{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:55:50Z","timestamp":1784303750378,"version":"3.55.0"},"reference-count":93,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["iaap-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Applied Psych Health &amp;amp; Well"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This systematic review and meta\u2010analysis aimed to evaluate the impact of narrative interventions on self\u2010efficacy and self\u2010management behaviors in patients with chronic diseases. We systematically searched EMBASE, the Cochrane Library, CINAHL, PsycINFO, China National Knowledge Infrastructure (CNKI), and PubMed from conception to 2025, supplemented by manual searches of reference lists. Randomized controlled trials (RCTs) assessing the effects of narrative interventions on self\u2010efficacy or self\u2010management in adults with chronic diseases were included. Data were pooled using random\u2010effects meta\u2010analysis. A total of 34 RCTs involving 4584 participants were included. The meta\u2010analysis showed that narrative\u2010based interventions significantly enhanced patients' self\u2010efficacy (22 studies;\n                    <jats:italic>SMD<\/jats:italic>\n                    \u2009=\u20090.66, 95% CI: 0.35\u20130.96,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001;\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>\n                      <jats:italic>2<\/jats:italic>\n                    <\/jats:sup>\n                    \u2009=\u200959.6%) and self\u2010management behaviors (12 studies;\n                    <jats:italic>SMD<\/jats:italic>\n                    \u2009=\u20091.73, 95% CI: 1.03\u20132.42,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001;\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>\n                      <jats:italic>2<\/jats:italic>\n                    <\/jats:sup>\n                    \u2009=\u200985.1%). Meta\u2010regression indicated a positive regulatory trend of national income level on self\u2010efficacy (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.055), although the effect was not statistically significant, and no significant moderating effect was observed for self\u2010management. Other variables\u2014including age, disease type, intervention type, duration, and publication period\u2014showed no significant moderating impact on either outcome (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&gt;\u2009.05). Subgroup analysis further revealed that the improvement in self\u2010efficacy was significantly greater in upper\u2010 to middle\u2010income countries (\n                    <jats:italic>SMD<\/jats:italic>\n                    \u2009=\u20091.04) than in high\u2010income countries (\n                    <jats:italic>SMD<\/jats:italic>\n                    \u2009=\u20090.39; subgroup difference\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.019), and the effect was significant among patients with heart disease (\n                    <jats:italic>SMD<\/jats:italic>\n                    \u2009=\u20091.16), cancer (\n                    <jats:italic>SMD<\/jats:italic>\n                    \u2009=\u20090.98) and stroke (\n                    <jats:italic>SMD<\/jats:italic>\n                    \u2009=\u20090.71). For self\u2010management, the effect varied significantly across subgroups defined by intervention type, duration, publication period and disease type, with the largest effects observed among patients with neurological diseases (\n                    <jats:italic>SMD<\/jats:italic>\n                    \u2009=\u20093.16) and cancer (\n                    <jats:italic>SMD<\/jats:italic>\n                    \u2009=\u20092.73). The results of this systematic review and meta\u2010analysis suggest that narrative\u2010based interventions may improve self\u2010efficacy and self\u2010management behaviors among patients with chronic diseases. However, considerable heterogeneity remains, and further high\u2010quality studies are needed to confirm these findings.\n                  <\/jats:p>","DOI":"10.1111\/aphw.70127","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T05:57:37Z","timestamp":1771394257000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of narrative\u2010based interventions on self\u2010efficacy and self\u2010management in chronic disease: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"18","author":[{"given":"Zhuangyan","family":"Yao","sequence":"first","affiliation":[{"name":"Affiliated Hospital of Guangdong Medical University  Zhanjiang China"},{"name":"School of Nursing Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edmond Pui Hang","family":"Choi","sequence":"additional","affiliation":[{"name":"School of Nursing Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0031-4816","authenticated-orcid":false,"given":"Do Do Wai Nei","family":"Chow","sequence":"additional","affiliation":[{"name":"School of Nursing Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5424-3705","authenticated-orcid":false,"given":"Lizhen","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9443-4082","authenticated-orcid":false,"given":"Mu\u2010Hsing","family":"Ho","sequence":"additional","affiliation":[{"name":"School of Nursing Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-20147-y"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/9602821"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smhs.2019.08.006"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2021.106358"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.2196\/17182"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S253918"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066x.44.9.1175"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2014.0014"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2021.1985657"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.11987"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0130990"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dat058"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2015.1018643"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNR.0000000000000422"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2022.111105"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kaaa044"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1188\/08.ONF.265-272"},{"key":"e_1_2_10_20_1","first-page":"85","article-title":"Effects of cox\u2010based staged narrative therapy on self\u2010management in gastric cancer patients","volume":"22","author":"Cui W.","year":"2025","journal-title":"China Medical Innovation"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423614000188"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzy029"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm14070706"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2422-x"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.382"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2020.08.019"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.11569\/wcjd.v29.i22.1316"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359104520929741"},{"key":"e_1_2_10_30_1","first-page":"1992","article-title":"Application of narrative medicine\u2010guided psychological intervention in the self\u2010efficacy of patients undergoing radical lung cancer resection and their family caregivers","volume":"46","author":"Gao C.","year":"2022","journal-title":"Guizhou Medicine"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14801"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpain.2023.1253310"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.2196\/24948"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7639"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arbres.2018.07.008"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1474-7"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11040589"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.07.017"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.19522\/j.cnki.1671-5098.2020.10.063"},{"key":"e_1_2_10_40_1","unstructured":"Higgins J. Thomas J. Chandler J. Cumpston M. Li T. Page M. &Welch V.(2022).Cochrane handbook for systematic reviews of interventions version 6.3. 2022. URL:https:\/\/Training.Cochrane.Org\/Handbook\/Current."},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198106291963"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.13898\/j.cnki.issn.1000-2200.2024.12.022"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12212151"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.5964\/ejop.v14i2.1559"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.17219\/acem\/191102"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S192571"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0254995"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.01655"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043454216688639"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730903528017"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2015.09.004"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.11.041"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2021.2022277"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13030-024-00318-4"},{"key":"e_1_2_10_55_1","first-page":"148","article-title":"Effects of narrative nursing on self\u2010management and dietary behavior in patients with gestational diabetes mellitus","volume":"38","author":"Liu S.","year":"2020","journal-title":"Health Vocational Education"},{"key":"e_1_2_10_56_1","first-page":"526","article-title":"Effects of narrative nursing on negative emotions, self\u2010management ability, and quality of life in adult patients with epilepsy","volume":"20","author":"Liu X.","year":"2022","journal-title":"General Nursing"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr2.11222"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24362"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15324796ABM2601_01"},{"key":"e_1_2_10_60_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/23.116"},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12132"},{"key":"e_1_2_10_62_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-79327-w"},{"key":"e_1_2_10_63_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2022.2029918"},{"key":"e_1_2_10_64_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-018-1320-1"},{"key":"e_1_2_10_65_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcom.12007"},{"key":"e_1_2_10_66_1","doi-asserted-by":"publisher","DOI":"10.5334\/aogh.3085"},{"key":"e_1_2_10_67_1","doi-asserted-by":"publisher","DOI":"10.2196\/55130"},{"key":"e_1_2_10_68_1","doi-asserted-by":"publisher","DOI":"10.1093\/joc\/jqaa017"},{"key":"e_1_2_10_69_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105315603463"},{"key":"e_1_2_10_70_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13142-016-0453-1"},{"key":"e_1_2_10_71_1","first-page":"123","volume-title":"Advances in experimental social psychology","author":"Petty R. E.","year":"1986"},{"key":"e_1_2_10_72_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-020-00705-5"},{"key":"e_1_2_10_73_1","doi-asserted-by":"publisher","DOI":"10.1080\/19325037.2014.999962"},{"key":"e_1_2_10_74_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215514532478"},{"key":"e_1_2_10_75_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.13050"},{"key":"e_1_2_10_76_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-4560.1968.tb01466.x"},{"key":"e_1_2_10_77_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2020.05.018"},{"key":"e_1_2_10_78_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kax008"},{"key":"e_1_2_10_79_1","first-page":"133","article-title":"A study on the impact of narrative nursing on negative emotions, self\u2010management ability and quality of life of adult epilepsy patients","volume":"41","author":"Song T.","year":"2023","journal-title":"Chinese Journal of Health Care"},{"key":"e_1_2_10_80_1","doi-asserted-by":"publisher","DOI":"10.15921\/j.cnki.cyxb.2024.06.003"},{"key":"e_1_2_10_81_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2023.104880"},{"key":"e_1_2_10_82_1","doi-asserted-by":"publisher","DOI":"10.19738\/j.cnki.psy.2025.05.056"},{"key":"e_1_2_10_83_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.09.037"},{"key":"e_1_2_10_84_1","volume-title":"Global action plan for the prevention and control of noncommunicable diseases 2013\u20102020","author":"World Health Organization","year":"2013"},{"key":"e_1_2_10_85_1","unstructured":"World Health Organization. (2024 December 23).Non communicable diseases.https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/noncommunicable-diseases"},{"key":"e_1_2_10_86_1","first-page":"94","article-title":"Effects of narrative nursing on self\u2010efficacy and resilience in patients undergoing heart valve replacement surgery","volume":"32","author":"Yang L.","year":"2022","journal-title":"Journal of Shanxi Health Vocational College"},{"key":"e_1_2_10_87_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13003"},{"key":"e_1_2_10_88_1","doi-asserted-by":"publisher","DOI":"10.1080\/19371918.2020.1859034"},{"key":"e_1_2_10_89_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-022-00988-7"},{"key":"e_1_2_10_90_1","first-page":"56","article-title":"Effects of narrative nursing on negative emotions and self\u2010management ability in patients with tumor PICC catheterization","volume":"39","author":"Zhang W.","year":"2022","journal-title":"Hospital Management Forum"},{"key":"e_1_2_10_91_1","unstructured":"Zheng L. Liang Y. &Xie J.(2024 July).The Application Effect of Narrative Nursing Intervention Model in Patients with Artificial Anus and Its Impact on Self\u2010 management Level and Psychology."},{"key":"e_1_2_10_92_1","doi-asserted-by":"publisher","DOI":"10.19792\/j.cnki.1006-6411.2020.17.009"},{"key":"e_1_2_10_93_1","doi-asserted-by":"publisher","DOI":"10.19829\/j.zgfybj.issn.1001-4411.2024.10.036"},{"key":"e_1_2_10_94_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2024.102535"}],"container-title":["Applied Psychology: Health and Well-Being"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/iaap-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aphw.70127","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/iaap-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aphw.70127","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/iaap-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aphw.70127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T09:49:27Z","timestamp":1775728167000},"score":1,"resource":{"primary":{"URL":"https:\/\/iaap-journals.onlinelibrary.wiley.com\/doi\/10.1111\/aphw.70127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":93,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1111\/aphw.70127"],"URL":"https:\/\/doi.org\/10.1111\/aphw.70127","archive":["Portico"],"relation":{},"ISSN":["1758-0846","1758-0854"],"issn-type":[{"value":"1758-0846","type":"print"},{"value":"1758-0854","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"2025-04-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70127"}}