Determinants of self-management behavior in gout: a scoping review.

IF 3.7 2区医学 Q1 RHEUMATOLOGY Arthritis Care & Research Pub Date : 2024-10-17 DOI:10.1002/acr.25449

Jeffrey van der Ven, Bart J F van den Bemt, Marcel Flendrie, Johanna E Vriezekolk, Lise M Verhoef

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Abstract

Objective: This study aimed to identify modifiable determinants of self-management behavior in gout.

Methods: Four databases (MEDLINE, Embase, PsycINFO and CINAHL) were searched using terms related to gout, self-management and determinants of behavior as described in the Theoretical Domains Framework (TDF). Two reviewers independently selected relevant studies via screening of title/abstract and full text. Thematic synthesis was performed for qualitative data; quantitative data was summarized using cross-tabulation displaying the investigated associations of determinants with self-management behavior. The TDF facilitated identification and grouping of determinants.

Results: From 2087 unique articles found, 56 studies were included in this review, of which 27 qualitative and 29 quantitative studies. Eight themes were identified: knowledge and skills for self-management, acceptance of disease, beliefs about necessity of self-management to improve gout-related health, resistance and reluctance for medication adherence and dietary alteration/changes, negative emotions influencing self-management, social support and interactions, environmental context, and self-regulation of behavior. Quantitative determinants associated with self-management behavior, predominantly medication adherence, were mapped to 12 of the 14 domains of the TDF. No determinants regarding skills and goals have been identified in quantitative research.

Conclusion: Intervention targets for self-management behavior in gout mainly included determinants related to knowledge, implicit and explicit beliefs and attitudes, the environmental context and resources, (social) support and reinforcement.

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痛风患者自我管理行为的决定因素：范围界定综述。

研究目的本研究旨在确定痛风患者自我管理行为的可改变决定因素：使用理论领域框架（TDF）中与痛风、自我管理和行为决定因素相关的术语对四个数据库（MEDLINE、Embase、PsycINFO 和 CINAHL）进行了检索。两名审稿人通过筛选标题/摘要和全文独立选出相关研究。对定性数据进行主题综合；对定量数据进行交叉表总结，显示所调查的决定因素与自我管理行为之间的关联。TDF有助于对决定因素进行识别和分组：从找到的 2087 篇文章中，有 56 项研究被纳入本综述，其中有 27 项定性研究和 29 项定量研究。共确定了八个主题：自我管理的知识和技能、对疾病的接受程度、对自我管理以改善痛风相关健康的必要性的信念、对坚持用药和改变/改变饮食习惯的抵触和不情愿、影响自我管理的负面情绪、社会支持和互动、环境背景以及行为的自我调节。与自我管理行为（主要是坚持用药）相关的定量决定因素被映射到 TDF 14 个领域中的 12 个领域。定量研究尚未发现与技能和目标相关的决定因素：痛风患者自我管理行为的干预目标主要包括与知识、隐性和显性信念和态度、环境背景和资源、（社会）支持和强化有关的决定因素。

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

Arthritis Care & Research RHEUMATOLOGY-

CiteScore

9.40

自引率

6.40%

发文量

368

审稿时长

3-6 weeks

期刊介绍： Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.