Self-management interventions for chronically ill patients with limited health literacy: A descriptive analysis.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-06-13 DOI:10.1177/17423953231181410

M van der Gaag, M Heijmans, C Valli, C Orrego, M Ballester, J Rademakers

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Abstract

Objectives: To support patients with limited health literacy with the challenges they face in the day-to-day management of their disease(s), numerous self-management interventions (SMIs) have been developed. To date, it is unclear to what extent SMIs have been developed for chronically ill patients with limited health literacy. This study aims to provide a description of these SMIs and to provide insight in their methodological components.

Methods: A secondary analysis of the COMPAR-EU database, consisting of SMIs addressing patients with diabetes, chronic obstructive pulmonary disease, obesity and heart failure, was conducted. The database was searched for SMIs addressing health literacy, including cognitive aspects and the capacity to act.

Results: Of the 1681 SMIs in the COMPAR-EU database, 35 studies addressed health literacy, describing 39 SMIs. The overview yields a high variety in interventions given, with overlapping information, but also lacking of specific details.

Discussion: This descriptive analysis shows that there was a large variety in the extensiveness of the description of intervention characteristics and their justification or explanation. A focus on the broad concept of health literacy, including functional skills, cognitive skills and the capacity to act could improve the effectiveness. This should be taken into account in the future development of SMIs.

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健康素养有限的慢性病患者自我管理干预：一项描述性分析。

目标：为了帮助健康知识有限的患者应对他们在日常疾病管理中面临的挑战，已经开发了许多自我管理干预措施（SMIs）。迄今为止，尚不清楚为卫生知识有限的慢性病患者开发了何种程度的SMIs。本研究旨在提供这些SMIs的描述，并提供对其方法组成部分的见解。方法：对comp - eu数据库进行二次分析，该数据库包括针对糖尿病、慢性阻塞性肺疾病、肥胖和心力衰竭患者的SMIs。在数据库中搜索了涉及卫生知识普及的SMIs，包括认知方面和行动能力。结果：在comp - eu数据库中的1681个smi中，有35个研究涉及健康素养，描述了39个smi。概述产生了各种各样的干预措施，有重叠的信息，但也缺乏具体细节。讨论：这一描述性分析表明，在干预特征描述及其理由或解释的广泛性方面存在很大差异。注重保健知识普及的广泛概念，包括功能技能、认知技能和行动能力，可提高有效性。在今后发展中小型企业时应考虑到这一点。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.