title: Using digital interventions for self-management of chronic physical health conditions: A meta-ethnography review of published studies.
abstract: To understand the experiences of patients and healthcare professionals (HCPs) using self-management digital interventions (DIs) for chronic physical health conditions.
  
  
  
  A systematic search was conducted in 6 electronic databases. Qualitative studies describing users' experiences of self-management DIs were included, and authors' interpretations were synthesised using meta-ethnography.
  
  
  
  30 papers met the inclusion criteria, covering a range of DIs and chronic conditions, including hypertension, asthma and heart disease. The review found that patients monitoring their health felt reassured by the insight this provided, and perceived they had more meaningful consultations with the HCP. These benefits were elicited by simple tele-monitoring systems as well as multifaceted DIs. Patients appeared to feel more reliant on HCPs if they received regular feedback from the HCP. HCPs focused mainly on their improved clinical control, and some also appreciated patients' increased understanding of their condition.
  
  
  
  Patients using self-management DIs tend to feel well cared for and perceive that they adopt a more active role in consultations, whilst HCPs focus on the clinical benefits provided by DIs.
  
  
  
  DIs can simultaneously support patient condition management, and HCPs' control of patient health. Tele-monitoring physiological data can promote complex behaviour change amongst patients.
authors.affiliation: Academic unit of Psychology, University of Southampton, Southampton, UK. Electronic address: ksm1r13@soton.ac.uk.
authors.forename: Katherine
authors.initials: K
authors.lastname: Morton
authors.affiliation: Academic unit of Psychology, University of Southampton, Southampton, UK. Electronic address: l.k.dennison@soton.ac.uk.
authors.forename: Laura
authors.initials: L
authors.lastname: Dennison
authors.affiliation: Faculty of Health Sciences, University of Southampton, Southampton, UK. Electronic address: c.r.may@soton.ac.uk.
authors.forename: Carl
authors.initials: C
authors.lastname: May
authors.affiliation: Research Department of Primary Care and Population Health, University College London, London, UK. Electronic address: Elizabeth.murray@ucl.ac.uk.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Murray
authors.affiliation: Primary Care Research, University of Southampton, Southampton, UK. Electronic address: P.Little@soton.ac.uk.
authors.forename: Paul
authors.initials: P
authors.lastname: Little
authors.affiliation: Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. Electronic address: richard.mcmanus@phc.ox.ac.uk.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: McManus
authors.affiliation: Academic unit of Psychology, University of Southampton, Southampton, UK. Electronic address: L.Yardley@soton.ac.uk.
authors.forename: Lucy
authors.initials: L
authors.lastname: Yardley
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D006801:Humans; D020407:Internet; D063731:Mobile Applications; D012648:Self Care; D000073278:Self-Management; D000068997:Smartphone; D017216:Telemedicine
keywords: Digital; Interventions; Qualitative; Self-management