The PRISMS taxonomy of self-management support: derivation of a novel taxonomy and initial testing of its utility

Background Supporting self-management is a core response of health care systems globally to the increasing prevalence of long-term conditions. Lack of a comprehensive taxonomy (or classification) of self-management support components hinders characterization and, ultimately, understanding of these f...

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Bibliographic Details
Published in:Journal of health services research & policy 2016-04, Vol.21 (2), p.73-82
Main Authors: Pearce, Gemma, Parke, Hannah L, Pinnock, Hilary, Epiphaniou, Eleni, Bourne, Claire LA, Sheikh, Aziz, Taylor, Stephanie JC
Format: Article
Language:English
Subjects:
Cancer
Caregivers
Chronic illnesses
Classification
Clinical trials
Components
Derivation
Health services
Intervention
Original Research
Selfmanagement
Social support
Survivor
Systematic review
Taxonomy
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Summary:Background Supporting self-management is a core response of health care systems globally to the increasing prevalence of long-term conditions. Lack of a comprehensive taxonomy (or classification) of self-management support components hinders characterization and, ultimately, understanding of these frequently complex, multi-component interventions. Objective To develop a comprehensive, descriptive taxonomy of self-management support components. Methods Components were derived from the 969 unique randomized controlled trials described in the 102 systematic reviews and 61 implementation trials, examining 14 diverse long-term conditions included in the Practical Reviews in Self-Management Support (PRISMS) project followed by discussion at an expert stakeholder workshop. The utility of the taxonomy was then tested using a self-management support intervention for cancer survivors. Results The PRISMS taxonomy comprises 14 components that might be used to support self-management (e.g. information about condition/management, provision of equipment, social support), when delivered to someone with a long-term condition or their carer. Overarching dimensions are delivery mode; personnel delivering the support; intervention targeting; and intensity, frequency and duration of the intervention. The taxonomy does not consider the effectiveness or otherwise of the different components or the overarching dimensions. Conclusions The PRISMS taxonomy offers a framework to researchers describing self-management support interventions, to reviewers synthesizing evidence and to developers of health services for people with long-term conditions.
ISSN:1355-8196
1758-1060
DOI:10.1177/1355819615602725