Contextual factors for the successful implementation of self-management interventions for chronic diseases: A qualitative review of reviews.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2024-03-01 Epub Date: 2023-02-06 DOI:10.1177/17423953231153337

Janneke Noordman, Maaike Meurs, Rune Poortvliet, Tamara Rusman, Carola Orrego-Villagran, Marta Ballester, Lyudmil Ninov, Ena Niño de Guzmán, Pablo Alonso-Coello, Oliver Groene, Rosa Suñol, Monique Heijmans, Cordula Wagner

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引用次数: 0

Abstract

Objectives: To identify and describe the most relevant contextual factors (CFs) from the literature that influence the successful implementation of self-management interventions (SMIs) for patients living with type 2 diabetes mellitus, obesity, COPD and/or heart failure.

Methods: We conducted a qualitative review of reviews. Four databases were searched, 929 reviews were identified, 460 screened and 61 reviews met the inclusion criteria. CFs in this paper are categorized according to the Tailored Implementation for Chronic Diseases framework.

Results: A great variety of CFs was identified on several levels, across all four chronic diseases. Most CFs were on the level of the patient, the professional and the interaction level, while less CFs were obtained on the level of the intervention, organization, setting and national level. No differences in main themes of CFs across all four diseases were found.

Discussion: For the successful implementation of SMIs, it is crucial to take CFs on several levels into account simultaneously. Person-centered care, by tailoring SMIs to patients' needs and circumstances, may increase the successful uptake, application and implementation of SMIs in real-life practice. The next step will be to identify the most important CFs according to various stakeholders through a group consensus process.

查看原文本刊更多论文

成功实施慢性病自我管理干预的背景因素：定性综述。

目的从文献中找出并描述影响 2 型糖尿病、肥胖症、慢性阻塞性肺病和/或心力衰竭患者成功实施自我管理干预措施（SMI）的最相关背景因素（CFs）：我们对综述进行了定性综述。我们检索了四个数据库，确定了 929 篇综述，筛选了 460 篇，61 篇综述符合纳入标准。本文根据 "为慢性病量身定制的实施框架 "对慢性病进行分类：结果：在所有四种慢性疾病的多个层面上都发现了大量不同的慢性病治疗方法。大多数慢性病案例涉及患者、专业人员和互动层面，而涉及干预、组织、环境和国家层面的慢性病案例较少。在所有四种疾病中，CFs 的主要主题没有发现差异：讨论：要成功实施 SMI，必须同时考虑多个层面的 CFs。以人为本的护理，通过根据患者的需求和具体情况调整 SMI，可提高 SMI 在实际生活中的成功吸收、应用和实施。下一步将通过小组共识程序，根据各利益相关方的意见确定最重要的CFs。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.