title: Self-management for people with long-term neurological conditions.
abstract: Although English government policy has encouraged the implementation of self-management programmes in services for people with long-term conditions, the evidence for their efficacy has been limited. People with long-term neurological conditions use community-based health services including community nursing, and have particular needs in regards to self-management. This article provides an overview of the evidence for the effectiveness of self-management interventions for people with long-term neurological conditions, in particular those with stroke, Parkinson's disease and multiple sclerosis. The current need for better interventions is highlighted, particularly the importance of providing condition-specific information and deliverance of interventions in a group setting to improve self-management outcomes. In response to weaknesses of previous self-management interventions for this population, an innovative Hertfordshire Neurological Service self-management programme is discussed, and the implications for future research are described.
authors.affiliation: Centre for Lifespan and Chronic Illness Research, University of Hertfordshire, Hatfield.
authors.forename: Hema
authors.initials: H
authors.lastname: Chaplin
authors.forename: Jill
authors.initials: J
authors.lastname: Hazan
authors.forename: Patricia
authors.initials: P
authors.lastname: Wilson
mesh_terms: D003152:Community Health Nursing; D005260:Female; D006801:Humans; D008297:Male; D009103:Multiple Sclerosis / Q000628:therapy*; D024802:Nurse's Role; D010300:Parkinson Disease / Q000628:therapy*; D017060:Patient Satisfaction; D016730:Program Development; D015397:Program Evaluation; D012648:Self Care; D013222:State Medicine; D020521:Stroke / Q000628:therapy*; D006113:United Kingdom