TY - JOUR
T1 - Intervention Components Targeting Self-Management in Individuals with Multiple Chronic Conditions
T2 - An Integrative Review
AU - Miller, Jessica J.
AU - Pozehl, Bunny J.
AU - Alonso, Windy
AU - Schmaderer, Myra
AU - Eisenhauer, Christine
N1 - Publisher Copyright:
© The Author(s) 2020.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Multiple chronic conditions (MCC) are becoming increasingly common and self-management (SM) interventions to address MCC are emerging. Prior reviews have broadly examined SM interventions in MCC; however, interventional components were not thoroughly described. Components of SM interventions that have been delivered to individuals with MCC were identified. A review of CINAHL, Cochrane, PubMed, PsycINFO, Scopus, and Embase was completed. This search yielded 13,994 potential studies; 31 studies among those 13,994 studies met inclusion for analysis. The literature is multidisciplinary and describes a wide variety of interventional strategies implementing various combinations of components. A descriptive analysis of the studies’ components, application of the components, delivery methods, and primary outcomes demonstrated clear variations between programs. The most common components noted in the 31 studies were education, action planning/goal setting, self-monitoring, and social/peer support. The variation in SM programs limits conclusive evidence for which components are recommended to improve self-management in individuals with MCC.
AB - Multiple chronic conditions (MCC) are becoming increasingly common and self-management (SM) interventions to address MCC are emerging. Prior reviews have broadly examined SM interventions in MCC; however, interventional components were not thoroughly described. Components of SM interventions that have been delivered to individuals with MCC were identified. A review of CINAHL, Cochrane, PubMed, PsycINFO, Scopus, and Embase was completed. This search yielded 13,994 potential studies; 31 studies among those 13,994 studies met inclusion for analysis. The literature is multidisciplinary and describes a wide variety of interventional strategies implementing various combinations of components. A descriptive analysis of the studies’ components, application of the components, delivery methods, and primary outcomes demonstrated clear variations between programs. The most common components noted in the 31 studies were education, action planning/goal setting, self-monitoring, and social/peer support. The variation in SM programs limits conclusive evidence for which components are recommended to improve self-management in individuals with MCC.
KW - chronic disease
KW - comorbidity
KW - integrative review
KW - multimorbidity
KW - self-management
UR - http://www.scopus.com/inward/record.url?scp=85081623818&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85081623818&partnerID=8YFLogxK
U2 - 10.1177/0193945920902146
DO - 10.1177/0193945920902146
M3 - Review article
C2 - 32075541
AN - SCOPUS:85081623818
SN - 0193-9459
VL - 42
SP - 948
EP - 962
JO - Western journal of nursing research
JF - Western journal of nursing research
IS - 11
ER -