title: Self-management interventions for young people with chronic conditions: A systematic overview.
abstract: OBJECTIVE
  To provide a systematic overview of self-management interventions (SMI) for young people with chronic conditions with respect to content, formats, theories, and evaluated outcomes.
  
  
  METHODS
  Embase, Medline, PsycINFO, Web-of-Science, CINAHL, and Cochrane were searched. Reviews' reference lists were scrutinized. Selected studies were: Original research articles in English published between 2003 and March 2014; about the evaluation of SMI for 7 to 25-year-olds with somatic chronic conditions/physical disabilities; with clear outcomes and intervention descriptions. The classification of medical, role and emotion management served to review content. Formats, theories, and evaluated outcomes were summarized.
  
  
  RESULTS
  86 studies were reviewed. Most aimed at medical management and were unclear about theoretical bases. Although a variety of outcomes was evaluated and the distribution over self-management domains was quite unpredictable, outcomes conceptually related to specific content. A content-based framework for the evaluation of self-management interventions is presented.
  
  
  CONCLUSIONS
  SMI relate to self-management tasks and skill-building. Yet, conceptualizations of self-management support often remained unclear and content focuses predominantly on the medical domain, neglecting psycho-social challenges for chronically ill young people. Future evaluations should match outcomes/themes to content and characteristics. Our framework and overview of SMI characteristics and outcomes may assist clinicians in providing self-management support.
authors.affiliation: Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands; Erasmus University Rotterdam, Institute of Health Policy & Management, Rotterdam, The Netherlands. Electronic address: j.n.t.sattoe@hr.nl.
authors.forename: Jane N T
authors.initials: JN
authors.lastname: Sattoe
authors.affiliation: Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands; Erasmus Medical University, Department of Rehabilitation Medicine, Rotterdam, The Netherlands. Electronic address: m.i.bal@hr.nl.
authors.forename: Marjolijn I
authors.initials: MI
authors.lastname: Bal
authors.affiliation: Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands. Electronic address: p.d.d.m.roelofs@hr.nl.
authors.forename: Pepijn D D M
authors.initials: PD
authors.lastname: Roelofs
authors.affiliation: Erasmus University Rotterdam, Institute of Health Policy & Management, Rotterdam, The Netherlands. Electronic address: r.bal@bmg.eur.nl.
authors.forename: Roland
authors.initials: R
authors.lastname: Bal
authors.affiliation: Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands. Electronic address: h.s.miedema@hr.nl.
authors.forename: Harald S
authors.initials: HS
authors.lastname: Miedema
authors.affiliation: Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands; Erasmus University Rotterdam, Institute of Health Policy & Management, Rotterdam, The Netherlands. Electronic address: a.van.staa@hr.nl.
authors.forename: AnneLoes
authors.initials: A
authors.lastname: van Staa
mesh_terms: D002908:Chronic Disease / Q000534:rehabilitation / Q000628:therapy*; D006801:Humans; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000379:methods*; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy
keywords: Adolescents; Children; Chronic disease; Evaluation; Intervention; Self-care; Self-management; Systematic review; Young adults