title: Community-based interventions to promote management for older people: an integrative review.
abstract: OBJECTIVE
  To review community programmes promoting self-care or self-management for older people with chronic disease in Thailand.
  
  
  BACKGROUND
  Identifying successful elements of culturally appropriate and effective community-based interventions to promote self-care with chronic illness is increasingly important.
  
  
  METHODS
  Integrative review.
  
  
  METHODS
  CINAHL, Medline, Health Source Nursing Academic databases.
  
  
  METHODS
  Integrative review of peer-reviewed articles written between 1946-2012. Articles were included if they described self-care, self-management, chronic disease and community care interventions targeting older people in Thailand.
  
  
  RESULTS
  Of the 58 articles retrieved, only 13 articles met the eligibility criteria. Elements of effective interventions included: (1) providing culturally sensitive information, (2) including approaches of shared decision-making and mutual goal setting and (3) flexibility within the intervention to adapt to participant needs.
  
  
  CONCLUSIONS
  Shared decision-making and mutual goal setting between interventionists and patients improved health behaviours and outcomes. Moreover, the flexibility to adopt the intervention to local characteristics demonstrated positive results.
  
  
  CONCLUSIONS
  Promoting effective self-care and self-management behaviours is critical to improving outcomes for chronic conditions. The tailoring and targeting of interventions appropriate to individuals and communities are likely to be most effective in leveraging behaviour change. This review has identified that mutual goal setting improved health behaviours. The flexibility to adopt self-care interventions to community-based settings showed improved patient outcomes.
authors.affiliation: Faculty of Health, University of Technology, Sydney, Australia.
authors.forename: Sakuntala
authors.initials: S
authors.lastname: Anuruang
authors.forename: Louise D
authors.initials: LD
authors.lastname: Hickman
authors.forename: Debra
authors.initials: D
authors.lastname: Jackson
authors.forename: Tessa
authors.initials: T
authors.lastname: Dharmendra
authors.forename: Jane
authors.initials: J
authors.lastname: Van Balen
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Davidson
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000451:nursing; D003152:Community Health Nursing; D003657:Decision Making; D006299:Health Services for the Aged; D006801:Humans; D009736:Nursing Process; D012648:Self Care; D013785:Thailand
keywords: Thailand; community-based intervention; integrative review; older people; self-care; self-management