Personalised care planning for adults with chronic or long-term health conditions

Cochrane Database of Systematic Reviews

Volumn 2013, Issue 5, 2013, Pages

  Coulter, Angela ^a   Entwistle, Vikki A ^b   Eccles, Abi ^c   Ryan, Sara ^c   Shepperd, Sasha ^a   Perera, Rafael ^c  

^a UNIVERSITY OF OXFORD   (United Kingdom)

^b UNIVERSITY OF ABERDEEN   (United Kingdom)

^c UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ANXIETY; ARTICLE; CHRONIC DISEASE; CLINICAL EFFECTIVENESS; CLINICAL PROTOCOL; DEPRESSION; HEALTH BEHAVIOR; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH CARE UTILIZATION; HEALTH PROMOTION; HEALTH STATUS; HUMAN; INTERMETHOD COMPARISON; LONG TERM CARE; MENTAL HEALTH; PATIENT CARE; PATIENT DECISION MAKING; PERSONALIZED MEDICINE; PRIORITY JOURNAL; QUALITY OF LIFE; SELF CARE; STUDY DESIGN; SYSTEMATIC REVIEW;

EID: 84963720499     PISSN: 14651858     EISSN: None     Source Type: Journal    
DOI: 10.1002/14651858.CD010523     Document Type: Article

References (63)

1. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychological Review 1977;84(2):191-215.
2. Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multi-morbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 2012;380(9836):37-43.
3. Blakeman T, Macdonald W, Bower P, Gately C, Chew-Graham C. A qualitative study of GPs' attitudes to self-management of chronic disease. British Journal of General Practice 2006;56(527):407-14.
4. Bodenheimer T. Interventions to improve chronic illness care: evaluating their effectiveness. Disease Management 2003;6(2):63-71.
5. Bosch-Capblanch X, Abba K, Prictor M, Garner P. Contracts between patients and healthcare practitioners for improving patients' adherence to treatment, prevention and health promotion activities. Cochrane Database of Systematic Reviews 2007, Issue 2. [DOI: 10.1002/14651858.CD004808.pub3]
6. Burt J, Roland M, Paddison C, Reeves D, Campbell J, Abel G, et al.Prevalence and benefits of care plans and care planning for people with long-term conditions in England. Journal of Health Services Research and Policy. 2012/02/15 2012; Vol. 17 Suppl 1:64-71.
7. Charles C, Gafni A, Whelan T. Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Social Science and Medicine 1999;49(5):651-61.
8. Coulter, A, Collins, A . Making shared decision-making a reality. http://www.kingsfund.org.uk/publications/making-shared-decision-making-reality. London: King's Fund, 2011.
9. Deakin TA, McShane CE, Cade JE, Williams R. Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database of Systematic Reviews 2005, Issue 2. [DOI: 10.1002/14651858.CD003417.pub2]
10. Department of Health/Long Term Conditions. Supporting people with long term conditions: commissioning personalised care planning. www.dh.gov.uk/publications. Leeds: Department of Health, 2009 (accessed 21 Dec 2012).
11. Department of Health. Personalised care planning: improving care for people with long term conditions (Information Sheet 1). http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_124048.pdf 2011 (accessed 21 Dec 2012).
12. Department of Health. The Mandate. A Mandate from the Government to the NHS Commissioning Board: April 2013 to March 2015. http://www.dh.gov.uk/health/2012/11/nhs-mandate 2012 (accessed 21 Dec 2012).
13. Dijkstra RF, Braspenning JC, Huijsmans Z, Akkermans RP, van Ballegooie E, ten Have P, et al.Introduction of diabetes passports involving both patients and professionals to improve hospital outpatient diabetes care. Diabetes Research and Clinical Practice 2005;68(2):126-34.
14. Dwamena F, Holmes-Rovner M, Gaulden CM, Jorgenson S, Sadigh G, Sikorskii A, et al.Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database of Systematic Reviews 2012, Issue 12. [DOI: 10.1002/14651858.CD003267.pub2]
15. Edwards AGK, Naik G, Ahmed H, Elwyn GJ, Pickles T, Hood K, et al.Personalised risk communication for informed decision making about taking screening tests. Cochrane Database of Systematic Reviews 2013, Issue 2. [DOI: 10.1002/14651858.CD001865.pub3]
16. Ell K, Katon W, Xie B, Lee PJ, Kapetanovic S, Guterman J, et al.Collaborative care management of major depression among low-income, predominantly Hispanic subjects with diabetes: a randomized controlled trial. Diabetes Care. 2010/01/26 2010; Vol. 33, issue 4:706-13.
17. Elwyn G, Lloyd A, Joseph-Williams N, Cording E, Thomson R, Durand MA, et al.Option Grids: shared decision making made easier. Patient Education and Counseling 2012;90(2):207-12. [DOI: 10.1016/j.pec.2012.06.036]
18. Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinnersley P, et al.Shared decision making: a model for clinical practice. Journal of General Internal Medicine 2012;27(10):1361-7.
19. Entwistle VA, Cribb A, Watt IS. Shared decision making: enhancing the clinical relevance. Journal of the Royal Society of Medicine 2012;105(10):416-21.
20. Epping-Jordan JE, Pruitt SD, Bengoa R, Wagner EH. Improving the quality of health care for chronic conditions. Quality and Safety in Health Care. 2004/08/04 2004; Vol. 13, issue 4:299-305.
21. Forder J, Jones K, Glendinning C, Caiels J, Welch E, Baxter K, et al.Evaluation of the personal health budget pilot programme. http://www.personalhealthbudgets.dh.gov.uk/_library/Resources/Personalhealthbudgets/2012/PHBE_personal_health_budgets_final_report_Nov_2012.pdf. Canterbury: University of Kent, 2012 (accessed 21 Dec 2012).
22. Foster G, Taylor SJ, Eldridge SE, Ramsay J, Griffiths CJ. Self-management education programmes by lay leaders for people with chronic conditions. Cochrane Database of Systematic Reviews 2007, Issue 4. [DOI: 10.1002/14651858.CD005108.pub2]
23. Frosch DL, Uy V, Ochoa S, Mangione CM. Evaluation of a behavior support intervention for patients with poorly controlled diabetes. Archives of Internal Medicine. 2011/10/12 2011; Vol. 171, issue 22:2011-7.
24. George Institute for Global Health. Realising the potential of patient empowerment for tackling chronic disease. http://www.bupa.com/media/289194/realising_the_potential_of_patient_empowerment_-_final.pdf. London: Bupa, 2011 (accessed 21 Dec 2012).
25. Glasgow RE, Nutting PA, King DK, Nelson CC, Cutter G, Gaglio B, et al.A practical randomized trial to improve diabetes care. Journal of General Internal Medicine 2004;19(12):1167-74.
26. Glasgow RE, Whitesides H, Nelson CC, King DK. Use of the Patient Assessment of Chronic Illness Care (PACIC) with diabetic patients: relationship to patient characteristics, receipt of care, and self-management. Diabetes Care 2005;28(11):2655-61.
27. Hibbard JH, Stockard J, Mahoney ER, Tusler M. Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Services Research 2004; Vol. 39, issue 4 Pt 1:1005-26.
28. Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
29. Kennedy A, Gask L, Rogers A. Training professionals to engage with and promote self-management. Health Education Research. 2005/03/03 2005; Vol. 20, issue 5:567-78.
30. Kinnersley P, Edwards AGK, Hood K, Cadbury N, Ryan R, Prout H, et al.Interventions before consultations for helping patients address their information needs. Cochrane Database of Systematic Reviews 2007, Issue 3. [DOI: 10.1002/14651858.CD004565.pub2]
31. Lai DTC, Cahill K, Qin Y, Tang J-L. Motivational interviewing for smoking cessation. Cochrane Database of Systematic Reviews 2010, Issue 1. [DOI: 10.1002/14651858.CD006936.pub2]
32. Leventhal H, Leventhal EA, Contrada RJ. Self-regulation, health and behavior: a perceptual-cognitive approach. Psychology and Health 1998;13:717-33.
33. Mangin D, Heath I, Jamoulle M. Beyond diagnosis: rising to the multi-morbidity challenge. BMJ 2012;344:e3526. [DOI: 10.1136/bmj.e3526]
34. May C, Montori V, Mair F. We need minimally disruptive medicine. BMJ 2009;339:485-7.
35. Michie S, Miles J, Weinman J. Patient-centredness in chronic illness: what is it and does it matter?. Patient Education and Counseling 2003;51(3):197-206.
36. Mulley A, Trimble C, Elwyn G. Patients' preferences matter: stop the silent misdiagnosis. http://www.kingsfund.org.uk/publications/patients%E2%80%99-preferences-matter 2012 (accessed 21 Dec 2012).
37. Murray E, Burns J, See Tai S, Lai R, Nazareth I. Interactive Health Communication Applications for people with chronic disease. Cochrane Database of Systematic Reviews 2005, Issue 4. [DOI: 10.1002/14651858.CD004274.pub4]
38. Newbould J, Burt J, Bower P, Blakeman T, Kennedy A, Rogers A, et al.Experiences of care planning in England: interviews with patients with long term conditions. BMC Family Practice 2012;13(1):71.
39. Nolte E, McKee M. Integration and chronic care: a review. In: Nolte E, McKee M editor(s). Caring for People with Chronic Conditions: A Health System Perspective. Maidenhead, UK: McGraw Hill, 2008:64-91.
40. Powell H, Gibson PG. Options for self-management education for adults with asthma. Cochrane Database of Systematic Reviews 2002, Issue 3. [DOI: 10.1002/14651858.CD004107]
41. Prochaska JO, Diclemente CC. Stages of change in the modification of problem behaviors. Programs of Behavior Modification 1992; Vol. 28:183-218.
42. Protheroe J, Blakeman T, Bower P, Chew-Graham C, Kennedy A. An intervention to promote patient participation and self-management in long term conditions: development and feasibility testing. BMC Health Services Research 2010;10:206. [DOI: 10.1186/1472-6963-10-206]
43. Renders CM, Valk GD, Griffin S, Wagner EH, van E, Assendelft WJJ. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Cochrane Database of Systematic Reviews 2000, Issue 4. [DOI: 10.1002/14651858.CD001481]
44. Reuben DB, Tinetti ME. Goal-oriented patient care: an alternative health outcomes paradigm. New England Journal of Medicine 2012;366(9):777-9.
45. Ross SE, Moore LA, Earnest MA, Wittevrongel L, Lin CT. Providing a web-based online medical record with electronic communication capabilities to patients with congestive heart failure: randomized trial. Journal of Medical Internet Research 2004;6(2):e12. [DOI: 10.2196/jmir.6.2.e12]
46. Rubak S, Sandbaek A, Lauritzen T, Christensen B. Motivational interviewing: a systematic review and meta-analysis. British Journal of General Practice 2005;55(513):305-12.
47. Ryan R, Hill S, Prictor M, McKenzie J. Study Quality Guide. Cochrane Consumers and Communication Review Group May 2011. [: http://www.latrobe.edu.au/chcp/cochrane/resources.html [accessed 21/12/12]]
48. Schmittdiel J, Mosen DM, Glasgow RE, Hibbard J, Remmers C, Bellows J. Patient Assessment of Chronic Illness Care (PACIC) and improved patient-centered outcomes for chronic conditions. Journal of General Internal Medicine. 2007/11/22 2008; Vol. 23, issue 1:77-80.
49. Schoen C, Osborn R, Squires D, Doty M, Pierson R, Applebaum S. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. Health Affairs. 2011/11/11 2011; Vol. 30, issue 12:2437-48.
50. Schünemann HJ, Oxman AD, Higgins JPT, Vist GE, Glasziou P, Guyatt GH. Chapter 11: Presenting results and 'Summary of findings' tables. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [Updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org. The Cochrane Collaboration.
51. Shepherd HL, Barratt A, Trevena LJ, McGeechan K, Carey K, Epstein RM, et al.Three questions that patients can ask to improve the quality of information physicians give about treatment options: a cross-over trial. Patient Education and Counseling. 2011/08/13 2011; Vol. 84, issue 3:379-85.
52. Singh D. How can chronic disease management programmes operate across care settings and providers?. World Health Organization, European Observatory, Health Evidence Network 2008.
53. Smedslund G, Berg RC, Hammerstrøm KT, Steiro A, Leiknes KA, Dahl HM, et al.Motivational interviewing for substance abuse. Cochrane Database of Systematic Reviews 2011, Issue 5. [DOI: 10.1002/14651858.CD008063.pub2]
54. Stacey D, Bennett CL, Barry MJ, Col NF, Eden KB, Holmes-Rovner M, et al.Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews 2011, Issue 10. [DOI: 10.1002/14651858.CD001431.pub3]
55. Tsai AC, Morton SC, Mangione CM, Keeler EB. A meta-analysis of interventions to improve care for chronic illnesses. American Journal of Managed Care 2005;11(8):478-88.
56. UN Secretary General. Prevention and control of non-communicable diseases. UN General Assembly 2001; Vol. Sixty-sixth session.
57. Von Korff M, Gruman J, Schaefer J, Curry SJ, Wagner EH. Collaborative management of chronic illness. Annals of Internal Medicine. 1997/12/31 1997; Vol. 127, issue 12:1097-102.
58. Wagner EH. Chronic disease management: what will it take to improve care for chronic illness?. Effective Clinical Practice 1998; Vol. 1, issue 1:2-4.
59. Wanless D. Securing our future health: taking a long-term view. London: HM Treasury 2002.
60. Wensing M, Vingerhoets E, Grol R. Feedback based on patient evaluations: a tool for quality improvement?. Patient Education and Counseling 2003; Vol. 51, issue 2:149-53.
61. Wetzels R, Harmsen M, Van Weel C, Grol R, Wensing M. Interventions for improving older patients' involvement in primary care episodes. Cochrane Database of Systematic Reviews 2007, Issue 1. [DOI: 10.1002/14651858.CD004273.pub2]
62. World Health Organization. Chronic diseases. http://www.who.int/topics/chronic_diseases/en/. Geneva: WHO, (accessed 21 Dec 2012).
63. Year of Care Programme. Report of findings from the pilot programme. Diabetes UK, Department of Health, The Health Foundation, NHS Diabetes. London, 2011.