What are the barriers and facilitators to self-management of chronic conditions reported by women? A systematic review

Introduction Pelvic organ prolapse (POP) can be effectively managed using a pessary. A scoping review found that pessary self-management appears to benefit women with no increased risk. Despite this, many are unwilling to self-manage their pessary. At present, there is a lack of understanding about...

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Main Authors: Dawn Dowding, Rohna Kearney, Lucy Dwyer
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e061655.full
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author Dawn Dowding
Rohna Kearney
Lucy Dwyer
author_facet Dawn Dowding
Rohna Kearney
Lucy Dwyer
author_sort Dawn Dowding
collection DOAJ
description Introduction Pelvic organ prolapse (POP) can be effectively managed using a pessary. A scoping review found that pessary self-management appears to benefit women with no increased risk. Despite this, many are unwilling to self-manage their pessary. At present, there is a lack of understanding about what affects willingness to self-manage a pessary. However, there may be relevant, transferable findings from other literature about barriers to the self-management of other chronic conditions. Therefore, this systematic review aims to identify, appraise and synthesise the findings of published qualitative research exploring the barriers and facilitators to self-management of chronic conditions reported by women.Methods and analysis The systematic review will be conducted and reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and a guide for the systematic review of qualitative data. A search of MEDLINE, CINAHL, Embase and PsycInfo will be undertaken to identify relevant articles that meet the eligibility criteria using the search terms ‘Women’, ‘Woman’ ‘Female,’ ‘Chronic’, ‘Long-term’, ‘Disease’, ‘Illness’, ‘Condition’ ‘Health,’ ‘Self-management,’ ‘Qualitative,’ ‘Barrier’ and ‘Facilitator’. A hand search of the reference list of non-original research identified during the search but excluded will be conducted for additional publications, which meet the inclusion and exclusion criteria. Studies published before 2005 and those not available in English will be excluded. Data relevant to the topic will be extracted and critical appraisal of all included publications undertaken.Ethics and dissemination No ethical or Health Research Authority approval is required to undertake the systematic review. The systematic review findings will be disseminated by publication. The findings will also inform subsequent exploratory work regarding pessary self-management.PROSPERO registration number CRD42022327643.
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spelling doaj-art-61df9e5baf624c959841c2dd1871032a2025-01-31T09:55:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2022-061655What are the barriers and facilitators to self-management of chronic conditions reported by women? A systematic reviewDawn Dowding0Rohna Kearney1Lucy Dwyer2Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UKSaint Mary`s Hospital, Manchester Academic Health Science Centre, Manchester, UKSaint Mary`s Hospital, Manchester Academic Health Science Centre, Manchester, UKIntroduction Pelvic organ prolapse (POP) can be effectively managed using a pessary. A scoping review found that pessary self-management appears to benefit women with no increased risk. Despite this, many are unwilling to self-manage their pessary. At present, there is a lack of understanding about what affects willingness to self-manage a pessary. However, there may be relevant, transferable findings from other literature about barriers to the self-management of other chronic conditions. Therefore, this systematic review aims to identify, appraise and synthesise the findings of published qualitative research exploring the barriers and facilitators to self-management of chronic conditions reported by women.Methods and analysis The systematic review will be conducted and reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and a guide for the systematic review of qualitative data. A search of MEDLINE, CINAHL, Embase and PsycInfo will be undertaken to identify relevant articles that meet the eligibility criteria using the search terms ‘Women’, ‘Woman’ ‘Female,’ ‘Chronic’, ‘Long-term’, ‘Disease’, ‘Illness’, ‘Condition’ ‘Health,’ ‘Self-management,’ ‘Qualitative,’ ‘Barrier’ and ‘Facilitator’. A hand search of the reference list of non-original research identified during the search but excluded will be conducted for additional publications, which meet the inclusion and exclusion criteria. Studies published before 2005 and those not available in English will be excluded. Data relevant to the topic will be extracted and critical appraisal of all included publications undertaken.Ethics and dissemination No ethical or Health Research Authority approval is required to undertake the systematic review. The systematic review findings will be disseminated by publication. The findings will also inform subsequent exploratory work regarding pessary self-management.PROSPERO registration number CRD42022327643.https://bmjopen.bmj.com/content/12/7/e061655.full
spellingShingle Dawn Dowding
Rohna Kearney
Lucy Dwyer
What are the barriers and facilitators to self-management of chronic conditions reported by women? A systematic review
BMJ Open
title What are the barriers and facilitators to self-management of chronic conditions reported by women? A systematic review
title_full What are the barriers and facilitators to self-management of chronic conditions reported by women? A systematic review
title_fullStr What are the barriers and facilitators to self-management of chronic conditions reported by women? A systematic review
title_full_unstemmed What are the barriers and facilitators to self-management of chronic conditions reported by women? A systematic review
title_short What are the barriers and facilitators to self-management of chronic conditions reported by women? A systematic review
title_sort what are the barriers and facilitators to self management of chronic conditions reported by women a systematic review
url https://bmjopen.bmj.com/content/12/7/e061655.full
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