Using digital interventions for self-management of chronic physical health conditions: a meta-ethnography review of published studies
Using digital interventions for self-management of chronic physical health conditions: a meta-ethnography review of published studies
Objectives: to understand the experiences of patients and healthcare professionals (HCPs) using self-management digital interventions (DIs) for chronic physical health conditions.
Methods: 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.
Results: 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.
Conclusions: atients 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.
Practice implications: DIs can simultaneously support patient condition management, and HCPs’ control of patient health. Tele-monitoring physiological data can promote complex behaviour change amongst patients.
1-20
Morton, Katherine
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Dennison, Laura
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May, Carl
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Murray, Elizabeth
cb300780-9041-44af-9ae5-e13531eb23b8
Little, Paul
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McManus, Richard J.
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Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
28 October 2016
Morton, Katherine
6fa41cd3-ba4d-476c-9020-b8ef93c7ade7
Dennison, Laura
15c399cb-9a81-4948-8906-21944c033c20
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
Murray, Elizabeth
cb300780-9041-44af-9ae5-e13531eb23b8
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
McManus, Richard J.
481f6284-d599-4c77-8869-d1c6b63b9b02
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Morton, Katherine, Dennison, Laura, May, Carl, Murray, Elizabeth, Little, Paul, McManus, Richard J. and Yardley, Lucy
(2016)
Using digital interventions for self-management of chronic physical health conditions: a meta-ethnography review of published studies.
Patient Education and Counselling, .
(doi:10.1016/j.pec.2016.10.019).
Abstract
Objectives: to understand the experiences of patients and healthcare professionals (HCPs) using self-management digital interventions (DIs) for chronic physical health conditions.
Methods: 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.
Results: 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.
Conclusions: atients 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.
Practice implications: DIs can simultaneously support patient condition management, and HCPs’ control of patient health. Tele-monitoring physiological data can promote complex behaviour change amongst patients.
Other
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More information
Accepted/In Press date: 19 October 2016
Published date: 28 October 2016
Organisations:
Psychology
Identifiers
Local EPrints ID: 402381
URI: http://eprints.soton.ac.uk/id/eprint/402381
ISSN: 0738-3991
PURE UUID: 311e68df-b376-42ff-b26d-6e69f6154ba7
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Date deposited: 04 Nov 2016 15:02
Last modified: 16 Mar 2024 03:03
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Contributors
Author:
Carl May
Author:
Elizabeth Murray
Author:
Richard J. McManus
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