Abstract
Original language | English |
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Pages (from-to) | 73-82 |
Journal | Journal of Health Services Research & Policy |
Volume | 21 |
Issue number | 2 |
DOIs | |
Publication status | Published - 2015 |
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Keywords
- self-management and self-care
- taxonomy
- long-term condition and chronic illness
- complex intervention
- dissemination and implementation
Cite this
The PRISMS taxonomy of self-management support: derivation of a novel taxonomy and initial testing of its utility. / Pearce, Gemma; Parke, H.L.; Pinnock, H.; Epiphaniou, E.; Bourne, C.L.A.; Sheikh, A.; Taylor, S.J.C.
In: Journal of Health Services Research & Policy, Vol. 21, No. 2, 2015, p. 73-82.Research output: Contribution to journal › Article
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TY - JOUR
T1 - The PRISMS taxonomy of self-management support: derivation of a novel taxonomy and initial testing of its utility
AU - Pearce, Gemma
AU - Parke, H.L.
AU - Pinnock, H.
AU - Epiphaniou, E.
AU - Bourne, C.L.A.
AU - Sheikh, A.
AU - Taylor, S.J.C.
PY - 2015
Y1 - 2015
N2 - 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.
AB - 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.
KW - self-management and self-care
KW - taxonomy
KW - long-term condition and chronic illness
KW - complex intervention
KW - dissemination and implementation
U2 - 10.1177/1355819615602725
DO - 10.1177/1355819615602725
M3 - Article
VL - 21
SP - 73
EP - 82
JO - Journal of Health Services Research and Policy
JF - Journal of Health Services Research and Policy
SN - 1355-8196
IS - 2
ER -