The PRISMS taxonomy of self-management support: derivation of a novel taxonomy and initial testing of its utility

Gemma Pearce, H.L. Parke, H. Pinnock, E. Epiphaniou, C.L.A. Bourne, A. Sheikh, S.J.C. Taylor

    Research output: Contribution to journalArticle

    46 Citations (Scopus)
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    Abstract

    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 characterisation 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 RCTs described in the 102 systematic reviews, and 61 implementation trials, examining 14 diverse long-term conditions included in the PRISMS (Practical Reviews In Self-Management Support) 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 synthesising evidence and to developers of health services for people with long-term conditions.
    Original languageEnglish
    Pages (from-to)73-82
    JournalJournal of Health Services Research & Policy
    Volume21
    Issue number2
    DOIs
    Publication statusPublished - 2015

    Keywords

    • self-management and self-care
    • taxonomy
    • long-term condition and chronic illness
    • complex intervention
    • dissemination and implementation

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