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Self-management of rheumatic diseases: state of the art and future perspectives
  1. Maura D Iversen1,2,
  2. Alison Hammond3,
  3. Neil Betteridge4
  1. 1Department of Physical Therapy, Bouve College of Health Sciences, Northeastern University, Boston, Massachusetts, USA
  2. 2Section of Clinical Sciences, Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
  3. 3Centre for Health, Sport and Rehabilitation Research, University of Salford, Salford, UK
  4. 4Arthritis Care, London, UK
  1. Correspondence to Professor Maura Daly Iversen, Department of Physical Therapy, Bouve College of Health Sciences, Northeastern University, 301 C Robinson Hall, 360 Huntington Avenue, Boston, MA 02115, USA; m.iversen{at}


Self-management interventions are patient-centred and designed to foster active participation of patients in order to promote well-being and to manage symptoms. Over the past two decades, the role of self-management in chronic diseases has gained momentum. Self-management programmes are now acknowledged as a key element of quality care. New modes of delivery allow greater access to information and are tailored to address patient needs. This systematic review presents data from clinical studies of self-management over the past decade, summarises the evidence for programme effectiveness, and suggests future research directions.

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.