Contextual factors for the successful implementation of self-management interventions for chronic diseases: A qualitative review of reviews
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. We conducted a qualitative review of rev...
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| Vydáno v: | Chronic illness Ročník 20; číslo 1; s. 3 |
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| Hlavní autoři: | , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
01.03.2024
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| ISSN: | 1745-9206, 1745-9206 |
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| Abstract | 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.
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.
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.
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. |
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| AbstractList | 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.OBJECTIVESTo 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.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.METHODSWe 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.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.RESULTSA 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.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.DISCUSSIONFor 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. 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. 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. 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. 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. |
| Author | Ninov, Lyudmil Poortvliet, Rune Wagner, Cordula Alonso-Coello, Pablo Heijmans, Monique Ballester, Marta Suñol, Rosa de Guzmán, Ena Niño Meurs, Maaike Orrego-Villagran, Carola Noordman, Janneke Groene, Oliver Rusman, Tamara |
| Author_xml | – sequence: 1 givenname: Janneke orcidid: 0000-0003-4344-7534 surname: Noordman fullname: Noordman, Janneke organization: Netherlands institute for health services research (Nivel), Utrecht, The Netherlands – sequence: 2 givenname: Maaike surname: Meurs fullname: Meurs, Maaike organization: Netherlands institute for health services research (Nivel), Utrecht, The Netherlands – sequence: 3 givenname: Rune surname: Poortvliet fullname: Poortvliet, Rune organization: Netherlands institute for health services research (Nivel), Utrecht, The Netherlands – sequence: 4 givenname: Tamara surname: Rusman fullname: Rusman, Tamara organization: Netherlands institute for health services research (Nivel), Utrecht, The Netherlands – sequence: 5 givenname: Carola surname: Orrego-Villagran fullname: Orrego-Villagran, Carola organization: Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Barcelona, Spain – sequence: 6 givenname: Marta surname: Ballester fullname: Ballester, Marta organization: Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Barcelona, Spain – sequence: 7 givenname: Lyudmil surname: Ninov fullname: Ninov, Lyudmil organization: European Patients' Forum, Brussels, Belgium – sequence: 8 givenname: Ena Niño surname: de Guzmán fullname: de Guzmán, Ena Niño organization: Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain – sequence: 9 givenname: Pablo surname: Alonso-Coello fullname: Alonso-Coello, Pablo organization: Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain – sequence: 10 givenname: Oliver surname: Groene fullname: Groene, Oliver organization: OptiMedis, Hamburg, Germany – sequence: 11 givenname: Rosa surname: Suñol fullname: Suñol, Rosa organization: Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Barcelona, Spain – sequence: 12 givenname: Monique surname: Heijmans fullname: Heijmans, Monique organization: Netherlands institute for health services research (Nivel), Utrecht, The Netherlands – sequence: 13 givenname: Cordula surname: Wagner fullname: Wagner, Cordula organization: Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands |
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| Title | Contextual factors for the successful implementation of self-management interventions for chronic diseases: A qualitative review of reviews |
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