14
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: not found
      • Article: not found

      The Effectiveness of Self-Management Interventions for Individuals with Low Health Literacy and/or Low Income: A Descriptive Systematic Review

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          <div class="section"> <a class="named-anchor" id="d5153903e216"> <!-- named anchor --> </a> <h5 class="section-title" id="d5153903e217">Background</h5> <p id="Par1">With the burden of chronic illness increasing globally, self-management is a crucial strategy in reducing healthcare costs and increasing patient quality of life. Low income and low health literacy are both associated with poorer health outcomes and higher rates of chronic disease. Thus, self-management represents an important healthcare strategy for these populations. The purpose of this study is to review self-management interventions in populations with low income or low health literacy and synthesize the efficacy of these interventions. </p> </div><div class="section"> <a class="named-anchor" id="d5153903e221"> <!-- named anchor --> </a> <h5 class="section-title" id="d5153903e222">Methods</h5> <p id="Par2">A systematic review of trials evaluating the efficacy of self-management interventions in populations with low income or low health literacy diagnosed with a chronic illness was conducted. Electronic databases were primarily searched to identify eligible studies. Data were extracted and efficacy summarized by self-management skills, outcomes, and content tailoring. </p> </div><div class="section"> <a class="named-anchor" id="d5153903e226"> <!-- named anchor --> </a> <h5 class="section-title" id="d5153903e227">Results</h5> <p id="Par3">23 studies were reviewed, with ten reporting an overall positive effect on at least one primary outcome. Effective interventions most often included problem-solving as well as taking action and/or resource utilization. A wide range of health-related outcomes were considered, were efficacious empowerment and disease-specific quality of life were found to be significant. The efficacy of interventions did not seem to vary by duration, format, or mode of delivery or whether these included individuals with low health literacy and/or low income. Tailoring did not seem to impact on efficacy. </p> </div><div class="section"> <a class="named-anchor" id="d5153903e231"> <!-- named anchor --> </a> <h5 class="section-title" id="d5153903e232">Discussion</h5> <p id="Par4">Findings suggest that self-management interventions in populations with low income or low health literacy are most effective when three to four self-management skills are utilized, particularly when problem-solving is targeted. Healthcare providers and researchers can use these findings to develop education strategies and tools for populations with low income or low health literacy to improve chronic illness self-management. </p> </div><div class="section"> <a class="named-anchor" id="d5153903e236"> <!-- named anchor --> </a> <h5 class="section-title" id="d5153903e237">Electronic supplementary material</h5> <p id="d5153903e239">The online version of this article (10.1007/s11606-017-4265-x) contains supplementary material, which is available to authorized users. </p> </div>

          Related collections

          Most cited references42

          • Record: found
          • Abstract: not found
          • Article: not found

          Self-management education: History, definition, outcomes, and mechanisms

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Evidence on the Chronic Care Model in the new millennium.

            Developed more than a decade ago, the Chronic Care Model (CCM) is a widely adopted approach to improving ambulatory care that has guided clinical quality initiatives in the United States and around the world. We examine the evidence of the CCM's effectiveness by reviewing articles published since 2000 that used one of five key CCM papers as a reference. Accumulated evidence appears to support the CCM as an integrated framework to guide practice redesign. Although work remains to be done in areas such as cost-effectiveness, these studies suggest that redesigning care using the CCM leads to improved patient care and better health outcomes.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Improving diabetes self-management through acceptance, mindfulness, and values: a randomized controlled trial.

              Patients in a low-income community health center with Type 2 diabetes (N = 81) taking a one-day education workshop as part of their diabetes medical management were randomly assigned either to education alone or to a combination of education and acceptance and commitment therapy (ACT). Both groups were taught how to manage their diabetes, but those in the ACT condition also learned to apply acceptance and mindfulness skills to difficult diabetes-related thoughts and feelings. Compared with patients who received education alone, after 3 months those in the ACT condition were more likely to use these coping strategies, to report better diabetes self-care, and to have glycated hemoglobin (HbA-sub(1C)) values in the target range. Mediational analyses indicated that changes in acceptance coping and self-management behavior mediated the impact of treatment on changes in HbA-sub(1C). Copyright 2007 APA, all rights reserved.
                Bookmark

                Author and article information

                Journal
                Journal of General Internal Medicine
                J GEN INTERN MED
                Springer Nature
                0884-8734
                1525-1497
                April 2018
                February 9 2018
                April 2018
                : 33
                : 4
                : 510-523
                Article
                10.1007/s11606-017-4265-x
                5880764
                29427178
                bb4f007b-4714-46b4-a228-2a247b48905a
                © 2018

                http://www.springer.com/tdm

                History

                Comments

                Comment on this article