绘制用于促进多病人群自我管理的干预内容和行为改变技术:范围界定综述。

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Health Psychology Review Pub Date : 2024-03-01 Epub Date: 2023-03-02 DOI:10.1080/17437199.2023.2182813
Madalina Jäger, Graziella Zangger, Alessio Bricca, Mette Dideriksen, Susan M Smith, Julie Midtgaard, Rod S Taylor, Søren T Skou
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引用次数: 0

摘要

人口老龄化和生存率的提高导致了多病人群数量的增加,引发了与多药治疗、治疗负担、优先事项竞争和护理协调不力有关的问题。自我管理计划作为干预措施的重要组成部分,越来越多地被纳入到改善这一人群治疗效果的计划中。然而,目前尚缺乏对支持多病症患者自我管理的干预措施的概述。本次范围界定综述的重点是对针对多病患者的以患者为中心的干预措施的文献进行梳理。我们在多个数据库、临床登记处和灰色文献中检索了 1990-2019 年间发表的描述支持多病患者自我管理的干预措施的 RCT。我们共纳入了 72 项研究,发现这些研究在研究人群、实施模式和方式、干预要素和促进因素方面存在很大差异。研究结果表明,认知行为疗法以及行为改变理论和疾病管理框架被广泛用作干预措施的基础。编码最多的行为改变技术来自社会支持、反馈和监测以及目标和规划类别。为了在临床实践中实施有效的干预措施,有必要改进 RCT 中干预机制的报告。
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Mapping interventional components and behavior change techniques used to promote self-management in people with multimorbidity: a scoping review.

Ageing populations and improved survival, have contributed to a rise in the number of people living with multimorbidity, raising issues related to polypharmacy, treatment burden, competing priorities and poor coordination of care. Self-management programs are increasingly included as an essential component of interventions to improve outcomes in this population. However, an overview of how interventions supporting self-management in patients with multimorbidity is missing. This scoping review focused on mapping the literature on patient-centered interventions for people living with multimorbidity. We searched several databases, clinical registries, and grey literature for RCTs published between 1990-2019 describing interventions that supported self-management in people with multimorbidity. We included 72 studies that were found to be very heterogeneous when it comes to the population, delivery modes and modalities, intervention elements and facilitators. The results pointed to an extensive use of cognitive behavioral therapy as a basis for interventions, as well as behavior change theories and disease management frameworks. The most coded behavior change techniques stemmed from the categories Social Support, Feedback and monitoring and Goals and Planning. To allow for implementation of effective interventions in clinical practice, improved reporting of intervention mechanisms in RCTs is warranted.

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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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