A systematic review examining whether community-based self-management programs for older adults with chronic conditions actively engage participants and teach them patient-oriented self-management strategies.

摘要: Abstract Objective To identify whether community-based Self-Management Programs (SMPs) actively engaged, or taught, individuals patient-oriented strategies; and having these attributes led to significant differences in outcomes. Methods This systematic review included randomized controlled trials (RCTs)and cluster RCTs reporting on SMPs with a group component for older adults chronic conditions. The ways SMPS engaged participants they taught strategies were analyzed. All study outcomes reported. Results 31 studies demonstrated SMP programs provided improve health behaviour care of their condition. Few help manage the impact conditions everyday lives. Seventy-nine percent reported differences; variations sample sizes made it difficult conclude differences. Conclusion are not supporting use address lives, addressing needs multiple conditions, nor assessing that align taught. Practice implications Health-care providers delivering need tailor assess using being proposed.