SCIENTIFIC ARTICLE OF THE MONTH
To Adapt or Not to Adapt: The Association between Implementation Fidelity and the Effectiveness of Diabetes Self-Management Education
Self-management education (SME) is a key determinant of diabetes treatment outcomes. While SME programs are often adapted for implementation, the impact of adaptations on diabetes SME effectiveness is not well documented. This study evaluated the impact of the implementation fidelity of diabetes SME programs on program effectiveness, exploring which factors influence implementation fidelity.
Self-management interventions for adults living with Chronic Obstructive Pulmonary Disease (COPD): The development of a Core Outcome Set for COMPAR-EU project
A large body of evidence suggests that self-management interventions (SMIs) may improve outcomes in chronic obstructive pulmonary disease (COPD). We aimed to develop a core set of patient-relevant outcomes (COS) for SMIs trials to enhance comparability of interventions and ensure person-centred care.
What is the minimum effectiveness at which patients adopt remote digital monitoring for managing Diabetes? The findings of the study suggest that the variability in patients’ requirements points to a need for Shared Decision Making.
What Works in Implementing Patient Decision Aids in Routine Clinical Settings? A Rapid Realist Review and Update from the International Patient Decision Aid Standards Collaboration
This study presents a program theory derived from implementation studies across a range of routine health care settings and recommends strategies that could be used as a practical guide by organisations and individuals attempting to embed patient decision aids routinely.
This month, we do not recommend a scientific article as always. This time, we recommend a special article – our 5th COMPAR-EU newsletter. We inform about our project developments, our launch of Self-Management Europe, the set up of different panels that support us, and much more.
Do Chronic Obstructive Pulmonary Diseases (COPD) Self-Management Interventions Consider Health Literacy and Patient Activation? A Systematic Review
Self-management interventions aimed at using both health literacy and patient activation can greatly benefit COPD patients. This review provides insights into how frequently self-management interventions include features that address health literacy and patient activation.
Using Nudges to Enhance Clinicians’ Implementation of Shared Decision Making With Patient Decision Aids
‘‘Nudges’’ which draw on behavioral economics and target automatic thinking processes have not been applied in the context of SDM interventions but have potential to influence clinician motivation, a primary barrier to long-term adoption of SDM tools.
“All about the money?” A qualitative interview study examining organizational- and system-level characteristics that promote or hinder shared decision-making in cancer care in the United States
Organizational and health system characteristics appear to contribute to the difficulties in implementing SDM in routine care. In this paper and based on their interviews, Scholl et al. found that one dominant theme affecting SDM implementation was the view that SDM might impair profit margins.
Qualitative evidence synthesis for complex interventions and guideline development: clarification of the purpose, designs and relevant methods
BMJ Global health published a series of papers commissioned by the WHO on the implications of complexity for systematic reviews and guideline development. Another one out of this series: https://bit.ly/2EyePrn
Those have been useful as a starting point for COMPAR-EU and we aim to also contribute to advance the methodology to synthesis evidence for complex interventions further.
The importance of interactions between patients and healthcare professionals for heart failure self-care: A systematic review of qualitative research into patient perspectives
Interactions and relationships with clinicians play a substantial role in patients´ capacity for heart failure selfcare (SC). According to Currie et al. the way professionals interact with patients strongly influences patients’ understanding about their condition and self-care behaviors.