心理干预
自我管理
包裹体(矿物)
干预(咨询)
医学
多样性(控制论)
定性研究
心理学
过程管理
护理部
计算机科学
工程类
社会心理学
机器学习
社会学
人工智能
社会科学
作者
Janneke Noordman,M. Meurs,Rune Poortvliet,Tamara Rusman,Carola Orrego,Marta Ballester,Lyudmil Ninov,Ena Niño de Guzmán,Pablo Alonso‐Coello,Oliver Groene,Rosa Suñol,Monique Heijmans,Cordula Wagner
标识
DOI:10.1177/17423953231153337
摘要
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.
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