To support self-management for people with long-term conditions - The effect on shared decision-making, empowerment and coping after participating in group-learning sessions.
Christina Petersson, Annette Nygårdh, Berith Hedberg
PMID 35665483WHAT IT FOUND
After nurse-led group learning for long-term conditions, coping mostly did not change and problem-solving empowerment did not improve, but patients reported better understanding, being heard, and higher self-awareness, stress management and willingness to change.
Key findings
01Patients reported more effort to help them understand their health issues and more effort to listen to what mattered most; the item about including what mattered most in next steps showed no difference.
02Patients reported stronger empowerment in self-awareness, stress management and willingness to change, but not in problem identification and problem solving.
03Coping strategies showed little change, with escape/avoidance decreasing and planful problem solving decreasing at p = .050.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
There was no comparison group, only before and after answers from the same participants. Participants were recruited by convenience sampling, and nurses kept lists of interested patients. The total number of eligible participants was unknown, and attrition analysis was not possible. Only 42 of 80 questionnaires were returned (52.5%). No power analysis was calculated. The sample included several different long-term conditions and varied self-rated health, so results may not apply to one condition. Follow-up was 6 to 9 months after the intervention ended, and data collection lasted several years. The authors questioned whether the coping questionnaire was suitable for this heterogeneous group.
Declared interests
The authors declared no conflict of interest. Funder named: Futurum.
The easy way to misread this
Do not conclude that the group-learning sessions caused the reported improvements. There was no comparison group, 42 of 80 questionnaires were returned, and the authors could not analyse attrition or calculate power.