Principles of self-control and self-help education for patients with chronic non-communicable diseases (literature review)

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Abstract

The article provides an overview of domestic and foreign reports on the possibility of implementing self-monitoring and self-control training programs for people suffering from chronic non-communicable diseases (CNCD). There were analyzed at least 1,500 domestic and foreign reports on a given topic, which are available in the databases Scopus, Web of Science, MedLine, The Cochrane Library, CyberLeninka, RSCI and on the WHO website. Data are presented on the possibility of using various patient education options, in particular, such as “patient schools” with CNCD, their effectiveness in terms of improving compliance and the pharmacoeconomic effectiveness of treatment. The difficulties experienced by patients in studying special information related to the disease and determining the search for new solutions in this area are outlined. The relevance of including the teach-back method in working with patients, which is used in various fields of healthcare and allow not only to providing the patient with the most detailed information, but also receiving feedback from him indicating the level of her understanding (based on clarifying questions from the specialist and the patient’s answers, reflecting a sufficient understanding of the essence of the information provided). There are given examples of works demonstrated the relevance of introducing feedback learning when it is included in medical education programs for adult CNCD patients. The reasonable inclusion of systematic educational programs with feedback in the monitoring scheme for this category of patients was shown to make it possible to optimize the treatment process, reduce the labor costs of medical personnel, significantly reduce the time spent by patients in outpatient and inpatient treatment facilities, and reduce the risk of repeated hospitalization.Contribution of the authors: Kukshina A.A. — research concept and design, literature analysis, text writing, bibliography, editing; Kamynina N.N. — research concept and design, text writing, editing. All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.Funding. This article was prepared by the author’s team within the framework of the research «Innovative approaches in the development of the public health system of the city of Moscow» (no. according to EGISU: № 123032100060-2).Conflict of interest. The authors declare no conflict of interest.Received: March 28, 2025 / Accepted: June 24, 2025 / Published: October 31, 2025

About the authors

Anastasia A. Kukshina

Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Departme

Email: kukshina@list.ru
ORCID iD: 0000-0002-2290-3687

Natalya N. Kamynina

Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Departme

Email: KamyninaNN@zdrav.mos.ru
ORCID iD: 0000-0002-0925-5822

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