The PRISMS taxonomy of self-management support: derivation of a novel taxonomy and initial testing of its utility
Open accessAbstract
Background: Supporting self-management is a core response of health care systems globally to the increasing prevalence of long-term conditions. Lack of a comprehensive taxonomy (or classification) of self-management support components hinders characterization and, ultimately, understanding of these frequently complex, multi-component interventions. Objective: To develop a comprehensive, descriptive taxonomy of self-management support components. Methods: Components were derived from the 969 unique randomized controlled trials described in the 102 systematic reviews and 61 implementation trials, examining 14 diverse long-term conditions included in the Practical Reviews in Self-Management Support (PRISMS) project followed by discussion at an expert stakeholder workshop. The utility of the taxonomy was then tested using a self-management support intervention for cancer survivors. Results: The PRISMS taxonomy comprises 14 components that might be used to support self-management (e.g. information about condition/management, provision of equipment, social support), when delivered to someone with a long-term condition or their carer. Overarching dimensions are delivery mode; personnel delivering the support; intervention targeting; and intensity, frequency and duration of the intervention. The taxonomy does not consider the effectiveness or otherwise of the different components or the overarching dimensions. Conclusions: The PRISMS taxonomy offers a framework to researchers describing self-management support interventions, to reviewers synthesizing evidence and to developers of health services for people with long-term conditions.
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The PRISMS taxonomy identified 14 separate components that might be adapted and used to support self-management across a range of long-term conditions.
“This taxonomy identified 14 separate components that might be adapted and used to support self-management across a range of long-term conditions.”
While components of the reported interventions mapped to Pearce et al's taxonomy of self-management support, few reviews analyzed how these related to the self-management process or clinical outcomes.
“While components of the reported interventions mapped to Pearce et al’s taxonomy of self-management support [14], few reviews analyzed how these related to the self-management process or clinical outcomes.”
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- Authors
- Pearce, G., Parke, H. L., Pinnock, H., Epiphaniou, E., Bourne, C. L., Sheikh, A., & Taylor, S. J.
- Affiliations
- Coventry University (GB)
- Queen Mary University of London (GB)
- Asthma UK Centre for Applied Research (GB)
- Glenfield Hospital (GB)
- Corresponding author
- Taylor, Stephanie JC
- Venue
- Journal of Health Services Research & Policy
- Publisher
- SAGE Publications
- Published
- 2015-09-15
- Volume
- 21
- Issue
- 2
- Pages
- 73-82
- ISSN
- 1355-8196 (ISSN-L)
- 1758-1060
- OpenAlex
- W2245743849
- Cited by
- 181
- References
- 11
- Citations by year
- 2026: 10 · 2025: 16 · 2024: 22 · 2023: 31 · 2022: 26 · 2021: 23 · 2020: 16 · 2019: 17 · 2018: 7 · 2017: 9 · 2016: 4
- FWCI
- 5.22
- Type
- journal article
- Language
- en
- Open access
- Locations
- Journal of Health Services Research & Policy (publishedVersion)
- PubMed (publishedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- Coventry University Open Collections (Coventry university) (submittedVersion)
- Pure (Coventry University) (submittedVersion, other-oa)
- The Open Collections (Coventry University) (submittedVersion)
- Funders
- National Institute for Health and Care Research (11/1014/04)
- Coventry University
- Health Services and Delivery Research Programme (11/1014/04)
- 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 › Health Policy Implementation Science
- Keywords
- self-management support, taxonomy (general classification scheme), chronic disease, cancer survivors, intervention components, social support, caregivers, mode of delivery, intervention targeting, implementation trial, randomized controlled trials
- MeSH terms
- Chronic Disease, Delivery of Health Care, Humans, Patient Compliance, Patient Education as Topic, Self Care, Social Support, Caregivers, Telemedicine
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