Patients' and healthcare professionals' perceptions of self-management support interactions: Systemic review and qualitative synthesis

Journal article


Franklin, Marika, Lewis, Sophie, Willis, Karen, Bourke-Taylor, Helen and Smith, Lorraine. (2018) Patients' and healthcare professionals' perceptions of self-management support interactions: Systemic review and qualitative synthesis. Chronic Illness. 14(2), pp. 79 - 103. https://doi.org/10.1177/1742395317710082
AuthorsFranklin, Marika, Lewis, Sophie, Willis, Karen, Bourke-Taylor, Helen and Smith, Lorraine
Abstract

Objective: To review studies examining the experience of self-management support in patient–provider interactions and the shaping of goals through interactions. Methods: We undertook a systematic review and thematic synthesis of the qualitative literature. We searched six databases (2004–2015) for published studies on the provision of self-management support in one-to-one, face-to-face, patient–provider interactions for obesity, type 2 diabetes mellitus and chronic obstructive pulmonary disease, with 14 articles meeting inclusion criteria. Results: Themes identified from studies were (1) dominance of a traditional model of care, encompassing the provision of generic information, exclusion of the psychosocial and temporal nature of interactions and (2) a context of individual responsibility and accountability, encompassing self-management as patients’ responsibility and adherence, accountability and the attribution of blame. Interactions were constrained by consultation times, patient self-blame and guilt, desire for autonomy and beliefs about what constitutes ‘effective’ self-management. Discussion: Encounters were oriented towards a traditional model of care delivery and this limited opportunity for collaboration. These findings suggest that healthcare professionals remain in a position of authority, limiting opportunities for control to be shared with patients and shared understandings of social context to be developed.

Keywordspatient–provider interactions; self-management support; chronic conditions; type 2 diabetes mellitus; chronic obstructive pulmonary disease; obesity
Year2018
JournalChronic Illness
Journal citation14 (2), pp. 79 - 103
PublisherChronic Illness
ISSN1745-9206
Digital Object Identifier (DOI)https://doi.org/10.1177/1742395317710082
Page range79 - 103
Grant IDarc/DP150101406
Place of publicationUnited Kingdom
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Willis, Karen Frances. (2008) I come because I am called: Recruitment and participation in mammography screening in Uppsala, Sweden. Health Care for Women International. 29(2), pp. 135 - 150. https://doi.org/10.1080/07399330701738143
Taking responsibility or averting risk? A socio-cultural approach to risk and trust in private health insurance decisions
Willis, Karen. (2008) Taking responsibility or averting risk? A socio-cultural approach to risk and trust in private health insurance decisions. Health Risk and Society. 10(4), pp. 399 - 411. https://doi.org/10.1080/13698570802167413
Problems with provision: barriers to drinking water quality and public health in rural Tasmania, Australia.
Willis, Karen. (2007) Problems with provision: barriers to drinking water quality and public health in rural Tasmania, Australia. Rural and Remote Health. 7(3), p. 627.
Conductive education: A functional skills program for children with cerebral palsy
Bourke-Taylor, Helen Maree, O'Shea, Roberta and Gaebler-Spira, Deborah. (2007) Conductive education: A functional skills program for children with cerebral palsy. Physical & Occupational Therapy in Pediatrics. 27(1), pp. 45 - 62. https://doi.org/10.1300/J006v27n01_04
Generating best evidence from qualitative research: The role of data analysis
Willis, Karen. (2007) Generating best evidence from qualitative research: The role of data analysis. Australian and New Zealand Journal of Public Health. 31(6), pp. 545 - 550. https://doi.org/10.1111/j.1753-6405.2007.00141.x
What have sampling and data collection got to do with good qualitative research?
Willis, Karen. (2007) What have sampling and data collection got to do with good qualitative research? Australian and New Zealand Journal of Public Health. 31(6), pp. 540 - 544. https://doi.org/10.1111/j.1753-6405.2007.00140.x
The essential role of social theory in qualitative public health research
Willis, Karen. (2007) The essential role of social theory in qualitative public health research. Australian and New Zealand Journal of Public Health. 31(5), pp. 438 - 443. https://doi.org/10.1111/j.1753-6405.2007.00115.x
Working under pressure: a pilot study of nurse work in a postoperative setting.
Willis, Karen. (2005) Working under pressure: a pilot study of nurse work in a postoperative setting. Clinical Nurse Specialist. 19(2), pp. 87 - 93. https://doi.org/10.1097/00002800-200503000-00068
Cultural differences: The experience of establishing an occupational therapy service in a developing community
Bourke-Taylor, Helen Maree and Hudson, Dawn. (2005) Cultural differences: The experience of establishing an occupational therapy service in a developing community. Australian Occupational Therapy Journal. 52(3), pp. 188 - 198. https://doi.org/10.1111/j.1440-1630.2005.00493.x
Personal choice/social responsibility: Women aged 40-49 years and mammography screening
Willis, Karen. (2004) Personal choice/social responsibility: Women aged 40-49 years and mammography screening. Sociology, Journal of. 40(2), pp. 121 - 136. https://doi.org/10.1177/1440783304043050
Trusting technology: Women aged 40-49 years participating in screening for breast cancer - An exploratory study
Willis, Karen. (2003) Trusting technology: Women aged 40-49 years participating in screening for breast cancer - An exploratory study. Australian and New Zealand Journal of Public Health. 27(3), pp. 282 - 286. https://doi.org/10.1111/j.1467-842X.2003.tb00395.x
Melbourne assessment of unilateral upper limb function: Construct validity and correlation with the pediatric evaluation of disability inventory
Bourke-Taylor, Helen Maree. (2003) Melbourne assessment of unilateral upper limb function: Construct validity and correlation with the pediatric evaluation of disability inventory. Developmental Medicine and Child Neurology. 45(2), pp. 92 - 96. https://doi.org/10.1111/j.1469-8749.2003.tb00911.x
Feminist public health practice and population-based health strategies: Breast cancer screening in Australia
Willis, Karen. (1999) Feminist public health practice and population-based health strategies: Breast cancer screening in Australia. Scandinavian Journal of Public Health. 27(4), pp. 245 - 246. https://doi.org/10.1177/14034948990270040701
Building community networks: a road trauma education and training program for rural areas.
Willis, Karen. (1997) Building community networks: a road trauma education and training program for rural areas. Australian Journal of Rural Health. 5(1), pp. 6 - 10. https://doi.org/10.1111/j.1440-1584.1997.tb00227.x
Education for change in a post-modern world: redefining revolution
Cameron, Prue, Willis, Karen and Crack, Geoff. (1995) Education for change in a post-modern world: redefining revolution. Nurse Education Today. 15(5), pp. 336 - 340. https://doi.org/10.1016/S0260-6917(95)80005-0