TY - JOUR
T1 - Contextual factors for the successful implementation of self-management interventions for chronic diseases
T2 - A qualitative review of reviews
AU - Noordman, Janneke
AU - Meurs, Maaike
AU - Poortvliet, Rune
AU - Rusman, Tamara
AU - Orrego-Villagran, Carola
AU - Ballester, Marta
AU - Ninov, Lyudmil
AU - de Guzmán, Ena Niño
AU - Alonso-Coello, Pablo
AU - Groene, Oliver
AU - Suñol, Rosa
AU - Heijmans, Monique
AU - Wagner, Cordula
N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the European Union’s Horizon 2020 (grant number No 754936). Publisher Copyright: © The Author(s) 2023.
PY - 2023
Y1 - 2023
N2 - Objectives: To identify and describe the most relevant contextual factors (CFs) from the literature that influence the successful implementation of self-management interventions (SMIs) for patients living with type 2 diabetes mellitus, obesity, COPD and/or heart failure. Methods: We conducted a qualitative review of reviews. Four databases were searched, 929 reviews were identified, 460 screened and 61 reviews met the inclusion criteria. CFs in this paper are categorized according to the Tailored Implementation for Chronic Diseases framework. Results: A great variety of CFs was identified on several levels, across all four chronic diseases. Most CFs were on the level of the patient, the professional and the interaction level, while less CFs were obtained on the level of the intervention, organization, setting and national level. No differences in main themes of CFs across all four diseases were found. Discussion: For the successful implementation of SMIs, it is crucial to take CFs on several levels into account simultaneously. Person-centered care, by tailoring SMIs to patients’ needs and circumstances, may increase the successful uptake, application and implementation of SMIs in real-life practice. The next step will be to identify the most important CFs according to various stakeholders through a group consensus process.
AB - Objectives: To identify and describe the most relevant contextual factors (CFs) from the literature that influence the successful implementation of self-management interventions (SMIs) for patients living with type 2 diabetes mellitus, obesity, COPD and/or heart failure. Methods: We conducted a qualitative review of reviews. Four databases were searched, 929 reviews were identified, 460 screened and 61 reviews met the inclusion criteria. CFs in this paper are categorized according to the Tailored Implementation for Chronic Diseases framework. Results: A great variety of CFs was identified on several levels, across all four chronic diseases. Most CFs were on the level of the patient, the professional and the interaction level, while less CFs were obtained on the level of the intervention, organization, setting and national level. No differences in main themes of CFs across all four diseases were found. Discussion: For the successful implementation of SMIs, it is crucial to take CFs on several levels into account simultaneously. Person-centered care, by tailoring SMIs to patients’ needs and circumstances, may increase the successful uptake, application and implementation of SMIs in real-life practice. The next step will be to identify the most important CFs according to various stakeholders through a group consensus process.
KW - Chronic illness
KW - contextual factors
KW - implementation
KW - review
KW - self-management interventions
UR - http://www.scopus.com/inward/record.url?scp=85147569621&partnerID=8YFLogxK
U2 - https://doi.org/10.1177/17423953231153337
DO - https://doi.org/10.1177/17423953231153337
M3 - Review article
C2 - 36744382
SN - 1742-3953
JO - Chronic Illness
JF - Chronic Illness
ER -