%0 Journal Article
%T Patients¡¯ and healthcare professionals¡¯ perceptions of self
%A Helen Bourke-Taylor
%A Karen Willis
%A Lorraine Smith
%A Marika Franklin
%A Sophie Lewis
%J Chronic Illness
%@ 1745-9206
%D 2018
%R 10.1177/1742395317710082
%X To review studies examining the experience of self-management support in patient¨Cprovider interactions and the shaping of goals through interactions. We undertook a systematic review and thematic synthesis of the qualitative literature. We searched six databases (2004¨C2015) for published studies on the provision of self-management support in one-to-one, face-to-face, patient¨Cprovider interactions for obesity, type 2 diabetes mellitus and chronic obstructive pulmonary disease, with 14 articles meeting inclusion criteria. Themes identified from studies were (1) dominance of a traditional model of care, encompassing the provision of generic information, exclusion of the psychosocial and temporal nature of interactions and (2) a context of individual responsibility and accountability, encompassing self-management as patients¡¯ responsibility and adherence, accountability and the attribution of blame. Interactions were constrained by consultation times, patient self-blame and guilt, desire for autonomy and beliefs about what constitutes ¡®effective¡¯ self-management. Encounters were oriented towards a traditional model of care delivery and this limited opportunity for collaboration. These findings suggest that healthcare professionals remain in a position of authority, limiting opportunities for control to be shared with patients and shared understandings of social context to be developed
%K Patient¨Cprovider interactions
%K self-management support
%K chronic conditions
%K type 2 diabetes mellitus
%K chronic obstructive pulmonary disease
%K obesity
%U https://journals.sagepub.com/doi/full/10.1177/1742395317710082