Evidence map›Paper›PMID 39340765›Full record

SynthesisJournal of advanced nursing2025

The Influence of Patient-Provider Communication on Self-Management Among Patients With Chronic Illness: A Systematic Mixed Studies Review.

Christin Iroegbu, Delphine S Tuot, Lisa Lewis, Lea Ann Matura

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

4 authors.

Christin IroegbuUniversity of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-1979-5195
Delphine S TuotUniversity of san Francisco School of Medicine, San Francisco, California, USA.
Lisa LewisRutgers University-Camden, Camden, New Jersey, USA.
Lea Ann MaturaUniversity of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
Advanced Training in Nursing Outcomes Research T32NR007104NINR NIH HHSNINR NIH HHS T32 NR007104Sigma Theta Tau International
6 · The paper itself

Abstract

aimTo explore the influence of patient-provider communication on patient self-management of chronic illness.

designSystematic Mixed Studies Review. DATA SOURCES: CINAHL, Google Scholar, EMBASE and PubMed were searched until March 2024.

methodsEmployed a result-based convergent design and the Mixed Method Appraisal Tool to evaluate studies. Narrative analysis, quantitative studies and thematic analysis for qualitative studies and overall results.

resultsThirteen articles published between 2003 and 2023 were included. Chronic illnesses studied: diabetes, heart failure, hypertension, chronic obstructive pulmonary disease and asthma. Data synthesis yielded the overarching theme: adaptive interpersonal communication. An approach that adapts communication content to each patient's unique needs, employs verbal and nonverbal communication, builds a connection and establishes patient rapport.

conclusionAvailable evidence suggests that patient-provider communication influences chronic illness self-management. A provider's ability to adjust and tailor their communication style is an important factor in helping patients to achieve optimal self-management. Future research should explore this phenomenon in other common chronic illnesses not included in this review. Additionally, research on the patient's role in this process could help improve patient-provider communication. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Findings from this review have significant implications for shared and participatory decision making, where patients and providers collaborate to develop plans of care for patients to achieve optimal self-management. Additionally, this review can contribute to the development of educational content and communication strategies for nurses and all healthcare professionals caring for patients with chronic illnesses. IMPACT: This is the first mixed studies systematic review to describe the influence patient-provider communication on patient self-management of chronic illness. These findings consolidate existing evidence, providing a pathway for practical application to clinical practice and the potential to significantly impact the delivery of patient-centred care and healthcare quality. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

CommunicationProfessional-Patient RelationsSelf CareSelf-ManagementAdultAgedAged, 80 and overChronic DiseaseFemaleHumansMaleMiddle Agedchronic illnesspatient–provider communicationpatient self‐managementself‐careself‐care managementself‐management

Identifiers

PMID39340765
PMCPMC11896829

What OpenQuestion holds

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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.