title: Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status.
abstract: OBJECTIVE
  To assess the quality of evidence and determine the effect of patient-related and economic outcomes of self-management support interventions in chronically ill patients with a low socio-economic status.
  
  
  BACKGROUND
  Integrated evidence on self-management support interventions in chronically ill people with low socio-economic status is lacking.
  
  
  METHODS
  Systematic literature review.
  
  
  METHODS
  Cochrane database of trials, PubMed, CINAHL, Web of Science, PsycINFO and Joanna Briggs Institute Library were searched (2000-2013). Randomized controlled trials addressing self-management support interventions for patients with cardiovascular disease, stroke, cancer, diabetes and/or chronic respiratory disease were included.
  
  
  METHODS
  Data extraction and quality assessment were performed by independent researchers using a data extraction form.
  
  
  RESULTS
  Studies (n = 27) focused mainly on diabetes. Fourteen studies cited an underlying theoretical basis. Most frequently used self-management support components were lifestyle advice, information provision and symptom management. Problem-solving and goal-setting strategies were frequently integrated. Eleven studies adapted interventions to the needs of patients with a low socio-economic status. No differences were found for interventions developed based on health behaviour theoretical models.
  
  
  CONCLUSIONS
  Limited evidence was found for self-management support interventions in chronically ill patients with low socio-economic status. Essential characteristics and component(s) of effective self-management support interventions for these patients could not be detected. Rigorous reporting on development and underlying theories in the intervention is recommended.
authors.affiliation: Faculty of Medicine and Health Sciences, University Center for Nursing and Midwifery, Ghent University, Belgium.
authors.forename: Ann
authors.identifier: http://orcid.org/0000-0003-3576-7159
authors.initials: A
authors.lastname: Van Hecke
authors.affiliation: Nursing Science and Allied Healthcare, Radboud Institute for Health Sciences, IQ healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Maud
authors.initials: M
authors.lastname: Heinen
authors.affiliation: Hospital Duran i Reynals, Institut Català d'Oncologia, Barcelona, Spain.
authors.forename: Paz
authors.initials: P
authors.lastname: Fernández-Ortega
authors.affiliation: Faculty of Health and Social Sciences, Centre for Evidence-Based Practice, Bergen University College, Norway.
authors.forename: Marit
authors.initials: M
authors.lastname: Graue
authors.affiliation: Centre for Heart Rhythm Disorders, Royal Adelaide Hospital and University of Adelaide, South Australia, Australia.
authors.forename: Jeroen M L
authors.initials: JM
authors.lastname: Hendriks
authors.affiliation: Department of Health care and Social Sciences, VIA University College, Aarhus, Denmark.
authors.forename: Bente
authors.initials: B
authors.lastname: Høy
authors.affiliation: Institute for Social Medicine and Epidemiology, Nursing Research Unit, University of Lübeck, Germany.
authors.forename: Sascha
authors.initials: S
authors.lastname: Köpke
authors.affiliation: Department of Surgery, Skane University Hospital Lund, Sweden.
authors.forename: Maria
authors.initials: M
authors.lastname: Lithner
authors.affiliation: Nursing Science and Allied Healthcare, Radboud Institute for Health Sciences, IQ healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
authors.forename: Betsie G I
authors.initials: BG
authors.lastname: Van Gaal
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000628:therapy*; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D011203:Poverty; D012648:Self Care / Q000523:psychology*; D012923:Social Class; D012959:Socioeconomic Factors
keywords: chronic condition; low socio-economic status; nursing; randomized controlled trials; self-management; systematic review