The efficacy of tailored interventions for self‐management outcomes of type 2 diabetes, hypertension or heart disease: a systematic review
Abstract
radhakrishnan k. (2012) The efficacy of tailored interventions for self‐management outcomes of type 2 diabetes, hypertension or heart disease: a systematic review. Journal of Advanced Nursing68(3), 496–510. Aim. To evaluate the evidence on the effectiveness of tailored interventions on self‐management behaviours in individuals with heart disease, hypertension or type 2 diabetes. Background. Tailored interventions are designed for individuals based on their unique characteristics, related to the outcome of interest, and derived from an individual assessment. Recognizing the differences between individuals and delivering interventions tailored to the individual could increase the likelihood of sustained self‐management of long‐term conditions. Review methods. A review of randomized controlled trials published between 2001 and 2010 was undertaken using the following databases: Pubmed, WOS, CINAHL, ERIC, ASP, PsychInfo and SSA. The search terms included tailored intervention(s), and self‐management of chronic diseases included in the aim. Reference lists from relevant articles were also examined for additional references. Results. Ten studies were included in the review. Tailored interventions had no impact on self‐management activities such as medication adherence, self‐monitoring, exercise, smoking, or diet control. However, tailored interventions were modestly successful in improving specific self‐management behaviours of dietary fat intake, levels of physical activity or screening. Studies included in the review generally suffered from compromised methodological issues of inadequately powered sample size, non‐blinding of data collection or intervention delivery and inadequate reporting of the randomization process. Conclusion. When cost and resource utilization is taken into consideration, tailored interventions may not be more effective than standard interventions in improving self‐management behaviours in individuals with long‐term conditions. Future research should explore the effect of robust and resource‐optimized tailored interventions on self‐management outcomes for long‐term conditions with high‐quality trials.
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Radhakrishnan examined 10 studies and showed that, after accounting for cost and resource utilization, the efficacy of tailored interventions may not exceed that of standard interventions in the improvement of disease self-management.
“Radhakrishnan32 examined 10 studies and showed that, after accounting for cost and resource utilization, the efficacy of tailored interventions may not exceed that of standard interventions in the improvement of disease self-management.”
From Impact of digital health interventions on glycemic control and weight management. (2025) · cites this paper as [32]
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- Authors
- Radhakrishnan, K.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Radhakrishnan, Kavita
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2011-10-20
- Volume
- 68
- Issue
- 3
- Pages
- 496-510
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W1540446354
- Cited by
- 80
- References
- 30
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 9 · 2020: 8 · 2019: 5 · 2018: 8 · 2017: 4 · 2016: 8 · 2015: 10 · 2014: 9 · 2013: 6 · 2012: 2
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- personalized interventions, self-management, type 2 diabetes, hypertension, heart disease, chronic disease, medication adherence, self-monitoring, physical activity, dietary fat intake, screening, methodological quality of trials
- MeSH terms
- Chronic Disease, Diabetes Mellitus, Type 2, Heart Diseases, Humans, Hypertension, Patient Care Planning, Patient Education as Topic, Self Care, Health Behavior, Randomized Controlled Trials as Topic, Outcome Assessment, Health Care
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