The PRISMS taxonomy of self-management support: derivation of a novel taxonomy and initial testing of its utility
The PRISMS taxonomy of self-management support: derivation of a novel taxonomy and initial testing of its utility
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DOI：
10.1177/1355819615602725
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发表时间：
2016-04-01
影响因子：
2.4
通讯作者：
Taylor, Stephanie J. C.
中科院分区：
文献类型：
--
作者：
Pearce, Gemma;Parke, Hannah L.;Taylor, Stephanie J. C.
背景支持自我管理是全球医疗保健系统对长期疾病日益普遍的核心应对措施。缺乏全面的分类（或分类）的自我管理支持组件阻碍表征，并最终，这些往往复杂的，多组件interventions.Objective理解发展一个全面的，描述性的自我管理支持组件的分类法组件来自969独特的随机对照试验中描述的102系统评价和61实施试验，研究14种不同的长期条件，包括在自我管理支持（PRISMS）项目的实际审查，然后在一个专家利益相关者研讨会的讨论。分类的效用，然后使用癌症survivor.Results的自我管理支持干预测试的PRISMS分类包括14个组件，可用于支持自我管理（如有关条件/管理，提供设备，社会支持的信息），当交付给一个人与长期的条件或他们的照顾者。最重要的方面是提供模式;提供支助的人员;干预目标;干预的强度、频率和持续时间。该分类法不考虑不同组成部分或总体维度的有效性或其他方面。结论PRISMS分类法为描述自我管理支持干预措施的研究人员、综合证据的审查人员以及为患有长期疾病的人提供卫生服务的开发人员提供了一个框架。
Background Supporting self-management is a core response of health care systems globally to the increasing prevalence of long-term conditions. Lack of a comprehensive taxonomy (or classification) of self-management support components hinders characterization and, ultimately, understanding of these frequently complex, multi-component interventions.Objective To develop a comprehensive, descriptive taxonomy of self-management support components.Methods Components were derived from the 969 unique randomized controlled trials described in the 102 systematic reviews and 61 implementation trials, examining 14 diverse long-term conditions included in the Practical Reviews in Self-Management Support (PRISMS) project followed by discussion at an expert stakeholder workshop. The utility of the taxonomy was then tested using a self-management support intervention for cancer survivors.Results The PRISMS taxonomy comprises 14 components that might be used to support self-management (e.g. information about condition/management, provision of equipment, social support), when delivered to someone with a long-term condition or their carer. Overarching dimensions are delivery mode; personnel delivering the support; intervention targeting; and intensity, frequency and duration of the intervention. The taxonomy does not consider the effectiveness or otherwise of the different components or the overarching dimensions.Conclusions The PRISMS taxonomy offers a framework to researchers describing self-management support interventions, to reviewers synthesizing evidence and to developers of health services for people with long-term conditions.