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  4. Benefits of Wellness Interventions for Persons with Chronic and Disabling Conditions: A Review of the Evidence

Benefits of Wellness Interventions for Persons with Chronic and Disabling Conditions: A Review of the Evidence

Disabil Health J, 2010 · DOI: 10.1016/j.dhjo.2009.10.007 · Published: July 1, 2010

HealthcareDisability

Simple Explanation

This study reviews the evidence for wellness interventions in people with chronic disabilities. It looks at studies published between 1990 and 2007 to see if these interventions improve health and quality of life. The review focuses on interventions that aim to maximize health, functioning, and quality of life, rather than managing specific diseases or symptoms. The study found a growing body of literature supports the positive impact of wellness interventions for people with chronic and disabling conditions.

Study Duration
1990-2007 (Review Period)
Participants
190 studies
Evidence Level
Review of RCTs and prospective studies

Key Findings

  • 1
    The number of studies on wellness interventions for people with chronic and disabling conditions increased significantly from 2001-2007.
  • 2
    Most studies showed positive impacts of wellness interventions, but the interventions and outcomes measured varied greatly.
  • 3
    Many studies had small sample sizes, limiting the ability to detect significant differences given the heterogeneity within groups.

Research Summary

This review examined studies from 1990-2007 focusing on wellness interventions for individuals with chronic and disabling conditions, aiming to evaluate the evidence supporting these interventions. The review found a substantial increase in the number of studies of wellness interventions for this population, with most showing positive effects, though there was great variability in intervention content and measured outcomes. The authors conclude that while the findings support an immediate positive impact of interventions, long-term effects are not well-known due to limited follow-up and call for future research to address these gaps.

Practical Implications

Future Research

Future research should clearly specify primary and secondary outcomes of interventions.

Intervention Design

Interventions should consider using group settings to capitalize on positive role modeling and build self-efficacy.

Reporting Standards

Researchers should adhere to CONSORT guidelines to improve the quality and transparency of research reports.

Study Limitations

  • 1
    Possible publication bias, as studies with significant findings are more likely to be published.
  • 2
    Author bias, where authors may not submit studies with negative findings.
  • 3
    Difficulty in differentiating wellness/health promotion interventions from disease management interventions.

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