1.Australian Institute of Health and Welfare. Australia’s Health 2018. 16 ed. Canberra: AIHW2018.
2.Marmot M. Health in an unequal world. The Lancet. 2006;368(9552):2081–94.
3.Wilkinson R, Marmot M. Social Determinants of Health: The Solid Facts. Denmark; 2003.
4.Lorig K, Holman H. Self-Management Education: History, Definition, Outcomes, and Mechanisms. Annals of Behavioral Medicine. 2003;26(1):1–7.
5.Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns. 2001;48:177–87.
6.Foster G, Taylor SJ, Eldridge SE, Ramsay J, Griffiths CJ. Self-management education programmes by lay leaders for people with chronic conditions. Cochrane Database Syst Rev. 2007(4):CD005108.
7.Taylor SJC, Pinnock H, Epiphaniou E, Pearce G, Parke HL, Schwappach A, et al. 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 Services and Delivery Research. Southampton (UK)2014.
8.Van Hecke A, Heinen M, Fernandez-Ortega P, Graue M, Hendriks JM, Hoy B, et al. Systematic literature review on effectiveness of self-management support interventions in patients with chronic conditions and low socio-economic status. Journal of Advanced Nursing. 2017;73(4):775–93.
9.Glazier RH, Bajcar J, Kennie NR, Willson K. A systematic review of interventions to improve diabetes care in socially disadvantaged populations. Diabetes Care. 2006;29(7):1675–88.
10.Eakin EG, Bull SS, Glasgow RE, Mason M. Reaching those most in need: a review of diabetes self-management interventions in disadvantaged populations. Diabetes Metab Res Rev. 2002;18(1):26–35.
11.Williams D, Costa M, Odunlami A, Mohammed S. Moving Upstream: How Interventions that Address the Social Determinants of Health can Improve Health and Reduce Disparities. Journal of Public Health Management Practice. 2008:S8–17.
12.White M, Adams J, Heywood P. How and why do interventions that increase health overall widen inequalities within populations? In: Babones S, editor. Social inequality and public health: Policy Press; 2009.
13.Borkhoff CM, Wieland ML, Myasoedova E, Ahmad Z, Welch V, Hawker GA, et al. Reaching those most in need: A scoping review of interventions to improve health care quality for disadvantaged populations with osteoarthritis. Arthritis Care and Research. 2011;63(1):39–52.
14.Miech RA, Kim J, McConnell C, Hamman RF. A growing disparity in diabetes-related mortality U.S. trends, 1989–2005. American Journal of Preventive Medicine. 2009;36(2):126–32.
15.Lorenc T, Petticrew M, Welch V, Tugwell P. What types of interventions generate inequalities? Evidence from systematic reviews. J Epidemiol Community Health. 2013;67(2):190–3.
16.Jepson RG, Harris FM, Platt S, Tannahill C. The effectiveness of interventions to change six health behaviours: a review of reviews. BMC Public Health. 2010;10:538.
17.Tugwell P, Maxwell L, Welch V, Kristjansson E, Petticrew M, Wells G, et al. Is health equity considered in systematic reviews of the Cochrane Musculoskeletal Group? Arthritis Rheum. 2008;59(11):1603–10.
18.Beauchamp A, Peeters A, Tonkin A, Turrell G. Best practice for prevention and treatment of cardiovascular disease through an equity lens: a review. Eur J Cardiovasc Prev Rehabil. 2010;17(5):599–606.
19.Petticrew M, Tugwell P, Kristjansson E, Oliver S, Ueffing E, Welch V. Damned if you do, damned if you don’t: subgroup analysis and equity. J Epidemiol Community Health. 2012;66(1):95–8.
20.Petticrew M, Welch V, Tugwell P. ‘It is surely a great criticism of our profession…’ The next 20 years of equity-focused systematic reviews. J Epidemiol Community Health. 2014;68(4):291–2.
21.Welch V, Tugwell P, Petticrew M, de Montigny J, Ueffing E, Kristjansson B, et al. How effects on health equity are assessed in systematic reviews of interventions. Cochrane Database Syst Rev. 2010(12):MR000028.
22.Sun X, Briel M, Walter SD, Guyatt GH. Is a subgroup effect believable? Updating criteria to evaluate the credibility of subgroup analyses. BMJ. 2010;340:c117.
23.Oxman A, Guyatt GH. A Consumer’s Guide to Subgroup Analyses. Ann Intern Med. 1992;116:78–84.
24.Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264.
25.Lamers F, Jonkers CC, Bosma H, Knottnerus JA, van Eijk JT. Treating depression in diabetes patients: does a nurse-administered minimal psychological intervention affect diabetes-specific quality of life and glycaemic control? A randomized controlled trial. J Adv Nurs. 2011;67(4):788–99.
26.DeWalt DA, Malone RM, Bryant ME, Kosnar MC, Corr KE, Rothman RL, et al. A heart failure self-management program for patients of all literacy levels: a randomized, controlled trial [ISRCTN11535170]. BMC Health Serv Res. 2006;6:30.
27.Thom DH, Ghorob A, Hessler D, De Vore D, Chen E, Bodenheimer TA. Impact of peer health coaching on glycemic control in low-income patients with diabetes: a randomized controlled trial. Ann Fam Med. 2013;11(2):137–44.
28.Rothman RL, Malone R, Bryant B, Shintani AK, Crigler B, Dewalt DA, et al. A randomized trial of a primary care-based disease management program to improve cardiovascular risk factors and glycated hemoglobin levels in patients with diabetes. Am J Med. 2005;118(3):276–84.
29.Smeulders ES, van Haastregt JC, van Hoef EF, van Eijk JT, Kempen GI. Evaluation of a self-management programme for congestive heart failure patients: design of a randomised controlled trial. BMC Health Serv Res. 2006;6:91.
30.Murray E, Sweeting M, Dack C, Pal K, Modrow K, Hudda M, et al. Web-based self-management support for people with type 2 diabetes (HeLP-Diabetes): randomised controlled trial in English primary care. BMJ Open. 2017;7(9):e016009.
31.Day MA, Thorn BE. The relationship of demographic and psychosocial variables to pain-related outcomes in a rural chronic pain population. Pain. 2010;151(2):467–74.
32.Boult C, Reider L, Leff B, Frick K, Boyd C, Wolff J, et al. The Effect of Guided Care Teams on the Use of Health Services Results From a Cluster-Randomized Controlled Trial. Arch Intern Med. 2011;171(5):460–6.
33.Joanna Briggs Institute. Critical Appraisal Tools Adelaide: The University of Adelaide,. 2018 [Available from: http://joannabriggs.org/research/critical-appraisal-tools.html.
34.Nour K, Laforest S, Gauvin L, Gignac M. Behavior change following a self-management intervention for housebound older adults with arthritis: An experimental study. International Journal of Behavioral Nutrition and Physical Activity. 2006;3 (no pagination)(12).
35.Angele AGCJ, Comijs HC, Kees CPMK, Deeg DJH. Benefits for elders with vulnerable health from the Chronic Disease Self-management Program (CDSMP) at short and longer term. BMC Geriatrics. 2015;15.
36.Dattalo M, Giovannetti ER, Scharfstein D, Boult C, Wegener S, Wolff JL, et al. Who participates in chronic disease self-management (CDSM) programs? Differences between participants and nonparticipants in a population of multimorbid older adults. Med Care. 2012;50(12):1071–5.
37.Cauch-Dudek K, Victor JC, Sigmond M, Shah BR. Disparities in attendance at diabetes self-management education programs after diagnosis in Ontario, Canada: a cohort study. BMC Public Health. 2013;13:85.
38.Adjei Boakye E, Varble A, Rojek R, Peavler O, Trainer AK, Osazuwa-Peters N, et al. Sociodemographic Factors Associated With Engagement in Diabetes Self-management Education Among People With Diabetes in the United States. Public Health Rep. 2018;133(6):685–91.
39.Santorelli ML, Ekanayake RM, Wilkerson-Leconte L. Participation in a Diabetes Self-Management Class Among Adults With Diabetes, New Jersey 2013–2015. Prev Chronic Dis. 2017;14:E63.
40.Horrell LN, Kneipp SM, Ahn S, Towne Jr SD, Mingo CA, Ory MG, et al. Chronic disease self-management education courses: utilization by low-income, middle-aged participants. Intern. 2017;16:1–10.
41.Glasgow RE, Strycker LA, Kurz D, Faber A, Bell H, Dickman JM, et al. Recruitment for an internet-based diabetes self-management program: scientific and ethical implications. Annals of Behavioral Medicine. 2010;40(1):40–8.
42.Poduval S, Ahmed S, Marston L, Hamilton F, Murray E. Crossing the Digital Divide in Online Self-Management Support: Analysis of Usage Data From HeLP-Diabetes. JMIR Diabetes. 2018;3(4):e10925.
43.Bayliss EA, Ellis JL, Steiner JF. Barriers to self-management and quality-of-life outcomes in seniors with multimorbidities. Ann Fam Med. 2007;5(5):395–402.
44.Hardman R, Lawn S, Tsourtos G. Pain Self-Management: Easier Said than Done? Factors Associated with Early Dropout from Pain Self-Management in a Rural Primary Care Population. Pain Medicine. 2018;06:06.
45.Kure-Biegel N, Schnohr CW, Hindhede AL, Diderichsen F. Risk factors for not completing health interventions and the potential impact on health inequalities between educational groups - a mixed method study from Denmark. Intern. 2016;15:54.
46.Thorn BE, Day MA, Burns J, Kuhajda MC, Gaskins SW, Sweeney K, et al. Randomized trial of group cognitive behavioral therapy compared with a pain education control for low-literacy rural people with chronic pain. Pain. 2011;152(12):2710–20.
47.DeWalt DA, Schillinger D, Ruo B, Bibbins-Domingo K, Baker DW, Holmes GM, et al. Multisite randomized trial of a single-session versus multisession literacy-sensitive self-care intervention for patients with heart failure. Circulation. 2012;125(23):2854–62.
48.Powell LH, Calvin J, Richardson D, Janssen I, Mendes de Leon C, Flynn K, et al. Self-Management Counseling in Patients with Heart Failure: The Heart Failure Adherence and Retention Randomised Controlled Trial. JAMA Intern Med. 2010;304(12):1331–8.
49.Bosma H, Lamers F, Jonkers CCM, Van Eijk JT. Disparities by education level in outcomes of a self-management intervention: The DELTA trial in the Netherlands. Psychiatric Services. 2011;62(7):793–5.
50.Govil SRMPH, Weidner GP, Merritt-Worden TMS, Ornish DMD. Socioeconomic Status and Improvements in Lifestyle, Coronary Risk Factors, and Quality of Life: The Multisite Cardiac Lifestyle Intervention Program. American Journal of Public Health. 2009;99(7):1263–70.
51.Moskowitz D, Thom DH, Hessler D, Ghorob A, Bodenheimer T. Peer coaching to improve diabetes self-management: which patients benefit most? J Gen Intern Med. 2013;28(7):938–42.
52.Smeulders ES, van Haastregt JC, Ambergen T, Stoffers HE, Janssen-Boyne JJ, Uszko-Lencer NH, et al. Heart failure patients with a lower educational level and better cognitive status benefit most from a self-management group programme. Patient Educ Couns. 2010;81(2):214–21.
53.Rothman R, DeWalt D, Malone R, Bryant B, Shintani A, Crigler B, et al. Influence of Patient Literacy on the Effectiveness of a Primary Care–Based Diabetes Disease Management Program. JAMA Intern Med. 2004;292(14):1711–6.
54.Merius HN, Rohan AJ. An Integrative Review of Factors Associated with Patient Attrition from Community Health Worker Programs that Support Diabetes Self-Care. J Community Health Nurs. 2017;34(4):214–28.
55.Sokol R, Fisher E. Peer Support for the Hardly Reached: A Systematic Review. American Journal of Public Health. 2016;106(7):e1–8.
56.Dennis SM, Harris M, Lloyd J, Powell Davies G, Faruqi N, Zwar N. Do people with existing chronic conditions benefit from telephone coaching? A rapid review. Aust Health Rev. 2013;37(3):381–8.
57.Roberts SR, Crigler J, Ramirez C, Sisco D, Early GL. Working With Socially and Medically Complex Patients: When Care Transitions Are Circular, Overlapping, and Continual Rather Than Linear and Finite. J Healthc Qual. 2015;37(4):245–65.
58.Warsi A, Wang P, LaValley M, Avorn J, Solomon D. Self-management Education Programs in Chronic Disease: A Systematic Review and Methodological Critique of the Literature. Arch Intern Med. 2004;164:1641–9.
59.Chlebowy D, Hood S, LaJoie S. Facilitators and Barriers to Self-management of Type 2 Diabetes Among Urban African American Adults. The Diabetes Educator. 2010:897–905.
60.Blackstock F, ZuWallack, R., Nici, L., Lareau, S. Why Don’t Our Patients with Chronic Obstructive Pulmonary Disease Listen to Us? The Enigma of Nonadherence. Annals of the American Thoracic Society. 2016;13(3):317–23.
61.Norris SN, P; Caspersen, C; Glasgow, R; Engelgau, M; Jack, L; Isham, G; Snyder, S; Carande-Kulis, V; Garfield, S; Briss, P; McCulloch, D. The Effectiveness of Disease and Case Management for People with Diabetes: A Systematic Review. Am J Prev Med. 2002;22(4S):15–38.
62.Hinder SG, T. “This does my head in”. Ethnographic study of self-management by people with diabetes. BMC Health Services Research. 2012;12(83).
63.Gallagher R, Warwick M, Chenoweth L, Stein-Parbury J, Milton-Wildey K. Medication knowledge, adherence and predictors among people with heart failure and chronic obstructive pulmonary disease. Journal of Nursing & Healthcare of Chronic Illnesses. 2011;3(1):30–40.
64.Debussche X. Is adherence a relevant issue in the self-management education of diabetes? A mixed narrative review. Diabetes Metab Syndr Obes. 2014;7:357–67.
65.Jerant AF, von Friederichs-Fitzwater MM, Moore M. Patients’ perceived barriers to active self-management of chronic conditions. Patient Educ Couns. 2005;57(3):300–7.
66.Sarkar U, Fisher L, Schillinger D. Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy? Diabetes Care. 2006;29(4):823–9.
67.Glass T, Kress A, Berkman L. Experimental Psychosocial Interventions. In: Berkman L, Kawachi I, Glymour M, editors. Social Epidemiology. 2nd ed. New York: Oxford University Press; 2014.
68.Kendall E, Rogers A. Extinguishing the social?: state sponsored self‐care policy and the Chronic Disease Self‐management Programme. Disability & Society. 2007;22(2):129–43.
69.Boehmer KR, Dabrh AMA, Gionfriddo MR, Erwin P, Montori VM. Does the chronic care model meet the emerging needs of people living with multimorbidity? A systematic review and thematic synthesis. PLoS ONE. 2018;13 (2) (no pagination)(e0190852).
70.Cramm JM, Nieboer AP. Self-management abilities, physical health and depressive symptoms among patients with cardiovascular diseases, chronic obstructive pulmonary disease, and diabetes. Patient Education & Counseling. 2012;87(3):411–5.
71.Campbell DJT, Ronksley PE, Manns BJ, Tonelli M, Sanmartin C, Weaver RG, et al. The Association of Income with Health Behavior Change and Disease Monitoring among Patients with Chronic Disease. PLoS One. 2014;9(4).
72.Coventry PA, Fisher L, Kenning C, Bee P, Bower P. Capacity, responsibility, and motivation: a critical qualitative evaluation of patient and practitioner views about barriers to self-management in people with multimorbidity. BMC Health Services Research. 2014;14:536.
73.Shippee ND, Shah ND, May CR, Mair FS, Montori VM. Cumulative complexity: a functional, patient-centered model of patient complexity can improve research and practice. Journal of Clinical Epidemiology. 2012;65(10):1041–51.
74.Greenhalgh T. Patient and public involvement in chronic illness: beyond the expert patient. British Medical Journal. 2009;338:1–9.