Stenberg Una, Haaland-Øverby Mette, Fredriksen Kari, Westermann Karl Fredrik, Kvisvik Toril
Norwegian National Advisory Unit on Learning and Mastery in Health, Oslo University Hospital, Postboks 4959 Nydalen, 0424 Oslo, Norway; Center for Shared Decision Making and Collaborative Care Research, Oslo University Hospital, Postboks 4959 Nydalen, 0424 Oslo, Norway.
Norwegian National Advisory Unit on Learning and Mastery in Health, Oslo University Hospital, Postboks 4959 Nydalen, 0424 Oslo, Norway.
Patient Educ Couns. 2016 Nov;99(11):1759-1771. doi: 10.1016/j.pec.2016.07.027. Epub 2016 Jul 18.
To give a comprehensive overview of benefits and challenges from participating in group based patient education programs that are carried out by health care professionals and lay participants, aimed at promoting self-management for people living with chronic illness.
We searched 8 literature databases. Full text articles meeting the inclusion criteria were retrieved and reviewed. Arksey and O'Malley's framework for scoping studies guided the review process and thematic analysis was undertaken to synthesize extracted data.
Of the 5935 titles identified, 47 articles were included in this review. The participants experienced the programs as beneficial according to less symptom distress and greater awareness of their own health, improved self-management strategies, peer support, learning and hope.
A substantial evidence base supports the conclusion that group based self-management patient education programs in different ways have been experienced as beneficial, but more research is needed.
The insights gained from this review can enable researchers, health care professionals, and participants to understand the complexity in evaluating self-management patient education programs, and constitute a basis for a more standardized and systematic evaluation. The results may also encourage health care professionals in planning and carrying out programs in cooperation with lay participants.
全面概述参与由医疗保健专业人员和非专业参与者开展的基于小组的患者教育项目的益处和挑战,该项目旨在促进慢性病患者的自我管理。
我们检索了8个文献数据库。检索并审查了符合纳入标准的全文文章。阿克西和奥马利的范围界定研究框架指导了审查过程,并进行了主题分析以综合提取的数据。
在识别出的5935个标题中,本综述纳入了47篇文章。参与者认为这些项目是有益的,表现为症状困扰减轻、对自身健康的认识提高、自我管理策略改善、同伴支持、学习和希望。
大量证据支持以下结论,即以不同方式开展的基于小组的自我管理患者教育项目被认为是有益的,但仍需要更多研究。
本综述获得的见解可使研究人员、医疗保健专业人员和参与者了解评估自我管理患者教育项目的复杂性,并构成更标准化和系统评估的基础。研究结果还可能鼓励医疗保健专业人员与非专业参与者合作规划和开展项目。