title: Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review.
abstract: To systematically explore the effectiveness and effective components of self-management interventions.
  
  
  
  Study selection criteria were: Original articles in English published between 2003 and 2015; focusing on youth with chronic conditions; describing self-management interventions; with clear outcome measures; using RCT design. The random effects analysis was applied in which standardized mean differences per study were calculated.
  
  
  
  42 RCTs were included. Interventions focused on medical management, provided individually in clinical settings or at home by mono-disciplinary teams showed a trend in improving adherence. Interventions delivered individually at home by mono-disciplinary teams showed a trend in improving dealing with a chronic condition.
  
  
  
  Adherence could be improved through interventions focused on medical management, provided individually in a clinical or home setting by a mono-disciplinary team. Interventions focused on dealing with a chronic condition might be provided individually, through telemedicine programs facilitating peer-support. These intervention elements seemed effective irrespective of diagnosis, and may therefore act as good starting points for further research into and for improvement of self-management support for youth with chronic conditions in pediatric care. Results underlined the need to systematically develop and evaluate self-management interventions, since this may provide more evidence for effectiveness and effective intervention components.
authors.affiliation: Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands; Erasmus University Medical Center, 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; 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. 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; 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
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
mesh_terms: D002908:Chronic Disease / Q000534:rehabilitation / Q000628:therapy*; D003142:Communication; D003695:Delivery of Health Care; D006233:Persons with Disabilities; D006801:Humans; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000379:methods*; D015397:Program Evaluation; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy
keywords: Child; Chronic disease; Disabled persons; Program evaluation; Self-care; Self-management; Systematic review; Young adult; adolescent