Advanced search
Add to list

How to empower patients? : a systematic review and meta-analysis

Author
Organization
Abstract
Patient empowerment, a concept focused on patient-centeredness and patients autonomy, is a well-discussed topic in health literature. However, translating theory into practice is a challenge. The purpose of this study was to assess the effectiveness of interventions on patient empowerment and to identify and compare the modalities of these interventions. For this systematic review including meta-analysis, eligibility criteria were as follows: (i) adult participants with one or more chronic somatic diseases, (ii) "patient empowerment" was explicitly measured (i.e., outcome or measuring instrument), (iii) randomized controlled designs, and (iv) written in English, French, Dutch, or German. A systematic search strategy was applied in five online databases (last search: March 29, 2017). Thirty-two studies were included in this review, of which 23 studies could be included in the meta-analysis. Overall effect estimate was significant in favor of the intervention; however, heterogeneity was high. Subgroup analyses revealed that the effect estimate was higher in studies with interventions that comprised individual sessions. The most recurrent behavioral change technique identified in our review was "knowledge", though this is not sufficient to empower. "Goal setting" and "action planning" were more likely to be applied in successful interventions. "Knowledge" could be combined with "goal setting" and "action planning" to empower. Thorough understanding of the concept of patient empowerment remains necessary. Future research should focus on somatic chronic diseases other than diabetes, a consensus definition for patient empowerment, and clinimetric properties of instruments.
Keywords
Patient empowerment, Chronic somatic diseases, Systematic review, Meta-analysis, BEHAVIOR-CHANGE TECHNIQUES, SELF-MANAGEMENT, COACHING INTERVENTION, PHYSICAL-ACTIVITY, CENTERED CARE, BREAST-CANCER, FOLLOW-UP, EDUCATION, OUTCOMES, PEOPLE

Citation

Please use this url to cite or link to this publication:

MLA
Werbrouck, Amber et al. “How to Empower Patients? : a Systematic Review and Meta-analysis.” TRANSLATIONAL BEHAVIORAL MEDICINE 8.5 (2018): 660–674. Print.
APA
Werbrouck, A., Swinnen, E., Kerckhofs, E., Buyl, R., Beckwée, D., & De Wit, L. (2018). How to empower patients? : a systematic review and meta-analysis. TRANSLATIONAL BEHAVIORAL MEDICINE, 8(5), 660–674.
Chicago author-date
Werbrouck, Amber, Eva Swinnen, Eric Kerckhofs, Ronald Buyl, David Beckwée, and Liesbet De Wit. 2018. “How to Empower Patients? : a Systematic Review and Meta-analysis.” Translational Behavioral Medicine 8 (5): 660–674.
Chicago author-date (all authors)
Werbrouck, Amber, Eva Swinnen, Eric Kerckhofs, Ronald Buyl, David Beckwée, and Liesbet De Wit. 2018. “How to Empower Patients? : a Systematic Review and Meta-analysis.” Translational Behavioral Medicine 8 (5): 660–674.
Vancouver
1.
Werbrouck A, Swinnen E, Kerckhofs E, Buyl R, Beckwée D, De Wit L. How to empower patients? : a systematic review and meta-analysis. TRANSLATIONAL BEHAVIORAL MEDICINE. 2018;8(5):660–74.
IEEE
[1]
A. Werbrouck, E. Swinnen, E. Kerckhofs, R. Buyl, D. Beckwée, and L. De Wit, “How to empower patients? : a systematic review and meta-analysis,” TRANSLATIONAL BEHAVIORAL MEDICINE, vol. 8, no. 5, pp. 660–674, 2018.
@article{8576946,
  abstract     = {{Patient empowerment, a concept focused on patient-centeredness and patients autonomy, is a well-discussed topic in health literature. However, translating theory into practice is a challenge. The purpose of this study was to assess the effectiveness of interventions on patient empowerment and to identify and compare the modalities of these interventions. For this systematic review including meta-analysis, eligibility criteria were as follows: (i) adult participants with one or more chronic somatic diseases, (ii) "patient empowerment" was explicitly measured (i.e., outcome or measuring instrument), (iii) randomized controlled designs, and (iv) written in English, French, Dutch, or German. A systematic search strategy was applied in five online databases (last search: March 29, 2017). Thirty-two studies were included in this review, of which 23 studies could be included in the meta-analysis. Overall effect estimate was significant in favor of the intervention; however, heterogeneity was high. Subgroup analyses revealed that the effect estimate was higher in studies with interventions that comprised individual sessions. The most recurrent behavioral change technique identified in our review was "knowledge", though this is not sufficient to empower. "Goal setting" and "action planning" were more likely to be applied in successful interventions. "Knowledge" could be combined with "goal setting" and "action planning" to empower. Thorough understanding of the concept of patient empowerment remains necessary. Future research should focus on somatic chronic diseases other than diabetes, a consensus definition for patient empowerment, and clinimetric properties of instruments.}},
  author       = {{Werbrouck, Amber and Swinnen, Eva and Kerckhofs, Eric and Buyl, Ronald and Beckwée, David and De Wit, Liesbet}},
  issn         = {{1869-6716}},
  journal      = {{TRANSLATIONAL BEHAVIORAL MEDICINE}},
  keywords     = {{Patient empowerment,Chronic somatic diseases,Systematic review,Meta-analysis,BEHAVIOR-CHANGE TECHNIQUES,SELF-MANAGEMENT,COACHING INTERVENTION,PHYSICAL-ACTIVITY,CENTERED CARE,BREAST-CANCER,FOLLOW-UP,EDUCATION,OUTCOMES,PEOPLE}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{660--674}},
  title        = {{How to empower patients? : a systematic review and meta-analysis}},
  url          = {{http://dx.doi.org/10.1093/tbm/iby064}},
  volume       = {{8}},
  year         = {{2018}},
}

Altmetric
View in Altmetric
Web of Science
Times cited: