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Mapping interventional components and behavior change techniques used to promote ....pdf (3.44 MB)

Mapping interventional components and behavior change techniques used to promote self-management in people with multimorbidity: a scoping review

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journal contribution
posted on 2023-03-23, 15:33 authored by Madalina Jäger, Graziella Zangger, Alessio Bricca, Mette Dideriksen, Susan SmithSusan Smith, Julie Midtgaard, Rod S Taylor, Søren T Skou

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. 

Funding

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)]

History

Comments

The original article is available at https://www.tandfonline.com/

Published Citation

Jäger 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. 2024;18(1):165-188.

Publication Date

2 March 2023

PubMed ID

36811829

Department/Unit

  • General Practice
  • HRB Centre for Primary Care Research

Publisher

Routledge, Taylor & Francis

Version

  • Published Version (Version of Record)