Cited by 592Chronic Disease Management StrategiesDiabetes Management and EducationPatient-Provider Communication in Healthcare

The DOI matches its Crossref record; 204 of the 204 references it cites were found in a registry or an index.

Personalised care planning for adults with chronic or long-term health conditions

Open access

Coulter, Angela, Entwistle, Vikki A, Eccles, Abi, Ryan, Sara, Shepperd, Sasha, Perera, Rafael·2015·Cochrane Database of Systematic Reviews

DOI 10.1002/14651858.cd010523.pub2PMC PMC6486144

Open this paper in CoChat — free account Open PDF

Abstract

BACKGROUND: Personalised care planning is a collaborative process used in chronic condition management in which patients and clinicians identify and discuss problems caused by or related to the patient's condition, and develop a plan for tackling these. In essence it is a conversation, or series of conversations, in which they jointly agree goals and actions for managing the patient's condition. OBJECTIVES: To assess the effects of personalised care planning for adults with long-term health conditions compared to usual care (i.e. forms of care in which active involvement of patients in treatment and management decisions is not explicitly attempted or achieved). SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, PsycINFO, ProQuest, clinicaltrials.gov and WHO International Clinical Trials Registry Platform to July 2013. SELECTION CRITERIA: We included randomised controlled trials and cluster-randomised trials involving adults with long-term conditions where the intervention included collaborative (between individual patients and clinicians) goal setting and action planning. We excluded studies where there was little or no opportunity for the patient to have meaningful influence on goal selection, choice of treatment or support package, or both. DATA COLLECTION AND ANALYSIS: Two of three review authors independently screened citations for inclusion, extracted data, and assessed risk of bias. The primary outcomes were effects on physical health, psychological health, subjective health status, and capabilities for self management. Secondary outcomes included effects on health-related behaviours, resource use and costs, and type of intervention. A patient advisory group of people with experience of living with long-term conditions advised on various aspects of the review, including the protocol, selection of outcome measures and emerging findings. MAIN RESULTS: We included 19 studies involving a total of 10,856 participants. Twelve of these studies focused on diabetes, three on mental health, one on heart failure, one on end-stage renal disease, one on asthma, and one on various chronic conditions. All 19 studies included components that were intended to support behaviour change among patients, involving either face-to-face or telephone support. All but three of the personalised care planning interventions took place in primary care or community settings; the remaining three were located in hospital clinics. There was some concern about risk of bias for each of the included studies in respect of one or more criteria, usually due to inadequate or unclear descriptions of research methods. Physical healthNine studies measured glycated haemoglobin (HbA1c), giving a combined mean difference (MD) between intervention and control of -0.24% (95% confidence interval (CI) -0.35 to -0.14), a small positive effect in favour of personalised care planning compared to usual care (moderate quality evidence).Six studies measured systolic blood pressure, a combined mean difference of -2.64 mm/Hg (95% CI -4.47 to -0.82) favouring personalised care (moderate quality evidence). The pooled results from four studies showed no significant effect on diastolic blood pressure, MD -0.71 mm/Hg (95% CI -2.26 to 0.84).We found no evidence of an effect on cholesterol (LDL-C), standardised mean difference (SMD) 0.01 (95% CI -0.09 to 0.11) (five studies) or body mass index, MD -0.11 (95% CI -0.35 to 0.13) (four studies).A single study of people with asthma reported that personalised care planning led to improvements in lung function and asthma control. Psychological healthSix studies measured depression. We were able to pool results from five of these, giving an SMD of -0.36 (95% CI -0.52 to -0.20), a small effect in favour of personalised care (moderate quality evidence). The remaining study found greater improvement in the control group than the intervention group.Four other studies used a variety of psychological measures that were conceptually different so could not be pooled. Of these, three found greater improvement for the personalised care group than the usual care group and one was too small to detect differences in outcomes. Subjective health statusTen studies used various patient-reported measures of health status (or health-related quality of life), including both generic health status measures and condition-specific ones. We were able to pool data from three studies that used the SF-36 or SF-12, but found no effect on the physical component summary score SMD 0.16 (95% CI -0.05 to 0.38) or the mental component summary score SMD 0.07 (95% CI -0.15 to 0.28) (moderate quality evidence). Of the three other studies that measured generic health status, two found improvements related to personalised care and one did not.Four studies measured condition-specific health status. The combined results showed no difference between the intervention and control groups, SMD -0.01 (95% CI -0.11 to

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1002/14651858.cd010523.pub2

Cites

204 of 204 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

1 retracted

Group based training for self-management strategies in people with type 2 diabetes mellitus
Deakin, T. A., McShane, C. E., Cade, J. E., & Williams, R. (2005) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003417.pub2 · Cited by 862
Retracted
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925
Untitled work
(1992) · PubMed · Cited by 33,716
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807
The MOS 36-ltem Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Ware, J. E., & Sherbourne, C. D. (1992) · Medical Care · doi:10.1097/00005650-199206000-00002 · Cited by 30,033
A 12-Item Short-Form Health Survey: Construction of Scales and Preliminary Tests of Reliability and Validity
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392
Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1978) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(78)90002-4 · Cited by 10,586

Flagged first, then by citations

Show all 201 references

Research works printed but not linked: 15

Sciamanna CN Thiboutot J Effects of a patient activation intervention to overcome clinical inertia to control blood pressure Journal of General Internal Medicine 2011 S112
Battersby, 2005, Health reform through coordinated care: SA HealthPlus, BMJ, 330, 662, 10.1136/bmj.330.7492.662 · DOI
Bower, 2012, A cluster randomised controlled trial of the clinical and cost-effectiveness of a 'whole systems' model of self-management support for the management of long- term conditions in primary care: trial protocol, Implementation Science, 7, 7, 10.1186/1748-5908-7-7 · DOI
Coulter, 2011, Making Shared Decision Making a Reality
Entwistle, 2013, Enabling People to Live Well
First, 1997, Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), clinician version
Glasgow, 2004a, A practical randomized trial to improve diabetes care, Journal of General Internal Medicine, 19, 1167, 10.1111/j.1525-1497.2004.30425.x · DOI · Paper page
Katon, 2010b, Integrating depression and chronic disease care among patients with diabetes and/or coronary heart disease: the design of the TEAMcare study, Contemporary Clinical Trials, 31, 312, 10.1016/j.cct.2010.03.009 · DOI · Paper page
Kennedy, 2014, Implementation of a self-management support approach (WISE) across a health system: a process evaluation explaining what did and did not work for organisations, clinicians and patients, Implementation Science, 9, 129, 10.1186/s13012-014-0129-5 · DOI · Paper page
Kind, 1996, The Euro-Qol instrument: an index of health-related quality of life
Nolte, 2008, Integration and chronic care: a review, 64
Pols, 2008, Coordinated care in the management of patients with unexplained physical symptoms: depression is a key issue, Medical Journal of Australia, 188, S133
Protheroe, 2010, An intervention to promote patient participation and self-management in long term conditions: development and feasibility testing, BMC Health Services Research, 10, 206, 10.1186/1472-6963-10-206 · DOI
Schillinger, 2008, Seeing in 3-D: examining the reach of diabetes self-management support strategies in a public health care system, Health Education & Behavior, 35, 664, 10.1177/1090198106296772 · DOI
Schünemann HJ Oxman AD Higgins JPT Vist GE Glasziou P Guyatt GH Chapter 11: Presenting results and 'Summary of findings' tables. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [Updated March 2011]. The Cochrane Collaboration, 2011 Available from www.cochrane-handbook.org

Sorted by citations

2023 ESC guidelines for the management of cardiovascular disease in patients with diabetes.
Marx, N., Federici, M., Schütt, K., Müller-Wieland, D., Ajjan, R. A., Antunes, M. J., Christodorescu, R. M., Crawford, C., Di Angelantonio, E., Eliasson, B., et al. (2023) · European Heart Journal · doi:10.1093/eurheartj/ehad192 · Cited by 1,642
Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review
May, C. R., Cummings, A., Girling, M., Bracher, M., Mair, F. S., May, C. M., Murray, E., Myall, M., Rapley, T., & Finch, T. (2018) · Implementation Science · doi:10.1186/s13012-018-0758-1 · Cited by 683
Patient- and family-centered care interventions for improving the quality of health care: A review of systematic reviews
Park, M., Giap, T., Lee, M., Jeong, H. C., Jeong, M., & Go, Y. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.07.006 · Cited by 502
Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association
Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., et al. (2020) · Diabetes Care · doi:10.2337/dci20-0023 · Cited by 500
2017 national standards for diabetes self-management education and support
Beck, J., Greenwood, D. A., Blanton, L., Bollinger, S. T., Butcher, M. K., Condon, J. E., Cypress, M., Faulkner, P., Fischl, A. H., Francis, T., et al. (2017) · Diabetes Care · doi:10.2337/dci17-0025 · Cited by 348
Psychiatric diagnosis and treatment in the 21st century: paradigm shifts versus incremental integration
Stein, D. J., Shoptaw, S. J., Vigo, D. V., Lund, C., Cuijpers, P., Bantjes, J., Sartorius, N., & Maj, M. (2022) · World Psychiatry · doi:10.1002/wps.20998 · Cited by 331
Person-centred care: what is it and how do we get there?
Coulter, A., & Oldham, J. M. (2016) · Future Hospital Journal · doi:10.7861/futurehosp.3-2-114 · Cited by 328
Self-citation
Decision Making for Older Adults With Multiple Chronic Conditions: Executive Summary for the American Geriatrics Society Guiding Principles on the Care of Older Adults With Multimorbidity
Boyd, C. M., Smith, C. D., Masoudi, F. A., Blaum, C. S., Dodson, J. A., Green, A. R., Kelley, A. S., Matlock, D. D., Ouellet, J. A., Rich, M. W., et al. (2019) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15809 · Cited by 330
Cultural Issues in Medication Adherence: Disparities and Directions
McQuaid, E. L., & Landier, W. (2017) · Journal of General Internal Medicine · doi:10.1007/s11606-017-4199-3 · Cited by 326
Defining the criteria for including studies and how they will be grouped for the synthesis
McKenzie, J. E., Brennan, S., Ryan, R. E., Thomson, H., Johnston, R. V., & Thomas, J. (2019) · Wiley eBooks · doi:10.1002/9781119536604.ch3 · Cited by 391
Association of Patient Priorities–Aligned Decision-Making With Patient Outcomes and Ambulatory Health Care Burden Among Older Adults With Multiple Chronic Conditions
Tinetti, M. E., Naik, A. D., Dindo, L. N., Costello, D. M., Esterson, J., Geda, M. E., Rosen, J. D., Hernandez‐Bigos, K., Smith, C. D., Ouellet, G. M., et al. (2019) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2019.4235 · Cited by 284
Evidence for the 4Ms: Interactions and Outcomes across the Care Continuum
Mate, K. S., Fulmer, T. T., Pelton, L. J., Berman, A. J., Bonner, A., Huang, Y., & Zhang, J. (2021) · Journal of Aging and Health · doi:10.1177/0898264321991658 · Cited by 234
Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis
Bunn, F., Goodman, C. M., Russell, B., Wilson, P. M., Manthorpe, J., Rait, G., Hodkinson, I., & Durand, M. (2018) · BMC Geriatrics · doi:10.1186/s12877-018-0853-9 · Cited by 219
A Systematic Review of Cost-of-Illness Studies of Multimorbidity
Wang, L., Si, L., Cocker, F., Palmer, A. J., & Sanderson, K. (2018) · Applied Health Economics and Health Policy · doi:10.1007/s40258-017-0346-6 · Cited by 178
Motivations, Challenges, and Attitudes to Self-management in Kidney Transplant Recipients: A Systematic Review of Qualitative Studies
Jamieson, N. J., Hanson, C. S., Josephson, M. A., Gordon, E. J., Craig, J. C., Halleck, F., Budde, K., & Tong, A. (2015) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2015.07.030 · Cited by 171
A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings
Ebrahimi, Z., Patel, H., Wijk, H., Ekman, I., & Olaya‐Contreras, P. (2020) · Geriatric Nursing · doi:10.1016/j.gerinurse.2020.08.004 · Cited by 197
Supporting self-management in children and adolescents with complex chronic conditions
Lozano, P., & Houtrow, A. (2018) · PEDIATRICS · doi:10.1542/peds.2017-1284h · Cited by 158
The CARE Plus study – a whole-system intervention to improve quality of life of primary care patients with multimorbidity in areas of high socioeconomic deprivation: exploratory cluster randomised controlled trial and cost-utility analysis
Mercer, S. W., Fitzpatrick, B., Guthrie, B., Fenwick, E. A. L., Grieve, E., Lawson, K. D., Boyer, N., McConnachie, A., Lloyd, S. M., O’Brien, R., et al. (2016) · BMC Medicine · doi:10.1186/s12916-016-0634-2 · Cited by 144
The effectiveness of integrated care interventions in improving patient quality of life (QoL) for patients with chronic conditions. An overview of the systematic review evidence
Flanagan, S., Damery, S. L., & Combes, G. (2017) · Health and Quality of Life Outcomes · doi:10.1186/s12955-017-0765-y · Cited by 153
The realities of partnership in person-centred care: a qualitative interview study with patients and professionals
Wolf, A., Moore, L., Lydahl, D., Naldemirci, Ö., Elam, M. J., & Britten, N. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-016491 · Cited by 133
Outcome Goals and Health Care Preferences of Older Adults With Multiple Chronic Conditions
Tinetti, M. E., Costello, D. M., Naik, A. D., Davenport, C., Hernandez‐Bigos, K., Liew, J. R., Esterson, J., Kiwak, E., & Dindo, L. N. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.1271 · Cited by 127
Collaborative goal setting with elderly patients with chronic disease or multimorbidity: a systematic review
Vermunt, N. P. C. A., Harmsen, M., Westert, G. P., Rikkert, M. G. M. O., & Faber, M. J. (2017) · BMC Geriatrics · doi:10.1186/s12877-017-0534-0 · Cited by 119
The impact of patient and public involvement in health research versus healthcare: A scoping review of reviews
Modigh, A., Sampaio, F., Moberg, L., & Fredriksson, M. (2021) · Health Policy · doi:10.1016/j.healthpol.2021.07.008 · Cited by 123
Development of a Clinically Feasible Process for Identifying Individual Health Priorities
Naik, A. D., Dindo, L. N., Liew, J. R., Hundt, N. E., Vo, L., Hernandez‐Bigos, K., Esterson, J., Geda, M. E., Rosen, J. D., Blaum, C. S., et al. (2018) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15437 · Cited by 113
We need to talk about purpose: a critical interpretive synthesis of health and social care professionals’ approaches to self‐management support for people with long‐term conditions
Morgan, H. M., Entwistle, V. A., Cribb, A., Christmas, S., Owens, J., Skea, Z. C., & Watt, I. S. (2016) · Health Expectations · doi:10.1111/hex.12453 · Cited by 107
Self-citation
Empowerment-oriented strategies to identify behavior change in patients with chronic diseases: An integrative review of the literature
Barbosa, H. C., Oliveira, J. A. D. Q., da Costa, J. M., Santos, R. P. D. M., Miranda, L. G., Torres, H. D. C., Pagano, A. S., & Martins, M. A. P. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.01.011 · Cited by 102
Shared decision-making interventions for people with mental health conditions
Aoki, Y., Yaju, Y., Utsumi, T., Sanyaolu, L. N., Storm, M., Takaesu, Y., Watanabe, K., Watanabe, N., Duncan, E., & Edwards, A. (2022) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007297.pub3 · Cited by 114
Person-centred, integrated and pro-active care for multi-morbid elderly with advanced care needs: a propensity score-matched controlled trial
Berntsen, G., Dalbakk, M., Hurley, J. S., Bergmo, T. S., Solbakken, B., Spansvoll, L., Bellika, J. G., Skrøvseth, S. O., Brattland, T., & Rumpsfeld, M. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4397-2 · Cited by 114
LSE–Lancet Commission on the future of the NHS: re-laying the foundations for an equitable and efficient health and care service after COVID-19
Anderson, M., Pitchforth, E., Asaria, M., Brayne, C., Casadei, B., Charlesworth, A., Coulter, A., Franklin, B. D., Donaldson, C., Drummond, M., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)00232-4 · Cited by 116
Self-citation
Practising the ethics of person‐centred care balancing ethical conviction and moral obligations
Ekman, I. (2022) · Nursing Philosophy · doi:10.1111/nup.12382 · Cited by 94
Patient-mediated knowledge translation (PKT) interventions for clinical encounters: a systematic review
Gagliardi, A. R., Légaré, F., Brouwers, M. C., Webster, F., Badley, E. M., & Straus, S. E. (2015) · Implementation Science · doi:10.1186/s13012-016-0389-3 · Cited by 94
A person-centered integrated care quality framework, based on a qualitative study of patients’ evaluation of care in light of chronic care ideals
Berntsen, G., Høyem, A., Lettrem, I., Ruland, C. M., Rumpsfeld, M., & Gammon, D. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3246-z · Cited by 102
The relationship between diabetic retinopathy and psychosocial functioning: a systematic review
Khoo, K., Man, R. E. K., Rees, G., Gupta, P., Lamoureux, E. L., & Fenwick, E. K. (2019) · Quality of Life Research · doi:10.1007/s11136-019-02165-1 · Cited by 89
Remote symptom monitoring integrated into electronic health records: A systematic review
Gandrup, J., Ali, S. M., McBeth, J., van der Veer, S. N., & Dixon, W. G. (2020) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocaa177 · Cited by 90
Personalised eHealth interventions in adults with overweight and obesity: A systematic review and meta-analysis of randomised controlled trials
Lau, Y., Chee, D. G. H., Chow, X. P., Cheng, L. J., & Wong, S. N. (2020) · Preventive Medicine · doi:10.1016/j.ypmed.2020.106001 · Cited by 78
What is important for you? A qualitative interview study of living with diabetes and experiences of diabetes care to establish a basis for a tailored Patient-Reported Outcome Measure for the Swedish National Diabetes Register
Engström, M. S., Leksell, J. K., Johansson, U., & Guðbjörnsdóttir, S. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-010249 · Cited by 87
Even more to handle: Additional sources of stress and trauma for clients from marginalized racial and ethnic groups in the United States during the COVID-19 pandemic
Lund, E. M. (2020) · Counselling Psychology Quarterly · doi:10.1080/09515070.2020.1766420 · Cited by 94
Peer Support Interventions for Adults With Diabetes: A Meta-Analysis of Hemoglobin A1c Outcomes
Patil, S. J., Ruppar, T. M., Koopman, R. J., Lindbloom, E. J., Elliott, S. G., Mehr, D. R., & Conn, V. S. (2016) · The Annals of Family Medicine · doi:10.1370/afm.1982 · Cited by 86
The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes
Yao, J., Wang, H., Yin, X., Yin, J., Guo, X., & Sun, Q. (2019) · PLOS ONE · doi:10.1371/journal.pone.0224869 · Cited by 84
Person Centered Care and Personalized Medicine: Irreconcilable Opposites or Potential Companions?
El-Alti, L., Sandman, L., & Munthe, C. (2017) · Health Care Analysis · doi:10.1007/s10728-017-0347-5 · Cited by 85
A Framework and Resources for Shared Decision Making: Opportunities for Improved Physical Therapy Outcomes
Moore, C. L., & Kaplan, S. L. (2018) · Physical Therapy · doi:10.1093/ptj/pzy095 · Cited by 84
Why Health and Social Care Support for People with Long-Term Conditions Should be Oriented Towards Enabling Them to Live Well
Entwistle, V. A., Cribb, A., & Owens, J. (2016) · Health Care Analysis · doi:10.1007/s10728-016-0335-1 · Cited by 82
Self-citation
Integrated personalized diabetes management improves glycemic control in patients with insulin-treated type 2 diabetes: Results of the PDM-ProValue study program
Kulzer, B., Daenschel, W., Daenschel, I., Schramm, W., Messinger, D., Weissmann, J., Vesper, I., Parkin, C. G., & Heinemann, L. (2018) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2018.09.002 · Cited by 77
Challenges and strategies in patients’ health priorities-aligned decision-making for older adults with multiple chronic conditions
Tinetti, M. E., Dindo, L. N., Smith, C. D., Blaum, C. S., Costello, D. M., Ouellet, G. M., Rosen, J. D., Hernandez‐Bigos, K., Geda, M. E., & Naik, A. D. (2019) · PLoS ONE · doi:10.1371/journal.pone.0218249 · Cited by 78
Cochrane Consumers and Communication Review Group: leading the field on health communication evidence
Prictor, M., & Hill, S. (2013) · Journal of Evidence-Based Medicine · doi:10.1111/jebm.12066 · Cited by 76
Association between person-centred care and healthcare providers’ job satisfaction and work-related health: a scoping review
van Diepen, C., Fors, A., Ekman, I., & Hensing, G. K. E. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-042658 · Cited by 76
Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers' beliefs matter
Dyb, K., Berntsen, G. R., & Kvam, L. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06262-1 · Cited by 67
Frailty, inequality and resilience
Hale, M. D., Shah, S., & Clegg, A. P. (2019) · Clinical Medicine · doi:10.7861/clinmedicine.19-3-219 · Cited by 74
Practical guidance for engaging patients in health research, treatment guidelines and regulatory processes: results of an expert group meeting organized by the World Health Organization (WHO) and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO)
de Wit, M. P. T., Cooper, C. C., Tugwell, P., Bere, N., Kirwan, J., Conaghan, P. G., Roberts, C. J., Aujoulat, I., Al‐Daghri, N. M., de Carvalho, I. A., et al. (2019) · Aging Clinical and Experimental Research · doi:10.1007/s40520-019-01193-8 · Cited by 73
Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients
Daliri, S., Bekker, C. L., Buurman, B. M., Reimer, W. J. M. S. O., van den Bemt, B. J. F., & Karapinar‐Çarkit, F. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4028-y · Cited by 72
Combining volunteers and primary care teamwork to support health goals and needs of older adults: a pragmatic randomized controlled trial
Dolovich, L. R., Oliver, D., Lamarche, L., Thabane, L., Valaitis, R. K., Agarwal, G., Carr, T., Foster, G., Griffith, L. E., Javadi, D., et al. (2019) · Canadian Medical Association Journal · doi:10.1503/cmaj.181173 · Cited by 74
Optimising GPs’ communication of advice to facilitate patients’ self-care and prompt follow-up when the diagnosis is uncertain: a realist review of ‘safety-netting’ in primary care
Smith, C. F., Lunn, H., Wong, G., & Nicholson, B. D. (2022) · BMJ Quality & Safety · doi:10.1136/bmjqs-2021-014529 · Cited by 76
A multidimensional quality model: an opportunity for patients, their kin, healthcare providers and professionals in the new COVID-19 period
Lachman, P. I., Batalden, P. B., & Vanhaecht, K. (2020) · F1000Research · doi:10.12688/f1000research.26368.1 · Cited by 89
The Role of Healthy Lifestyle in the Implementation of Regressing Suboptimal Health Status among College Students in China: A Nested Case-Control Study
Chen, J., Xiang, H., Jiang, P., Yu, L., Jing, Y., Li, F., Wu, S., Fu, X., Liu, Y., Kwan, H. Y., et al. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14030240 · Cited by 67
Effect of Telephone-Delivered Collaborative Goal Setting and Behavioral Activation vs Enhanced Usual Care for Depression Among Adults With Uncontrolled Diabetes: A Randomized Clinical Trial
Naik, A. D., Hundt, N. E., Vaughan, E. M., Petersen, N. J., Zeno, D., Kunik, M. E., & Cully, J. A. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.8634 · Cited by 57
What works in managing complex conditions in older people in primary and community care? A state‐of‐the‐art review
Frost, R., Rait, G., Wheatley, A., Wilcock, J., Robinson, L. A., Dening, K. H., Allan, L. M., Banerjee, S., Manthorpe, J., Walters, K. R., et al. (2020) · Health & Social Care in the Community · doi:10.1111/hsc.13085 · Cited by 65
Development and Validation of a Predictive Model of Severe Fatigue After Breast Cancer Diagnosis: Toward a Personalized Framework in Survivorship Care
Meglio, A. D., Havas, J., Soldato, D., Presti, D., Martin, É., Pistilli, B., Menvielle, G., Dumas, A., Charles, C., Everhard, S., et al. (2022) · Journal of Clinical Oncology · doi:10.1200/jco.21.01252 · Cited by 65
Person‐centred care in primary care: What works for whom, how and in what circumstances?
Ahmed, A., van den Muijsenbergh, M. E. T. C., & Vrijhoef, H. J. (2022) · Health & Social Care in the Community · doi:10.1111/hsc.13913 · Cited by 66
Tailored patient therapeutic educational interventions: A patient‐centred communication model
Ricci, L., Villegente, J., Loyal, D., Ayav, C., Kivits, J., & Rat, A. (2021) · Health Expectations · doi:10.1111/hex.13377 · Cited by 69
How do we deal with multiple goals for care within an individual patient trajectory? A document content analysis of health service research papers on goals for care
Berntsen, G., Gammon, D., Steinsbekk, A., Salamonsen, A., Foss, N., Ruland, C. M., & Fønnebø, V. M. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-009403 · Cited by 64
Telehealth for patients at high risk of cardiovascular disease: pragmatic randomised controlled trial
Salisbury, C., O’Cathain, A., Thomas, C., Edwards, L., Gaunt, D., Dixon, P., Hollinghurst, S. P., Nicholl, J. P., Large, S., Yardley, L., et al. (2016) · BMJ · doi:10.1136/bmj.i2647 · Cited by 64
Cultural Influences on Dietary Self-Management of Type 2 Diabetes in East Asian Americans: A Mixed-Methods Systematic Review
Li-Geng, T., Kilham, J. P., & McLeod, K. M. (2020) · Health Equity · doi:10.1089/heq.2019.0087 · Cited by 63
Care plans and care planning in long-term conditions: a conceptual model
Burt, J., Rick, J., Blakeman, T., Protheroe, J., Roland, M. O., & Bower, P. (2013) · Primary Health Care Research & Development · doi:10.1017/s1463423613000327 · Cited by 62
The Evidence Base for an Ideal Care Pathway for Frail Multimorbid Elderly: Combined Scoping and Systematic Intervention Review
Berntsen, G., Strisland, F., Malm-Nicolaisen, K., Smaradottir, B. F., Fensli, R. W., & Røhne, M. (2019) · Journal of Medical Internet Research · doi:10.2196/12517 · Cited by 62
Challenges and controversies of complex interventions in osteoarthritis management: recognizing inappropriate and discordant care
Dziedzic, K., & Allen, K. D. (2018) · Rheumatology · doi:10.1093/rheumatology/key062 · Cited by 56
Effects of person-centred care on health outcomes—A randomized controlled trial in patients with acute coronary syndrome
Pirhonen, L., Olofsson, E. H., Fors, A., Ekman, I., & Bolin, K. (2016) · Health Policy · doi:10.1016/j.healthpol.2016.12.003 · Cited by 57
Complex Care Hospital Use and Postdischarge Coaching: A Randomized Controlled Trial
Coller, R. J., Klitzner, T. S., Lerner, C. F., Nelson, B. B., Thompson, L. R., Zhao, Q., Saenz, A. A., Ia, S., Flores-Vazquez, J., & Chung, P. J. (2018) · PEDIATRICS · doi:10.1542/peds.2017-4278 · Cited by 58
Proactive and Integrated Management and Empowerment in Parkinson’s Disease: Designing a New Model of Care
Tenison, E., Smink, A. J., Redwood, S., Darweesh, S. K. L., Cottle, H., van Halteren, A. D., van den Haak, P., Hamlin, R., Ypinga, J. H. L., Bloem, B. R., et al. (2020) · Parkinson s Disease · doi:10.1155/2020/8673087 · Cited by 56
Person-Centered Care and the Therapeutic Alliance
Hamovitch, E., Choy-Brown, M., & Stanhope, V. (2018) · Community Mental Health Journal · doi:10.1007/s10597-018-0295-z · Cited by 59
Interventions to support shared decision making for hypertension: A systematic review of controlled studies
Johnson, R., Huntley, A. L., Hughes, R. A., Cramer, H., Turner, K. M., Perkins, B., & Feder, G. S. (2018) · Health Expectations · doi:10.1111/hex.12826 · Cited by 59
What matters when asking, “what matters to you?” — perceptions and experiences of health care providers on involving older people in transitional care
Olsen, C. F., Debesay, J., Bergland, A., Bye, A., & Langaas, A. G. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05150-4 · Cited by 59
Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association
Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Fischl, A. H., Hooks, B., Isaacs, D. M., Mandel, E. D., Maryniuk, M. D., et al. (2020) · Journal of the American Pharmacists Association · doi:10.1016/j.japh.2020.04.018 · Cited by 76
Barriers to care in patients with diabetes and poor glycemic control—A cross-sectional survey
McBrien, K., Naugler, C. T., Ivers, N. M., Weaver, R. G., Campbell, D. J. T., Desveaux, L., Hemmelgarn, B. R., Edwards, A. L., Saad, N., Nicholas, D. B., et al. (2017) · PLoS ONE · doi:10.1371/journal.pone.0176135 · Cited by 55
An integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A feasibility study
Markle‐Reid, M., Valaitis, R. K., Bartholomew, A., Fisher, K., Fleck, R., Ploeg, J., & Salerno, J. (2020) · Journal of Comorbidity · doi:10.1177/2235042x19900451 · Cited by 54
Person-Centered Integrated Care for Chronic Kidney Disease
Valentijn, P., Pereira, F. A., Ruospo, M., Palmer, S. C., Hegbrant, J., Sterner, C. W., Vrijhoef, H. J., Ruwaard, D., & Strippoli, G. F. (2018) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.09960917 · Cited by 54
Patient engagement strategies for adults with chronic conditions: an evidence map
Aboumatar, H. J., Pitts, S. I., Sharma, R., Das, A., Smith, B. M., Day, J., Holzhauer, K., Yang, S., Bass, E. B., & Bennett, W. L. (2022) · Systematic Reviews · doi:10.1186/s13643-021-01873-5 · Cited by 55
IoT for Next-Generation Smart Healthcare: A Comprehensive Survey
Bollineni, C., Sharma, M., Hazra, A., Kumari, P., Sankaranarayanan, M., & Tomar, A. (2025) · IEEE Internet of Things Journal · doi:10.1109/jiot.2025.3570188 · Cited by 51
Mobile educational follow-up application for patients with peripheral arterial disease
Mendez, C. B., Salum, N. M. C., Junkes, C., Amante, L. N., & Mendez, C. M. L. (2019) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.2693-3122 · Cited by 52
Understanding the factors affecting self-management of COPD from the perspectives of healthcare practitioners: a qualitative study
Ogunbayo, O. J., Russell, S., Newham, J. J., Heslop-Marshall, K., Netts, P., Hanratty, B., & Kaner, E. (2017) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-017-0054-6 · Cited by 55
Challenges of Research on Person-Centered Care in General Practice: A Scoping Review
Burgers, J. S., van der Weijden, T., & Bischoff, E. W. M. A. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.669491 · Cited by 57
Facing the dilemma of patient-centred psoriasis care: a qualitative study identifying patient needs in dermatological outpatient clinics
Khoury, L. R., Skov, L., & Møller, T. (2016) · British Journal of Dermatology · doi:10.1111/bjd.15292 · Cited by 50
Nurses’ and pharmacists’ learning experiences from participating in interprofessional medication reviews for elderly in primary health care - a qualitative study
Bell, H. T., Granås, A. G., Enmarker, I., Omli, R., & Steinsbekk, A. (2017) · BMC Family Practice · doi:10.1186/s12875-017-0598-0 · Cited by 56
Shared decision making: everyone wants it, so why isn't it happening?
Coulter, A. (2017) · World Psychiatry · doi:10.1002/wps.20407 · Cited by 49
Self-citation
The effect of a brief educational programme added to mental health treatment to improve patient activation: A randomized controlled trial in community mental health centres
Lara‐Cabrera, M. L., Salvesen, Ø. O., Nesset, M. B., Cuevas, C. D. L., Iversen, V. C., & Gråwe, R. W. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2015.11.028 · Cited by 48
Effectiveness of nurse-led patient-centered care behavioral risk modification on secondary prevention of coronary heart disease: A systematic review
Chiang, C.-Y., Choi, K. C., Ho, J. K.-M., & Yu, S.-F. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.04.012 · Cited by 52
Managing barriers to empathy in the clinical encounter: a qualitative interview study with GPs
Derksen, F., Hartman, T. O., Bensing, J. M., & Lagro-Janssen, A. L. M. (2016) · British Journal of General Practice · doi:10.3399/bjgp16x687565 · Cited by 52
Perceptive Dialogue for Linking Stakeholders and Units During Care Transitions – A Qualitative Study of People with Stroke, Significant Others and Healthcare Professionals in Sweden
Lindblom, S., Ytterberg, C., Elf, M., & Flink, M. (2020) · International Journal of Integrated Care · doi:10.5334/ijic.4689 · Cited by 47
Exergaming for Quality of Life in Persons Living with Chronic Diseases: A Systematic Review and Meta‐analysis
Cugusi, L., Prosperini, L., & Mura, G. (2020) · PM&R · doi:10.1002/pmrj.12444 · Cited by 47
Clinical Practice Guideline for Cardiac Rehabilitation in Korea: Recommendations for Cardiac Rehabilitation and Secondary Prevention after Acute Coronary Syndrome
Kim, C., Sung, J., Lee, J. H., Kim, W., Lee, G. J., Jee, S., Jung, I., Rah, U. W., Kim, B. O., Choi, K. H., et al. (2019) · Korean Circulation Journal · doi:10.4070/kcj.2019.0194 · Cited by 48
Personalized care planning and shared decision making in collaborative care programs for depression and anxiety disorders: A systematic review
Menear, M., Girard, A., Dugas, M., Gervais, M., Gilbert, M., & Gagnon, M. (2022) · PLoS ONE · doi:10.1371/journal.pone.0268649 · Cited by 46
Can Personalized Care Planning Improve Primary Care?
Edwards, S. T., Dorr, D. A., & Landon, B. E. (2017) · JAMA · doi:10.1001/jama.2017.6953 · Cited by 44
Inverse Dose-Response Relationship Between Home Health Care Services and Rehospitalization in Older Adults
Wang, J., Liebel, D. V., Yu, F., Caprio, T. V., & Shang, J. (2018) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2018.10.021 · Cited by 43
Strategies for engaging patients and families in collaborative care programs for depression and anxiety disorders: A systematic review
Menear, M., Dugas, M., Careau, E., Chouinard, M.-C., Dogba, M. J., Gagnon, M.-P., Gervais, M., Gilbert, M., Houle, J., Kates, N., et al. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.11.008 · Cited by 52
Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial
Eikelenboom, N., van Lieshout, J., Jacobs, A., Verhulst, F., Lacroix, J., van Halteren, A., Klomp, M., Smeele, I., & Wensing, M. (2016) · British Journal of General Practice · doi:10.3399/bjgp16x684985 · Cited by 42
Preventing Acute Kidney Injury: a qualitative study exploring ‘sick day rules’ implementation in primary care
Morris, R., Ashcroft, D. M., Phipps, D. L., Bower, P., O'Donoghue, D. J., Roderick, P. J., Harding, S., Lewington, A. J. P., & Blakeman, T. (2016) · BMC Family Practice · doi:10.1186/s12875-016-0480-5 · Cited by 44
Mobile Health to Maintain Continuity of Patient-Centered Care for Chronic Kidney Disease: Content Analysis of Apps
Lee, Y.-L., Cui, Y., Tu, M.-H., Chen, Y.-C., & Chang, P. (2018) · JMIR mHealth and uHealth · doi:10.2196/10173 · Cited by 38
Data Visualizations to Support Health Practitioners’ Provision of Personalized Care for Patients With Cancer and Multiple Chronic Conditions: User-Centered Design Study
Backonja, U., Haynes, S. C., & Kim, K. K. (2018) · JMIR Human Factors · doi:10.2196/11826 · Cited by 42
Implementation of self-management support in cancer care and normalization into routine practice: a systematic scoping literature review protocol
Howell, D., Richardson, A. M., May, C. R., Calman, L. A., Fazelzad, R., Moradian, S., & Foster, C. L. (2019) · Systematic Reviews · doi:10.1186/s13643-019-0952-5 · Cited by 45
Persistent unexplained physical symptoms: a prospective longitudinal cohort study in UK primary care
Lamahewa, K., Buszewicz, M., Walters, K. R., Marston, L., & Nazareth, I. (2019) · British Journal of General Practice · doi:10.3399/bjgp19x701249 · Cited by 40
Collaborative Mental Health Care in Canada: Challenges, Opportunities and New Directions
Kates, N., Sunderji, N., Ng, V., Patriquin, M. J., Alloo, J., Mirwaldt, P., Burrell, E., Gervais, M., & Siddiqui, S. (2023) · Canadian journal of psychiatry. Revue canadienne de psychiatrie · doi:10.1177/07067437221102201 · Cited by 33

Authors: Coulter, A., Entwistle, V. A., Eccles, A., Ryan, S., Shepperd, S., & Perera, R.
Affiliations: University of Oxford (GB)
University of Aberdeen (GB)
ORCID: Coulter, Angela
Entwistle, Vikki A
Eccles, Abi
Ryan, Sara
Shepperd, Sasha
Perera, Rafael
Venue: Cochrane Database of Systematic Reviews
Publisher: Wiley
Published: 2015-03-03
Volume: 2015
Issue: 3
Pages: CD010523-CD010523
ISSN: 1361-6137 (ISSN-L)
1465-1858
DOI: 10.1002/14651858.cd010523.pub2
PMC: PMC6486144
OpenAlex: W1944172539
Cited by: 592
References: 201
Citations by year: 2026: 26 · 2025: 47 · 2024: 40 · 2023: 59 · 2022: 58 · 2021: 64 · 2020: 83 · 2019: 57 · 2018: 55 · 2017: 46 · 2016: 39 · 2015: 15
FWCI: 6.68
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Cochrane Database of Systematic Reviews (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Aberdeen University Research Archive (Aberdeen University) (submittedVersion)
Funders: National Institute for Health and Care Research (SPCR-029, 13/89/04)
Topics: Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords: personalised care planning, patient-clinician collaboration, goal setting, action planning, chronic disease, chronic disease management, diabetes mellitus, self-management, behavior change, telephone support, primary care, health-related quality of life, resource utilization (health care), cost-effectiveness, patient participation in treatment decisions, mental health, heart failure, end-stage renal disease, asthma, risk of bias, patient advisory group, patient-centered care
MeSH terms: Adult, Asthma, Mental Disorders, Chronic Disease, Diabetes Mellitus, Health Status, Heart Failure, Glycated Hemoglobin, Humans, Kidney Failure, Chronic, Patient Care Planning, Patient Participation, Self Care, Randomized Controlled Trials as Topic

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Personalised care planning for adults with chronic or long-term health conditions

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks