Barriers and facilitators of effective self-management in asthma: systematic review and thematic synthesis of patient and healthcare professional views

BACKGROUND: The development of de-hospitalization policies in mental health has resulted in a growing emphasis on self-management. In the chronic care model, self-management support is an essential element. Because of the episodic nature of severe mental illness (SMI) and its high relapse rates, we assume that the extent of self-management support needs of individuals with an SMI is considerable. However, a clear overview of the nature of the self-management support needs of persons with SMI is missing. AIMS: This study aimed to identify self-management support needs from the perspective of individuals with SMI. METHOD: A systematic review was conducted using the method of thematic synthesis of qualitative studies. After searching the databases MEDLINE, PsycINFO, CINAHL, and EMBASE, we screened the papers for the eligibility criteria: individuals with an SMI, adequately representing the voice of persons with SMI and describing their self-management support needs. Thirty-one papers were included. RESULTS: The main findings showed that participants in the studies described the need for informational support, emotional support, acknowledgment, encouragement, and guidance to make sense of their illness experiences, ease suffering, obtain validation and recognition, execute self-management tasks, and be led through unfamiliar territory. CONCLUSION: The perspectives of persons with SMI can provide a road map for constructing a self-management support intervention for persons with SMI. Important others have an essential role in fulfilling support needs. Independently managing an SMI is difficult. Therefore, it is preferable to let important others participate in self-management interventions and to introduce peer support.

Download Full-text

Knowledge is not power for patients: A systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making

Patient Education and Counseling ◽

10.1016/j.pec.2013.10.031 ◽

2014 ◽

Vol 94 (3) ◽

pp. 291-309 ◽

Cited By ~ 443

Author(s):

Natalie Joseph-Williams ◽

Glyn Elwyn ◽

Adrian Edwards

Keyword(s):

Systematic Review ◽

Decision Making ◽

Shared Decision Making ◽

Barriers And Facilitators ◽

Shared Decision ◽

Thematic Synthesis ◽

Patient Reported

Download Full-text

Barriers and facilitators to asthma self‐management in adolescents: A systematic review of qualitative and quantitative studies

Pediatric Pulmonology ◽

10.1002/ppul.23556 ◽

2016 ◽

Vol 52 (4) ◽

pp. 430-442 ◽

Cited By ~ 22

Author(s):

Simone Holley ◽

Ruth Morris ◽

Rebecca Knibb ◽

Sue Latter ◽

Christina Liossi ◽

...

Keyword(s):

Systematic Review ◽

Barriers And Facilitators ◽

Self Management ◽

Qualitative And Quantitative ◽

Quantitative Studies

Download Full-text

Communicating with older adults with long-term conditions about self-management goals: A systematic review and thematic synthesis

Patient Education and Counseling ◽

10.1016/j.pec.2021.02.035 ◽

2021 ◽

Author(s):

Michael T. Lawless ◽

Phoebe Drioli-Phillips ◽

Mandy M. Archibald ◽

Rachel C. Ambagtsheer ◽

Alison L. Kitson

Keyword(s):

Systematic Review ◽

Older Adults ◽

Self Management ◽

Long Term Conditions ◽

Thematic Synthesis

Download Full-text

Stigma-related barriers and facilitators to help seeking for mental health issues in the armed forces: a systematic review and thematic synthesis of qualitative literature

Psychological Medicine ◽

10.1017/s0033291717000356 ◽

2017 ◽

Vol 47 (11) ◽

pp. 1880-1892 ◽

Cited By ~ 31

Author(s):

S. J. Coleman ◽

S. A. M. Stevelink ◽

S. L. Hatch ◽

J. A. Denny ◽

N. Greenberg

Keyword(s):

Mental Health ◽

Systematic Review ◽

Help Seeking ◽

Armed Forces ◽

Barriers And Facilitators ◽

Health Issues ◽

Thematic Synthesis ◽

Mental Health Issues ◽

Current Systematic Review ◽

Qualitative Literature

A recent quantitative review in the area of stigma and help seeking in the armed forces has questioned the association between these factors (Sharp et al. 2015). To date, the contribution of qualitative literature in this area has largely been ignored, despite the value this research brings to the understanding of complex social constructs such as stigma. The aim of the current systematic review of qualitative studies was to identify appropriate literature, assess the quality and synthesize findings across studies regarding evidence of stigma-related barriers and facilitators to help seeking for mental health issues within the armed forces. A multi-database text word search incorporating searches of PsycINFO, MEDLINE, Social Policy and Practice, Social Work Abstracts, EMBASE, ERIC and EBM Review databases between 1980 and April 2015 was conducted. Literature was quality assessed using the Critical Appraisal Skills Programme tool. Thematic synthesis was conducted across the literature. The review identified eight studies with 1012 participants meeting the inclusion criteria. Five overarching themes were identified across the literature: (1) non-disclosure; (2) individual beliefs about mental health; (3) anticipated and personal experience of stigma; (4) career concerns; and (5) factors influencing stigma. The findings from the current systematic review found that unlike inconsistent findings in the quantitative literature, there was substantial evidence of a negative relationship between stigma and help seeking for mental health difficulties within the armed forces. The study advocates for refinement of measures to accurately capture the complexity of stigma and help seeking in future quantitative studies.

Download Full-text

Barriers and facilitators to dental care during pregnancy: a systematic review and meta-synthesis of qualitative studies

Cadernos de Saúde Pública ◽

10.1590/0102-311x00130817 ◽

2018 ◽

Vol 34 (8) ◽

Cited By ~ 1

Author(s):

Juliana Schaia Rocha ◽

Letícia Arima ◽

Ana Cláudia Chibinski ◽

Renata Iani Werneck ◽

Samuel Jorge Moysés ◽

...

Keyword(s):

Systematic Review ◽

Oral Health ◽

Dental Care ◽

Health Professionals ◽

Dental Treatment ◽

Qualitative Studies ◽

Barriers And Facilitators ◽

Financial Barriers ◽

Thematic Synthesis ◽

Critical Appraisal Skills

Some barriers to dental treatment during pregnancy are poorly understood, especially those related to psychosocial factors, which are better explored in qualitative studies. The aim of this systematic review was to explore the barriers and facilitators to dental care during pregnancy through a thematic synthesis of qualitative studies. Qualitative or mixed-methods studies published in English, Portuguese, Spanish and French, from 2000 to 2016, were included. The search strategies were conducted in PubMed, Scopus, Web of Science, LILACS, BBO and CINAHL. To evaluate the quality of the studies, we used the Critical Appraisal Skills Programme tool. Thematic synthesis was performed in order to interpret and summarize the results. From 2,581 screened studies, ten were included in the synthesis. We found 14 analytical themes related to barriers and facilitators to dental care during pregnancy that interacted in complex ways: physiological conditions, low importance of oral health, negative stigma regarding dentistry, fear of/anxiety toward dental treatment, mobility and safety, financial barriers, employment, time constraints, social support, lack of information, health professionals’ barriers, family and friends’ advice, beliefs and myths about the safety of dental treatment. Myths and beliefs about oral health and dental treatment during pregnancy appear to be the most frequent barriers, both to pregnant women and to dentists or other health professionals. The findings of this review may support new studies, especially to test intervention protocols and to guide effective public policies for the promotion of oral health during pregnancy.

Download Full-text