMC primary care · 2024Review
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
No grant is acknowledged in the PubMed record.
Abstract
objectiveThere is a gap of knowledge among healthcare providers on characteristics of self-management among patients with chronic diseases and complex healthcare needs. Consequently, the objective of this paper was to identify characteristics of self-management among patients with chronic diseases and complex healthcare needs.
designThematic analysis review of the literature.
methodsWe developed search strategies for the MEDLINE and CINAHL databases, covering the January 2000-October 2018 period. All articles in English or French addressing self-management among an adult clientele (18 years and older) with complex healthcare needs (multimorbidity, vulnerability, complexity and frequent use of health services) were included. Studies that addressed self-management of a single disease or that did not have any notion of complexity or vulnerability were excluded. A mixed thematic analysis, deductive and inductive, was performed by three evaluators as described by Miles
resultsTwenty-one articles were included. Patients with complex healthcare needs present specific features related to self-management that can be exacerbated by deprived socioeconomic conditions. These patients must often prioritise care based on one dominant condition. They are at risk for depression, psychological distress and low self-efficacy, as well as for receiving contradictory information from healthcare providers. However, the knowledge and experiences acquired in the past in relation to their condition may help them improve their self-management skills.
conclusionsThis review identifies challenges to self-management for patients with complex healthcare needs, which are exacerbated in contexts of socioeconomic insecurity and proposes strategies to help healthcare providers better adapt their self-management support interventions to meet the specific needs of this vulnerable clientele.
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.