Back to Search
Start Over
Can self-management programmes change healthcare utilisation in COPD?
- Source :
- Patient Education and Counseling. 104:50-63
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Objective The study aims to evaluate the ability of self-management programmes to change the healthcare-seeking behaviours of people with Chronic Obstructive Pulmonary Disease (COPD), and any associations between programme design and outcomes. Methods A systematic search of the literature returned randomised controlled trials of SMPs for COPD. Change in healthcare utilisation was the primary outcome measure. Programme design was analysed using the Theoretical Domains Framework (TDF). Results A total of 26 papers described 19 SMPs. The most common utilisation outcome was hospitalisation (n = 22). Of these, 5 showed a significant decrease. Two theoretical domains were evidenced in all programmes: skills and behavioural regulation. All programmes evidenced at least 5 domains. However, there was no clear association between TDF domains and utilisation. Overall, study quality was moderate to poor. Conclusion This review highlights the need for more alignment in the goals, design, and evaluation of SMPs. Specifically, the TDF could be used to guide programme design and evaluation in future. Practice implications Practices have a reasonable expectation that interventions they adopt will provide patient benefit and value for money. Better design and reporting of SMP trials would address their ability to do so.
- Subjects :
- Self-management
business.industry
030503 health policy & services
Psychological intervention
Health literacy
General Medicine
03 medical and health sciences
0302 clinical medicine
Health promotion
Nursing
Health care
Medicine
030212 general & internal medicine
Disease management (health)
Patient participation
0305 other medical science
business
Patient education
Subjects
Details
- ISSN :
- 07383991
- Volume :
- 104
- Database :
- OpenAIRE
- Journal :
- Patient Education and Counseling
- Accession number :
- edsair.doi...........a26789ad15aa6b3775f87ce1a428b9da