This paper explores how the House of Care, a coordinated approach to personalised care and support planning, can transform the health and care of people with long-term conditions (LTCs).
The effectiveness of self-management support interventions for men with long-term conditions: a systematic review and meta-analysis
This is the first review to examine the moderating effect of sex in self-management support interventions. A substantial sample frame of 1887 potentially relevant studies (identified via 116 Cochrane reviews) were screened for eligibility against the inclusion criteria.
Computer-based programmes ('Interactive Health Communication Applications') for people with chronic disease
People with long term conditions have multiple needs, including information about their illness and the various treatment options; social support; support with making decisions; and help with achieving behaviour change, for example, changes in diet or exercise.
This review examined the types of technology available to facilitate self-management for people with diabetes and the impacts of this technology. It focuses on studies published into mobile phone and internet interventions and includes 14 studies published between 2008 and 2015. The review found that technological interventions were associated with improved blood sugar control, self-management behaviours and self-efficacy.
Health Coaching by Medical Assistants to Improve Control of Diabetes, Hypertension, and Hyperlipidemia in Low-Income Patients: A Randomized Controlled Trial
The authors argue that with primary care clinicians in increasingly short supply and overwhelmed by the expanding preventive and long term conditions in their patient populations, new evidence-based models of care are needed to provide self-management support through other members of the care team.
Patients’ Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review
This paper reports findings of a study to determine whether shared decision making was associated with patient ratings of care quality and physician communication and whether patients’ preferred decision roles modified those associations.
This rapid review summarises evidence on: what health coaching is; its impact on people's attitudes, behaviour, health status and service utilisation; the groups most likely to benefit from coaching; and how to recruit and train health coaches. It provides an excellent introduction to health coaching for anyone with an interest in introducing it locally.
A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions
Published in the NIHR Journals Library and featuring research commissioned by HS&DR, this study involved a rapid, systematic overview of the evidence on self-management support in people with 14 diverse, exemplar long term conditions. It is the most comprehensive, systematic study of the area to date.
Implementing, embedding and integrating self-management support tools for people with long-term conditions in primary care nursing: A qualitative study
This article reports the findings of research to evaluate the implementation and embedding of a self-management support approach called WISE in primary care. The research found that the approach failed to be normalised in routine care, apart from handing out 'guidebooks' to patients.