Key result
Prolonged self-management combining direct contact with technology emerges as optimal for HF, COPD, and DM2.
Why the study?
What are the best practice strategies and interventions for teaching self-management to people with chronic diseases (HF, COPD, DM2)?
What are the best practice strategies and interventions for teaching self-management to people with chronic diseases (HF, COPD, DM2)?
Individualized, prolonged programs combining direct contact with technology are the most effective strategies for teaching self-management in chronic diseases like heart failure.
Supports individualized prolonged programs combining contact and technology; hypothesis-generating for HF, COPD, and DM2 pending prospective trials.
BACKGROUND: A major concern for nurses and program developers is to deliver the best practices for teaching self-management to people with chronic disease. This study aimed to identify the best practice strategies and interventions across heart failure (HF), chronic obstructive pulmonary disease (COPD), and diabetes mellitus type 2 (DM2) chronic illnesses. METHOD: The research design was an integrative review of research using 36 research studies. The analysis and synthesis of these studies provided information from 786 individual studies. RESULTS: The results indicated the best strategies were programs that were individualized and prolonged in duration to improve self-management. The best interventions for teaching-learning methods were the use of a combination of direct contact options with technological devices. The common barriers to self-management were identified. CONCLUSION: Nurses educators and program developers of self-management programs will need to use technology creatively and develop programs that are individualized to fit the patients' chronic illness. J Contin Educ Nurs. 2018;49(9):432-440.
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Pinchera et al. (2018) conducted a review in Heart failure, chronic obstructive pulmonary disease, and diabetes mellitus type 2. Self-management programs was evaluated on Best practice strategies and interventions for self-management. An integrative review of 36 research studies found that individualized, prolonged self-management programs combining direct contact with technology are the best strategies for HF, COPD, and DM2.
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