Self-management support interventions for persons with chronic disease

Added July 22, 2020

Citation: Franek J. Self-management support interventions for persons with chronic disease: an evidence-based analysis. Ontario health technology assessment series. 2013;13(9):1-60.

What is this? The COVID-19 pandemic is placing a strain on healthcare services, workers and patients, requiring some patients to self-manage chronic conditions. Existing evidence on self-management support interventions for chronic  conditions might provide useful information for policy makers.

In this systematic review, the author searched for randomized trials of self-management support interventions for general chronic disease. They restricted their searches to articles published in English between January 2000 and January 2012. They included 10 randomized trials (6074 patients), 9 of which assessed the Stanford Chronic Disease Self-Management program. The review author rated the quality of the evidence as low or very low.

What was found: The Stanford Chronic Disease Self-Management program led to modest, short-term improvement in pain, disability, fatigue, depression, health distress, self-rated health and health-related quality of life when compared to usual care.

However, it did not reduce the number of primary care doctor visits, emergency department visits, days in hospital or times a patient was hospitalized; and the effects on long-term outcomes and some important clinical outcomes are uncertain.

 

Disclaimer: This summary has been written by staff and volunteers of Evidence Aid in order to make the content of the original document accessible to decision makers who are searching for the available evidence on the coronavirus (COVID-19) but may not have the time, initially, to read the original report in full. This summary is not intended as a substitute for the medical advice of physicians, other health workers, professional associations, guideline developers, or national governments and international agencies. If readers of this summary think that the evidence that is presented within it is relevant to their decision-making they should refer to the content and details of the original article, and the advice and guidelines offered by other sources of expertise, before making decisions. Evidence Aid cannot be held responsible for any decisions made about the coronavirus (COVID-19) on the basis of this summary alone.

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