Projects per year
Abstract
Purpose: This systematic review aimed to identify the most effective components of interventions to facilitate self-management of health care behaviors for patients with COPD. PROSPERO registration number CRD42011001588.Methods: We used standard review methods with a systematic search to May 2012 for randomized controlled trials of self-management interventions reporting hospital admissions or health-related quality of life (HRQoL). Mean differences (MD), hazard ratios, and 95% confidence intervals (CIs) were calculated and pooled using random-effects meta-analyses. Effects among different subgroups of interventions were explored including single/multiple components and multicomponent interventions with/without exercise.Results: One hundred and seventy-three randomized controlled trials were identified. Self-management interventions had a minimal effect on hospital admission rates. Multicomponent interventions improved HRQoL (studies with follow-up >6 months St George’s Respiratory Questionnaire (MD 2.40, 95% CI 0.75–4.04, I2 57.9). Exercise was an effective individual component (St George’s Respiratory Questionnaire at 3 months MD 4.87, 95% CI 3.96–5.79, I2 0%).Conclusion: While many self-management interventions increased HRQoL, little effect was seen on hospital admissions. More trials should report admissions and follow-up participants beyond the end of the intervention.
Original language | English |
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Pages (from-to) | 305-326 |
Number of pages | 22 |
Journal | International journal of chronic obstructive pulmonary disease |
Volume | 11 |
Issue number | 1 |
DOIs | |
Publication status | Published - 17 Feb 2016 |
Bibliographical note
accepted for publication 25 August 2015Keywords
- COPD, self-management, systematic review, meta-analysis
Fingerprint
Dive into the research topics of 'Self-management of health care behaviors for COPD: a systematic review and meta-analysis'. Together they form a unique fingerprint.Projects
- 2 Finished
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Supported Self-Management for Patients with Moderate to Severe Chronic Obstructive Pulmonary Disease(COPD): An Evidence Synthesis and Economic Analysis
Jordan, R., Jolly, K., Moore, D., Jowett, S., Adab, P., Fitzmaurice, D., Heneghan, N., Ayres, J. & Turner, A.
NIHR EVALUATION, TRIALS AND STUDIES COORDINATING CENTRE
1/03/12 → 30/11/13
Project: Other Government Departments