Enhancing self-management support in primary health care: a systematic review of randomized controlled trials

Research output: Other contribution to conferencePresentation onlypeer-review


Increasing patient self-management has been demonstrated to improve patient outcomes and have cost benefits for the health care system. Community pharmacists are ideally placed to support ongoing patient self-management. Therefore there is substantial potential to improve pharmacists’ skills, knowledge, ability and competencies to support patient self-management through an evidence-based structured approach in order to integrate self-management support into usual practice. Purpose(1) To assess the effectiveness of interventions for patient self-management support on health outcomes compared to usual care; and (2) to report the core components of the most effective interventions. Methods A systematic review was undertaken. The databases of PubMed, Scopus and Web of Science were searched from inception to November 2017. Eligible studies were those assessing the effectiveness of an educational/behavioural intervention, delivered individually face-to-face by a primary health care professional to adult patients with any condition compared with usual care. To assess effective interventions, we developed matrices that mapped the evidence for, and the components of each intervention. Quality assessment was performed using the ‘suggested risk of bias criteria for EPOC reviews’. Results 5,544 records were retrieved. Fifty-two studies were included in the analysis. Strategies effective in improving clinical and humanistic outcomes were multi component complex interventions. The core components of interventions associated with positive outcomes included: (1) transfer of information, (2) enhancing problem solving and decision-making skills, (3) active stimulation of symptom monitoring, (4) enhancing dietary intake and (5) enhancing physical activity. Eighty-two different outcome measures were adopted to demonstrate such impact, including different measures of health-related quality of life, overall functioning, self-efficacy, health behaviours, symptoms and disease control. Training health professionals and follow up were also necessary to ensure that patients’ self-management abilities were maintained. Conclusions Self-management support shows an improvement in clinical and humanistic outcomes. This review highlights key characteristics of successful interventions, and as such may assist in determining the breadth and focus of the support primary care professionals provide. These results may be used to provoke and inform discussions for enhancing the future delivery of self-management support in primary care.
Original languageEnglish
Number of pages1
Publication statusPublished - 2018
EventFIP Pharmacy Practice Research Symposium - Lisbon, Portugal
Duration: 25 Jun 201827 Jun 2018
https://www.pharmacypractice.org/journal/index.php/pp/issue/view/54 (Conference procedures)


ConferenceFIP Pharmacy Practice Research Symposium
OtherThe first symposium on pharmacy practice research organised by the FIP PPR SIG was held in Lisbon on the 25th, 26th and 27th June 2018. PhD students and their supervisors, researchers, academics, professional organisations and practitioners involved in research were invited to present their work and build new global pharmacy networks. The symposium was a great success. More than 150 delegates from all around the world attended the meeting and presented their research in the form of research presentations, 3 minute thesis and poster presentations, with awards in each category. Keynote speakers on advance pharmacy practice research and a wide range of masterclasses were delivered by international experts. Attendants also had the opportunity to join a networking group on their research area in order to stablish new research collaborations.
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