A systematic review of the literature on self-management interventions and discussion of their potential relevance for people living with HIV in sub-Saharan Africa.

February 25, 2014 Editor 0

A systematic review of the literature on self-management interventions and discussion of their potential relevance for people living with HIV in sub-Saharan Africa.

Patient Educ Couns. 2014 Jan 30;

Authors: Aantjes CJ, Ramerman L, Bunders JF

Abstract

OBJECTIVE: This study systematically reviews the literature on self-management interventions provided by health care teams, community partners, patients and families and discusses the potential relevance of these interventions for people living with HIV in sub-Saharan Africa.

METHODS: We searched major databases for literature published between 1995 and 2012. 52 studies were included in this review.

RESULTS: The review found very few studies covering people living with HIV and generally inconclusive evidence to inform the development of chronic care policy and practice in sub-Saharan Africa.

CONCLUSION: Chronic care models and self-management interventions for sub-Saharan Africa has not been a research priority. Furthermore, the results question the applicability of these models and interventions in sub-Saharan Africa. There is a need for studies to fill this gap in view of the rapidly increasing number of people needing chronic care services in Africa.

PRACTICE IMPLICATIONS: The established practices for long-term support for HIV patients are still the most valid basis for promoting self-management. This will be the case until there are more studies which assess those practices and their effect on self-management outcomes and other studies which assess the utility and feasibility of applying chronic care models that have been developed in high-income countries.

PMID: 24560067 [PubMed – as supplied by publisher]

Go to Source

Categories: PubMed

Tags: Health_Medical_Pharma, HIV/AIDS, Lentiviruses, Microbiology, sub-saharan africa