Morton, K;
Dennison, L;
May, C;
Murray, E;
Little, P;
McManus, RJ;
Yardley, L;
(2017)
Using digital interventions for self-management of chronic physical health conditions: A meta-ethnography review of published studies.
Patient Education and Counseling
, 100
(4)
pp. 616-635.
10.1016/j.pec.2016.10.019.
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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: 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. 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.
| Type: | Article |
|---|---|
| Title: | Using digital interventions for self-management of chronic physical health conditions: A meta-ethnography review of published studies |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.pec.2016.10.019 |
| Publisher version: | https://doi.org/10.1016/j.pec.2016.10.019 |
| Language: | English |
| Additional information: | Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NC- ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| Keywords: | Self-management; Qualitative; Digital; Interventions |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1534833 |
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