title: Chronic disease self-management interventions for adults with serious mental illness: a systematic review of the literature.
abstract: OBJECTIVE
  While there is strong evidence in support of chronic disease self-management programs, much less is available with regard to individuals living with serious mental illness (SMI). The objectives of this review are to identify and appraise chronic disease self-management studies tested with samples of US adults living with SMI. We include an appraisal of methodological quality of the chronic disease self-management (CDSM) studies that met our final criteria.
  
  
  METHODS
  Systematic search methods were utilized to identify intervention studies published before 2012 that describe CDSM outcomes for adults with SMI.
  
  
  RESULTS
  Eighteen unduplicated articles were identified that included outcomes of CDSM studies, while 10 met all inclusion criteria. Favorable treatment effects were observed for adults with SMI across 10 studies that took place in different types of clinical settings. CDSM studies that met all search criteria had a wide range of methodological quality, indicating that this is a nascent field of study.
  
  
  CONCLUSIONS
  Given the high chronic disease burden experienced by individuals with SMI combined with our nations health care reform, emphasis on self-management to improve population health, coupled with advancing the quality of research to evaluate CDSM programs for adults with SMI, is critically needed.
authors.affiliation: University of Southern Californa School of Social Work. Electronic address: siantz@usc.edu.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Siantz
authors.affiliation: University of Southern Californa School of Social Work.
authors.forename: María P
authors.initials: MP
authors.lastname: Aranda
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000534:rehabilitation*; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*; D010353:Patient Education as Topic; D012648:Self Care / Q000379:methods* / Q000592:standards
keywords: Chronic disease self-management; Patient education; Self-management education; Serious mental illness; Systematic review