Self-management interventions for adults living with obesity to improve patient-relevant outcomes: An evidence map. (May 2023)

• Record Type: Journal Article
• Authors: Sunol, Rosa; González-González, Ana Isabel; Valli, Claudia; Ballester, Marta; Seils, Laura; Heijmans, Monique; Poortvliet, Rune; van der Gaag, Marieke; Rocha, Claudio; León-García, Montserrat; Salas-Gama, Karla; de Guzman, Ena Niño; Kaloteraki, Chrysoula; Santero, Marilina; Spoiala, Cristina; Gurung, Pema; Moaddine, Saida; Wilemen, Fabienne; Cools, Iza; Bleeker, Julia; Kancheva, Angelina; Ertl, Julia; Laure, Tajda; Kancheva, Ivana; Veroniki, Areti Angeliki; Zevgiti, Stella; Beltrán, Jessica; Canelo-Aybar, Carlos; Zafra-Tanaka, Jessica Hanae; Seitidis, Georgios; Mavridis, Dimitris; Groene, Oliver; Alonso-Coello, Pablo; Orrego, Carola;
• Is Part Of: Patient education and counseling. Volume 110(2023)
• Publication Date: 2023-05
• Subjects: Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2023.107647
• Languages: English
• ISSNs: 0738-3991

Abstract

Abstract: Objectives: To conduct an evidence map on self-management interventions and patient-relevant outcomes for adults living with overweight/obesity. Methods: Following Arksey and O'Malley methodology, we searched in five electronical databases including randomized controlled trials (RCTs) on SMIs for overweight/obesity. We used the terms "self-management", "adult" and "obesity" for content. Two independent reviewers assessed eligible references; one reviewer extracted data, a second checked accuracy. Results: We identified 497 RCTs (58% US, 20% Europe) including 99, 741 (median 112, range 11–5145) adults living with overweight/obesity. Most research evaluated clinical outcomes (617, 55%) and behaviors adherence (255, 23%). Empowerment skills, quality of life and satisfaction were less targeted (8%, 7%, 0.2%, respectively). The most frequent techniques included sharing information (858, 99%), goal setting (619, 72%) and self-monitoring training (614, 71%), provided face-to-face (386, 45%) or in combination with remote techniques (256, 30%). Emotional management, social support and shared-decision were less frequent (18%, 26%, 4%). Socio-economic status, minorities or health literacy were seldom reported. Conclusion: There is a need of widening the scope of research by focusing on outcomes important to patients, assessing emotional/social/share-decision support, exploring remote techniques and including vulnerable populations. Highlights: First evidence map on self-management interventions on overweight or obesity. Research focused mostly in clinical outcomes and less in quality of life. Self-management techniques such stress/emotional/social support were less frequent. Research gaps found on vulnerable populations and emotional/social support. "COMPAR-EU" comprehensive taxonomy helps to identify further research areas.