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dc.contributor.authorFranklin, M
dc.contributor.authorLewis, S
dc.contributor.authorWillis, K
dc.contributor.authorRogers, A
dc.contributor.authorTaylor-Burke, H
dc.contributor.authorSmith, L
dc.date.accessioned2020-02-10T00:39:05Z
dc.date.available2020-02-10T00:39:05Z
dc.date.issued2018
dc.identifier.citationFranklin, M., Lewis, S., Willis, K., Bourke-Taylor, H., & Smith, L. (2018). Patients’ and healthcare professionals’ perceptions of self-management support interactions: Systematic review and qualitative synthesis. Chronic Illness, 14(2), 79–103. https://doi.org/10.1177/1742395317710082en_AU
dc.identifier.urihttps://hdl.handle.net/2123/21818
dc.description.abstractAbstract Objective To review studies examining the experience of self-management support in patient–provider interactions and the shaping of goals through interactions. Methods We undertook a systematic review and thematic synthesis of the qualitative literature. We searched six databases (2004–2015) for published studies on the provision of self-management support in one-to-one, face-to-face, patient–provider interactions for obesity, type 2 diabetes mellitus and chronic obstructive pulmonary disease, with 14 articles meeting inclusion criteria. Results Themes identified from studies were (1) dominance of a traditional model of care, encompassing the provision of generic information, exclusion of the psychosocial and temporal nature of interactions and (2) a context of individual responsibility and accountability, encompassing self-management as patients’ responsibility and adherence, accountability and the attribution of blame. Interactions were constrained by consultation times, patient self-blame and guilt, desire for autonomy and beliefs about what constitutes ‘effective’ self-management. Discussion Encounters were oriented towards a traditional model of care delivery and this limited opportunity for collaboration. These findings suggest that healthcare professionals remain in a position of authority, limiting opportunities for control to be shared with patients and shared understandings of social context to be developed.en_AU
dc.description.sponsorshipAustralian Research Council (DP150101406).en_AU
dc.language.isoen_AUen_AU
dc.publisherSAGEen_AU
dc.relationThis research was funded by the Australian Research Council (DP150101406)en_AU
dc.subjectself management supporten_AU
dc.subjectself managementen_AU
dc.subjectChronic conditionsen_AU
dc.subjectpatient professional interactionsen_AU
dc.subjectgoal settingen_AU
dc.subjectsystematic reviewen_AU
dc.subjectthematic analysisen_AU
dc.titlePatients’ and healthcare professionals’ perceptions of self-management support interactions: Systematic review and qualitative synthesisen_AU
dc.typeArticleen_AU
dc.subject.asrcHealthen_AU
dc.subject.asrcMedicineen_AU
dc.identifier.doihttps://doi.org/10.1177/1742395317710082
dc.type.pubtypePost-printen_AU


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