scholarly journals Meta-Analysis of Psychological Interventions to Promote Adherence to Treatment in Pediatric Chronic Health Conditions

2008 ◽  
Vol 33 (6) ◽  
pp. 590-611 ◽  
Author(s):  
Shoshana Kahana ◽  
Dennis Drotar ◽  
Tom Frazier
Keyword(s):  
Meta Analysis ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Psychological Interventions ◽  
Adherence To Treatment ◽  
Chronic Health

Promoting Self-Management of Chronic Health Conditions

2017 ◽  
Keyword(s):  
Management Practices ◽  
Healthcare Providers ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Self Management ◽  
Psychological Interventions ◽  
Management Support ◽  
Chronic Health ◽  
Treatment Plans

This book explores the theories and practices that help to facilitate self-management of chronic health conditions (also known as chronic impairments or chronic diseases). It consists of four parts, in addition to an introductory chapter and a chapter on defining self-management, for a total of 22 chapters. This book includes discussions about self-management models, psychological interventions, and collaborative care on both individual and systemic levels for the promotion of self-management. Self-management requires that individuals understand the range of symptoms related to their specific chronic impairment, what those symptoms may indicate, and what actions to take to address those symptoms. Healthcare providers are an integral part of providing self-management support (SMS) to these individuals. Self-management includes the micro-decisions that individuals with chronic health conditions make about their conditions and the macro-decisions (e.g., creating treatment plans) that healthcare providers make in collaboration with individuals with chronic health conditions. This book focuses on exploring a range of self-management practices that can empower individuals with chronic health conditions to be less dependent on healthcare systems and, ultimately, to be more in control of their lives.

Effects of Patient- and Family-Centered Care for Young Adults With Chronic Health Conditions and Their Family Members: A Systematic Review

2019 ◽  
pp. 216769681988345
Author(s):  
David Allen ◽  
Nerina Scarinci ◽  
Louise Hickson
Keyword(s):  
Systematic Review ◽  
Young Adults ◽  
Meta Analysis ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Family Centered Care ◽  
Chronic Health ◽  
Centered Care ◽  
The Impact ◽  
Family Centered

Patient- and family-centered care has been shown to improve outcomes across a range of health conditions. The purpose of this study was to determine the impact of interventions to improve the patient- and family-centeredness of care (PFCIs) on the effectiveness of care of young adults (16–25) with chronic health conditions. A segregated design mixed-methods systematic review with meta-analysis and meta-synthesis of the literature was conducted. Thirteen quantitative papers and three qualitative papers were identified for inclusion. Random-effects meta-analysis was performed on quantitative findings, and a meta-synthesis was performed on qualitative findings. Preliminary evidence suggests that PFCIs were associated with improvements in the self-efficacy of young people with chronic health conditions. However, there were very few identified studies, and those that were identified were primarily in the field of mental health, requiring ongoing further research.

Online psychological interventions to reduce symptoms of depression, anxiety, and general distress in those with chronic health conditions: a systematic review and meta-analysis of randomized controlled trials

2020 ◽  
pp. 1-26
Author(s):  
V. White ◽  
J. Linardon ◽  
J. E. Stone ◽  
E. Holmes-Truscott ◽  
L. Olive ◽  
...  
Keyword(s):  
Chronic Health Condition ◽  
Health Condition ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Psychological Interventions ◽  
Web Based ◽  
Chronic Health ◽  
Symptoms Of Depression ◽  
Randomized Controlled ◽  
Anxiety Depression

Abstract Background Over the past 15 years, there has been substantial growth in web-based psychological interventions. We summarize evidence regarding the efficacy of web-based self-directed psychological interventions on depressive, anxiety and distress symptoms in people living with a chronic health condition. Method We searched Medline, PsycINFO, CINAHL, EMBASE databases and Cochrane Database from 1990 to 1 May 2019. English language papers of randomized controlled trials (usual care or waitlist control) of web-based psychological interventions with a primary or secondary aim to reduce anxiety, depression or distress in adults with a chronic health condition were eligible. Results were assessed using narrative synthases and random-effects meta-analyses. Results In total 70 eligible studies across 17 health conditions [most commonly: cancer (k = 20), chronic pain (k = 9), arthritis (k = 6) and multiple sclerosis (k = 5), diabetes (k = 4), fibromyalgia (k = 4)] were identified. Interventions were based on CBT principles in 46 (66%) studies and 42 (60%) included a facilitator. When combining all chronic health conditions, web-based interventions were more efficacious than control conditions in reducing symptoms of depression g = 0.30 (95% CI 0.22–0.39), anxiety g = 0.19 (95% CI 0.12–0.27), and distress g = 0.36 (95% CI 0.23–0.49). Conclusion Evidence regarding effectiveness for specific chronic health conditions was inconsistent. While self-guided online psychological interventions may help to reduce symptoms of anxiety, depression and distress in people with chronic health conditions in general, it is unclear if these interventions are effective for specific health conditions. More high-quality evidence is needed before definite conclusions can be made.

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