A metasynthesis of factors affecting self-management of chronic illness.

Schulman-Green D, Jaser SS, Park C, Whittemore R
J Adv Nurs. 2016 72 (7): 1469-89

PMID: 26781649 · PMCID: PMC4891247 · DOI:10.1111/jan.12902

AIM - To identify factors that may serve as facilitators and barriers to self-management described by adults living with chronic illness by conducting a qualitative metasynthesis.

BACKGROUND - Self-management is an individuals' active management of a chronic illness in collaboration with their family members and clinicians.

DESIGN - Qualitative metasynthesis.

DATA SOURCES - We analysed studies (N = 53) published between January 2000-May 2013 that described factors affecting self-management in chronic illness as reported by adults aged over 18 years with chronic illness.

REVIEW METHODS - Sandelowsi and Barroso approach to qualitative metasynthesis: literature search; quality appraisal; analysis and synthesis of findings.

RESULTS - Collectively, article authors reported on sixteen chronic illnesses, most commonly diabetes (N = 28) and cardiovascular disease (N = 20). Participants included men and women (mean age = 57, range 18-94) from 20 countries representing diverse races and ethnicities. We identified five categories of factors affecting self-management: Personal/Lifestyle Characteristics; Health Status; Resources; Environmental Characteristics; and Health Care System. Factors may interact to affect self-management and may exist on a continuum of positive (facilitator) to negative (barrier).

CONCLUSION - Understanding factors that influence self-management may improve assessment of self-management among adults with chronic illness and may inform interventions tailored to meet individuals' needs and improve health outcomes.

© 2016 John Wiley & Sons Ltd.

MeSH Terms (13)

Adolescent Adult Aged Aged, 80 and over Chronic Disease Delivery of Health Care Female Humans Male Middle Aged Qualitative Research Self-Management Young Adult

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