TY - JOUR
T1 - Self-management support interventions for socioeconomically disadvantaged older adults with chronic conditions
T2 - A systematic review
AU - Lawless, Michael T.
AU - Oster, Candice
AU - Block, Heather
AU - Cash, Belinda
AU - Bulto, Lemma N.
AU - Pinero de Plaza, Maria Alejandra
AU - George, Stacey
AU - Ambagtsheer, Rachel
AU - Archibald, Mandy
AU - Battersby, Malcolm
AU - Kitson, Alison
PY - 2025/12
Y1 - 2025/12
N2 - Objectives: To identify and describe the theories, components, and effectiveness of self-management support interventions for socially disadvantaged older adults (≥60 years) with chronic conditions and multimorbidity.Methods: Six electronic databases were searched in November 2023. Randomised controlled trials (RCTs) focused on self-management support interventions for socioeconomically disadvantaged community-dwelling older adults with chronic conditions and multimorbidity were included. Data extraction was guided by the Practical Reviews in Self-Management Support taxonomy, and study appraisal used the Revised Cochrane Risk of Bias tool. A critical narrative synthesis was conducted.Results: Eighteen trials (N=6269) were included. Interventions varied in their theoretical foundations, components, and delivery methods, showing promise in improving health-related quality of life, mental health, self-management behaviours, and self-efficacy outcomes, while reducing healthcare utilisation. Tailored, multi-component interventions may be effective in improving outcomes for socioeconomically disadvantaged older adults.Conclusions: Future research should prioritise the development of accessible, culturally appropriate self-management support interventions tailored to disadvantaged populations. These interventions should be evaluated in primary care and community settings for their effectiveness, scalability, and sustainability.Practice implications: Healthcare providers should integrate multi-component, theory-based support into routine care. Policymakers should create flexible funding and policies to support long-term implementation, addressing health disparities in disadvantaged communities.
AB - Objectives: To identify and describe the theories, components, and effectiveness of self-management support interventions for socially disadvantaged older adults (≥60 years) with chronic conditions and multimorbidity.Methods: Six electronic databases were searched in November 2023. Randomised controlled trials (RCTs) focused on self-management support interventions for socioeconomically disadvantaged community-dwelling older adults with chronic conditions and multimorbidity were included. Data extraction was guided by the Practical Reviews in Self-Management Support taxonomy, and study appraisal used the Revised Cochrane Risk of Bias tool. A critical narrative synthesis was conducted.Results: Eighteen trials (N=6269) were included. Interventions varied in their theoretical foundations, components, and delivery methods, showing promise in improving health-related quality of life, mental health, self-management behaviours, and self-efficacy outcomes, while reducing healthcare utilisation. Tailored, multi-component interventions may be effective in improving outcomes for socioeconomically disadvantaged older adults.Conclusions: Future research should prioritise the development of accessible, culturally appropriate self-management support interventions tailored to disadvantaged populations. These interventions should be evaluated in primary care and community settings for their effectiveness, scalability, and sustainability.Practice implications: Healthcare providers should integrate multi-component, theory-based support into routine care. Policymakers should create flexible funding and policies to support long-term implementation, addressing health disparities in disadvantaged communities.
KW - Aged
KW - Chronic disease
KW - Multimorbidity
KW - Self-management
KW - Socioeconomic disparities in health
KW - Systematic review
UR - https://www.scopus.com/pages/publications/105013742211
UR - https://www.scopus.com/inward/citedby.url?scp=105013742211&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2025.109305
DO - 10.1016/j.pec.2025.109305
M3 - Article
C2 - 40845471
SN - 1873-5134
VL - 141
SP - 1
EP - 18
JO - Patient Education and Counseling
JF - Patient Education and Counseling
M1 - 109305
ER -
