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.
European Research Council (ERC) under MOBILIZE project
European Research Council (ERC) Horizon 2020 research and innovation program, grant agreement No 801790
Næstved, Slagelse and Ringsted Hospitals’ Research Fund
The Association of Danish Physiotherapists Research Fund
Region Zealand [grant no Exercise First]
European Union’s Horizon 2020 research and innovation program [grant no 945377 (ESCAPE)]
CommentsThe original article is available at https://www.tandfonline.com/
Published CitationJäger M. et al. Mapping interventional components and behavior change techniques used to promote self-management in people with multimorbidity: a scoping review. Health Psychol Rev. 2023:1-24.
Publication Date2 March 2023
- General Practice
- HRB Centre for Primary Care Research
PublisherRoutledge, Taylor & Francis
- Published Version (Version of Record)