What we know about fatigue self-management programs for people living with chronic conditions: A scoping review
Open accessAbstract
OBJECTIVE: The significant impact of fatigue on the lives of patients with chronic conditions has demanded a response. One response has been the development and testing of self-management programs. Little is known about what these programs have in common or how they differ. This scoping review compared the key components of fatigue self-management programs. METHODS: Scoping review methodology was employed. Databases of CINAHL, Academic Search Premier, PsycINFO, Cochrane and Medline were searched to identify relevant sources. RESULTS: Included fatigue programs were compared using a three-component framework: 1) self-management strategies; 2) active patient participation; and 3) self-management support. Although all programs included some aspects of these components, the extent varied with only a few domains of these components found across all programs. CONCLUSION: The three self-management components employed in this study showed potential benefits in identifying similarities and differences across fatigue programs with comparable and distinct underlying theories. This three-component framework could facilitate identification of domains associated with positive outcomes. PRACTICE IMPLICATIONS: It is essential that authors of programs provide detailed descriptions to enable inter-program comparison. The three-component framework chosen for this review was capable of describing and comparing fatigue self-management programs, paving the way for more effective interventions.
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The 7 TEDSS domains have been used to successfully identify and describe content in self-management interventions, including in scoping reviews.
“The 7 distinctive TEDSS domains (Textbox 2) have been used to successfully identify and describe content in self-management interventions [32,33], including in scoping reviews [11,34].”
From Features of Structured, One-to-One Videoconference Interventions That Actively Engage People in the Management of Their Chronic Conditions: Scoping Review (2025) · cites this paper as [34]
The paucity of intervention programs addressing clients' role management has been highlighted in other reviews, as has the limited focus on finding and managing formal and informal resources.
“The paucity of intervention programs addressing clients’ role management has been highlighted in other reviews [11,75], as has the limited focus on finding and managing formal and informal resources [34].”
From Features of Structured, One-to-One Videoconference Interventions That Actively Engage People in the Management of Their Chronic Conditions: Scoping Review (2025) · cites this paper as [34]
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“This is consistent with fatigue self‐management research, where strategies, active patient participation and self‐management support are described as central components of programmes for people living with chronic conditions (Alizadeh et al. 2023).”
- Authors
- Alizadeh, N., Packer, T., Chen, Y.-T., & Alnasery, Y.
- Affiliations
- Dalhousie University (CA)
- National Cheng Kung University (TW)
- Corresponding author
- Packer, Tanya
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2023-09
- Volume
- 114
- Pages
- 107866
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W4381485857
- Cited by
- 8
- References
- 63
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 2
- FWCI
- 0.26
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Patient Education and Counseling (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Diva portal (Dalarna University Library) (submittedVersion, other-oa)
- OSF Preprints (OSF Preprints) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Keywords
- fatigue, self-management program, chronic disease, self-management strategies, self-management support, program comparison, patient education
- MeSH terms
- Self-Management, Chronic Disease, Fatigue, Humans, Patient Participation
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