Mapping interventional components and behaviour change techniques used to promote self-management in people with multimorbidity: a scoping review

Jäger, M., Zangger, G., Bricca, A., Dideriksen, M., Smith, S. M., Midtgaard, J., Taylor, R. S. and Skou, S. T. (2023) Mapping interventional components and behaviour change techniques used to promote self-management in people with multimorbidity: a scoping review. Health Psychology Review, (doi: 10.1080/17437199.2023.2182813) (PMID:36811829) (Early Online Publication)

Abstract

Ageing populations and improved survival, have contributed to a rise in the number of people living with multimorbidity, raising issues related to polypharmacy, treatment burden, competing priorities and poor coordination of care. Self-management programs are increasingly included as an essential component of interventions to improve outcomes in this population. However, an overview of how interventions supporting self-management in patients with multimorbidity is missing. This scoping review focused on mapping the literature on patient-centered interventions for people living with multimorbidity. We searched several databases, clinical registries, and grey literature for RCTs published between 1990–2019 describing interventions that supported self-management in people with multimorbidity. We included 72 studies that were found to be very heterogeneous when it comes to the population, delivery modes and modalities, intervention elements and facilitators. The results pointed to an extensive use of cognitive behavioral therapy as a basis for interventions, as well as behavior change theories and disease management frameworks. The most coded behavior change techniques stemmed from the categories Social Support, Feedback and monitoring and Goals and Planning. To allow for implementation of effective interventions in clinical practice, improved reporting of intervention mechanisms in RCTs is warranted.

• Item Type: Articles
• Additional Information: Funding: European Research Council (ERC) under MOBILIZE project, European Research Council (ERC) Horizon 2020 research and innovation program, grant agreement No 801790, Næstved, Slagelse and Ringsted Hospitals’ Research Fund and The Association of Danish Physiotherapists Research Fund. Furthermore, Dr. Skou is currently funded by a program grant from Region Zealand [grant no Exercise First] and another grant from the European Union’s Horizon 2020 research and innovation program [grant no 945377 (ESCAPE)].
• Status: Early Online Publication
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Taylor, Professor Rod
• Authors: Jäger, M., Zangger, G., Bricca, A., Dideriksen, M., Smith, S. M., Midtgaard, J., Taylor, R. S., and Skou, S. T.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU; College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Robertson Centre
• Journal Name: Health Psychology Review
• Publisher: Taylor and Francis
• ISSN: 1743-7199
• ISSN (Online): 1743-7202
• Published Online: 22 February 2023
• Copyright Holders: Copyright © 2023 The Authors
• First Published: First published in Health Psychology Review 2023
• Publisher Policy: Reproduced under a Creative Commons License