The Impact of Self-Management Interventions on Behavioral and Clinical Outcomes in Individuals with Systemic Lupus Erythematosus: A Systematic Review of Empirical Evidence From 2003-2024.

IF 2 3区医学 Q2 MEDICINE, GENERAL & INTERNAL

Patient preference and adherence Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S521546

Sirikarn Hanrop, Nirunya Narupan, Nattaya Praha, Lalipat Phianhasin, Suebsarn Ruksakulpiwat

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引用次数: 0

Abstract

Aim: To evaluate and synthesize evidence on the impact of self-management interventions in improving behavioral and clinical outcomes among individuals with systemic lupus erythematosus (SLE).

Methods: A comprehensive search was conducted across eight electronic databases-CINAHL Plus with Full Text, ProQuest, PubMed, Medline with Full Text, SAGE, ScienceDirect, Scopus, and Web of Science-to identify studies published from inception to 2024. Randomized controlled trials and quasi-experimental studies assessing self-management interventions in individuals with SLE were included. Methodological quality was evaluated using the Joanna Briggs Institute critical appraisal tools. Data synthesis followed a convergent integrated analysis framework to identify recurring themes and subthemes.

Results: A total of 15 studies met the inclusion criteria, consisting of 10 randomized controlled trials (66.67%) and 5 quasi-experimental studies (33.33%). The interventions targeted physical, mental, and behavioral health through various strategies. The most common interventions included counseling and education (7 studies, 22.58%), followed by physical activity programs (2 studies, 6.45%), and self-management sessions (2 studies, 6.45%). Other interventions, such as cognitive-behavioral therapy, strengthening exercises, and digital health tools, were also implemented. In-person interventions (46.67%) were the most common delivery format, followed by digital platforms (26.67%). Self-management interventions led to significant improvements in physical health (eg, reduced fatigue and improved functional capacity), mental health (eg, reduced anxiety and depression), and health behaviors (eg, enhanced adherence to treatment and self-care practices). Furthermore, the interventions contributed to an improved quality of life by addressing the physical, psychological, and social challenges faced by individuals with SLE.

Conclusion: Self-management interventions positively impact behavioral and clinical outcomes in individuals with SLE. Future research should explore long-term sustainability, integration of digital health strategies, and personalized approaches. Expanding access to self-management programs, particularly in low-resource settings, may further enhance outcomes for individuals with SLE.

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自我管理干预对系统性红斑狼疮患者行为和临床结局的影响：2003-2024年经验证据的系统回顾

目的：评价和综合有关自我管理干预对改善系统性红斑狼疮（SLE）患者行为和临床预后影响的证据。方法：对8个电子数据库（cinahl Plus全文、ProQuest、PubMed、Medline全文、SAGE、ScienceDirect、Scopus和Web of science）进行全面检索，以确定从成立到2024年发表的研究。包括评估SLE患者自我管理干预的随机对照试验和准实验研究。使用乔安娜布里格斯研究所的关键评估工具评估方法质量。数据综合采用了一个趋同的综合分析框架，以确定反复出现的主题和次级主题。结果：共有15项研究符合纳入标准，其中随机对照试验10项（66.67%），准实验研究5项（33.33%）。这些干预措施通过各种策略针对身体、心理和行为健康。最常见的干预措施包括咨询和教育（7项研究，22.58%），其次是体育活动项目（2项研究，6.45%）和自我管理课程（2项研究，6.45%）。还实施了其他干预措施，如认知行为疗法、强化锻炼和数字健康工具。面对面干预（46.67%）是最常见的交付形式，其次是数字平台（26.67%）。自我管理干预措施显著改善了身体健康（例如，减少疲劳和改善功能能力）、精神健康（例如，减少焦虑和抑郁）和健康行为（例如，加强坚持治疗和自我保健做法）。此外，通过解决SLE患者面临的生理、心理和社会挑战，干预有助于改善生活质量。结论：自我管理干预对SLE患者的行为和临床结果有积极影响。未来的研究应该探索长期的可持续性、数字健康战略的整合和个性化的方法。扩大自我管理项目的可及性，特别是在资源匮乏的环境中，可能会进一步提高SLE患者的预后。

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来源期刊

Patient preference and adherence MEDICINE, GENERAL & INTERNAL-

CiteScore

3.60

自引率

4.50%

发文量

354

审稿时长

6-12 weeks

期刊介绍： Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.