Effects of Community-Based Health Worker Interventions to Improve Chronic Disease Management and Care Among Vulnerable Populations: A Systematic Review

BACKGROUND Telehealth-delivered dietary interventions are effective for chronic disease management and are an emerging area of clinical practice. However, to apply interventions from the research setting in clinical practice, health professionals need details of each intervention component. OBJECTIVE The aim of this study was to evaluate the completeness of intervention reporting in published dietary chronic disease management trials that used telehealth delivery methods. METHODS Eligible randomized controlled trial publications were identified through a systematic review. The completeness of reporting of experimental and comparison interventions was assessed by two independent assessors using the Template for Intervention Description and Replication (TIDieR) checklist that consists of 12 items including intervention rationale, materials used, procedures, providers, delivery mode, location, when and how much intervention delivered, intervention tailoring, intervention modifications, and fidelity. Where reporting was incomplete, further information was sought from additional published material and through email correspondence with trial authors. RESULTS Within the 37 eligible trials, there were 49 experimental interventions and 37 comparison interventions. One trial reported every TIDieR item for their experimental intervention. No publications reported every item for the comparison intervention. For the experimental interventions, the most commonly reported items were location (96%), mode of delivery (98%), and rationale for the essential intervention elements (96%). Least reported items for experimental interventions were modifications (2%) and intervention material descriptions (39%) and where to access them (20%). Of the 37 authors, 14 responded with further information, and 8 could not be contacted. CONCLUSIONS Many details of the experimental and comparison interventions in telehealth-delivered dietary chronic disease management trials are incompletely reported. This prevents accurate interpretation of trial results and implementation of effective interventions in clinical practice.

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Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review

BMC Medical Informatics and Decision Making ◽

10.1186/s12911-018-0591-0 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 50

Author(s):

Jung-Ah Lee ◽

Mona Choi ◽

Sang A Lee ◽

Natalie Jiang

Keyword(s):

Systematic Review ◽

Chronic Disease ◽

Disease Management ◽

Behavioral Intervention ◽

Mobile Health ◽

Chronic Disease Management ◽

Intervention Strategies ◽

Mobile Health Applications ◽

Health Applications

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Effectiveness of innovations in nurse led chronic disease management for patients with chronic obstructive pulmonary disease: Systematic review of evidence

Respiratory Medicine COPD Update ◽

10.1016/j.rmedu.2005.09.039 ◽

2005 ◽

Vol 1 (2) ◽

pp. 73-74 ◽

Cited By ~ 2

Author(s):

S.J.C. Taylor ◽

B. Candy ◽

R.M. Bryar ◽

J. Ramsay ◽

H.J.M. Vrijhoef ◽

...

Keyword(s):

Systematic Review ◽

Chronic Obstructive Pulmonary Disease ◽

Chronic Disease ◽

Disease Management ◽

Pulmonary Disease ◽

Chronic Disease Management ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease

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Evaluation of communication skills among physicians: A systematic review of existing assessment tools

European Journal of Public Health ◽

10.1093/eurpub/ckz185.327 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

V Gosselin Boucher ◽

C Gemme ◽

A I Dragomir ◽

S L Bacon ◽

K L Lavoie

Keyword(s):

Systematic Review ◽

Chronic Disease ◽

Disease Management ◽

Communication Skills ◽

Chronic Disease Management ◽

Skills Training ◽

Assessment Tools ◽

Study Quality ◽

Information Giving ◽

Communication Assessment

Abstract Background The importance of physician training in communication skills for behavior change counselling in the context of chronic disease management is increasingly recognized. However, little is known about the quality, utility and psychometric properties of existing communication assessment tools. Objective This study systematically reviewed existing assessment tools used to evaluate communication skills among physicians. Methods A systematic review was conducted in accordance with the PRISMA guidelines (CRD42018091932). Four databases (PUBMED, EMBASE, PsychINFO, SCOPUS) were searched up to December 2018, generating 3902 unique articles which were screened by two authors. A total of 57 articles met inclusion criteria and underwent full data extraction. Results Selected studies were published between 1990 and 2018. A total of 45 different assessment tools were identified. Only 47% of the studies mentioned any theoretical basis underlying the design of the tool. The most prevalent communication skills assessed were information giving (46%) or gathering (40%), eliciting patients’ perspective (44%) and agenda planning (37%). Forty-two percent were tool validation studies, but the majority (61%) reported on only one psychometric property. Study quality, using the modified COSMIN checklist, varied considerably, with an average score of 4.5/9 ± 1.3 representing moderate quality. Conclusions Despite identifying a high number of existing physician communication assessment tools, most were poorly validated and a high degree of heterogeneity in terms of skills assessed and study quality was observed. Most used in-person role-play exercises that are intrusive, expensive, and time-consuming, making them impractical for use within most medical contexts. Successful chronic disease management depends not only on feasible and effective communication skills training among physicians, but also on our ability to reliably assess skill acquisition. Key messages Training physicians’ behaviour change competencies is central to improving lifestyle changes among patients living with a chronic disease. Due to the major methodological shortcomings of existing communication assessment tools, we strongly recommend increased methodological rigor for the development of new tools.

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