PRISMS – Practical systematic Review of Self-Management Support for long-term conditions

Professors Steph Taylor and Hilary Pinnock, members of the Asthma UK Centre for Applied Research, led a large review of evidence for supported self-management, across a range of conditions that included asthma.

They say this:

4 out of 10 people of all ages in the UK are living with a long-term condition, with most people over the age 65yrs having more than one condition. Supported self-management – helping people to live with their condition – can improve peoples’ confidence in their ability to cope with their condition, enable them to control their symptoms better and reduce the need for emergency care. At the moment, only a minority of people have access to this sort of support. Changing that requires a change in how health services, and the professionals working within them, think about supported self-management. Our study suggests how this can be achieved.

• Individualised supported self-management is inseparable from high quality routine care.
• Healthcare systems need to prioritise supported self-management. This includes providing the training and resources to enable healthcare professionals to implement and patients to benefit from supported self-management, monitoring the impact of strategies and rewarding success.

See the full report and summary on the NIHR website.

How to cite

Taylor SJC, Pinnock H, Epiphaniou E, Pearce G, Parke HL, Schwappach A, Purushotham N, Jacob S, Griffiths CJ, Greenhalgh P, Sheikh A. A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS – Practical systematic Review of Self-Management Support for long-term conditions. Health Serv Deliv Res 2014;2(53)

Selected publications from the PRISMS team

1. Pinnock H, Parke HL, Panagioti M, Daines L, Pearce G, Epiphaniou E, Bower P, Sheikh A, Griffiths CJ, Taylor SJC, for the PRISMS group. Systematic meta-review of supported self-management for asthma: a healthcare service perspective. BMC Medicine 2017;15:64
2. Pinnock H, Epiphaniou E, Pearce G, Parke HL, Greenhalgh T, Sheikh A, Griffiths CJ, Taylor SJC. Implementing supported self-management for asthma: a systematic review of implementation studies. BMC Medicine 2015; 13:127
3. Pearce G, Parke H, Pinnock H, Epiphaniou E, Bourne CLA, Sheikh A, Taylor SJC. The PRISMS Taxonomy of Self-Management Support: Derivation of a Novel Taxonomy and Initial Testing of Utility. J Health Serv Res Policy 2016 21: 73-82
4. Pearce G, Epiphaniou E, Parke HL, Heavey E, Griffiths CJ Greenhalgh T, Sheikh A, Pinnock H, Taylor SJC. Experiences of self-management following a stroke: a meta-review of qualitative systematic reviews. PlosOne 2015; 10(12): e0141803
5. Parke HL, Epiphaniou E, Pearce G, Taylor SJC, Sheikh A, Griffiths CJ, Greenhalgh T, Pinnock H. Self-management support interventions for stroke survivors: a systematic meta-review. PLoS ONE 2015; 10: e0131448

More publications that have extended or built on the PRISMS work

1. Murphy L, Harrington P, Taylor SJC, Teljour C, Smith SM, Pinnock H, Ryan M. Clinical-effectiveness of self-management interventions in chronic obstructive pulmonary disease: An overview of reviews. Chronic Respiratory Disease 2017 (on-line first DOI: 10.1177/1479972316687208)
2. Hanlon P, Daines L, Campbell C, McKinstry B, Weller D, Pinnock H. Telehealth interventions to support self-management of long-term conditions: a systematic meta-review of diabetes, heart failure, asthma, chronic obstructive pulmonary disease and cancer. J Med Internet Res 2017;19:e172