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

Research output: Contribution to journalJournal articleResearchpeer-review

Documents

  • Fulltext

    Final published version, 3.45 MB, PDF document

  • Madalina Jäger
  • Graziella Zangger
  • Alessio Bricca
  • Mette Dideriksen
  • Susan M. Smith
  • Midtgaard, Julie
  • 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.

Original languageEnglish
JournalHealth Psychology Review
Volume18
Issue number1
Pages (from-to)165-188
Number of pages24
ISSN1743-7199
DOIs
Publication statusPublished - 2024

Bibliographical note

Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

    Research areas

  • behavior change techniques, Multimorbidity, scoping review, self-management

ID: 341008739