Family-centred approaches to healthcare interventions in chronic diseases in adults: A quantitative systematic review

Deek, H; Hamilton, S; Brown, N; Inglis, SC; Digiacomo, M; Newton, PJ; Noureddine, S; Macdonald, PS; Davidson, PM

Family-centred approaches to healthcare interventions in chronic diseases in adults: A quantitative systematic review

Deek, H

Hamilton, S Brown, N Inglis, SC

Digiacomo, M

Newton, PJ

Noureddine, S Macdonald, PS

Davidson, PM

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Publication Type:: Journal Article
Citation:: Journal of Advanced Nursing, 2016, 72 (5), pp. 968 - 979
Issue Date:: 2016-05-01

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Field	Value	Language
dc.contributor.author	Deek, H https://orcid.org/0000-0002-0242-4339	en_US
dc.contributor.author	Hamilton, S	en_US
dc.contributor.author	Brown, N	en_US
dc.contributor.author	Inglis, SC https://orcid.org/0000-0002-1331-5912	en_US
dc.contributor.author	Digiacomo, M https://orcid.org/0000-0001-5484-8224	en_US
dc.contributor.author	Newton, PJ https://orcid.org/0000-0002-5006-2037	en_US
dc.contributor.author	Noureddine, S	en_US
dc.contributor.author	Macdonald, PS https://orcid.org/0000-0001-5378-2825	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.date.available	2020-05-25T19:15:51Z
dc.date.issued	2016-05-01	en_US
dc.identifier.citation	Journal of Advanced Nursing, 2016, 72 (5), pp. 968 - 979	en_US
dc.identifier.issn	0309-2402	en_US
dc.identifier.uri	http://hdl.handle.net/10453/37794
dc.description.abstract	© 2016 John Wiley & Sons Ltd. Background: Increasingly there is a focus on self-care strategies for both malignant and non-malignant conditions. Models of self-care interventions have focussed on the individual and less on the broader context of family and society. In many societies, decision-making and health seeking behaviours, involve family members. Objective: To identify elements of effective family-centred self-care interventions that are likely to improve outcomes of adults living with chronic conditions. Design: Review paper. Data sources: MEDLINE (Ovid), CINAHL, Academic Search Complete, PsychInfo and Scopus between 2000-2014. Review methods: Quantitative studies targeting patient outcomes through family-centred interventions in adults were retrieved using systematic methods in January, 2015. Search terms used were: 'family', 'spouse', 'carer', 'caregiver', 'chronic', 'chronic disease', 'self-care', 'self-management' and 'self-efficacy'. Reference lists were reviewed. Risk of bias assessment was performed using the Cochrane Collaboration's tool. Data were reported using a narrative summary approach. Results: Ten studies were identified. Improvements were noted in readmission rates, emergency department presentations, and anxiety levels using family-centred interventions compared with controls. Elements of effective interventions used were a family-centred approach, active learning strategy and transitional care with appropriate follow-up. Conclusions: Involving the family in self-care has shown some positive results for patients with chronic conditions. The benefits of family-centred care may be more likely in specific socio-cultural contexts. Limitations: The review has year limits and further research needs to identify support for both the patients and family caregivers.	en_US
dc.relation.ispartof	Journal of Advanced Nursing	en_US
dc.relation.isbasedon	10.1111/jan.12885	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Chronic Disease	en_US
dc.subject.mesh	Self Care	en_US
dc.subject.mesh	Health Behavior	en_US
dc.subject.mesh	Family	en_US
dc.subject.mesh	Patient Participation	en_US
dc.subject.mesh	Patient-Centered Care	en_US
dc.title	Family-centred approaches to healthcare interventions in chronic diseases in adults: A quantitative systematic review	en_US
dc.type	Journal Article
utslib.citation.volume	5	en_US
utslib.citation.volume	72	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access
pubs.declined	1970-01-01T00:00:00.0+1000
pubs.issue	5	en_US
pubs.publication-status	Published	en_US
pubs.volume	72	en_US

Abstract:

© 2016 John Wiley & Sons Ltd. Background: Increasingly there is a focus on self-care strategies for both malignant and non-malignant conditions. Models of self-care interventions have focussed on the individual and less on the broader context of family and society. In many societies, decision-making and health seeking behaviours, involve family members. Objective: To identify elements of effective family-centred self-care interventions that are likely to improve outcomes of adults living with chronic conditions. Design: Review paper. Data sources: MEDLINE (Ovid), CINAHL, Academic Search Complete, PsychInfo and Scopus between 2000-2014. Review methods: Quantitative studies targeting patient outcomes through family-centred interventions in adults were retrieved using systematic methods in January, 2015. Search terms used were: 'family', 'spouse', 'carer', 'caregiver', 'chronic', 'chronic disease', 'self-care', 'self-management' and 'self-efficacy'. Reference lists were reviewed. Risk of bias assessment was performed using the Cochrane Collaboration's tool. Data were reported using a narrative summary approach. Results: Ten studies were identified. Improvements were noted in readmission rates, emergency department presentations, and anxiety levels using family-centred interventions compared with controls. Elements of effective interventions used were a family-centred approach, active learning strategy and transitional care with appropriate follow-up. Conclusions: Involving the family in self-care has shown some positive results for patients with chronic conditions. The benefits of family-centred care may be more likely in specific socio-cultural contexts. Limitations: The review has year limits and further research needs to identify support for both the patients and family caregivers.

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http://hdl.handle.net/10453/37794