Self-management of health care behaviors for COPD: a systematic review and meta-analysis

Catherine Jolly, Saimma Majothi, Alice Sitch, Nicola Heneghan, Richard D. Riley, David Moore, Elizabeth Bates, Alice Turner, Susan Bayliss, Malcolm Price, Sally J Singh, Peymane Adab, David Fitzmaurice, Rachel Jordan

Research output: Contribution to journalArticlepeer-review

35 Citations (Scopus)
34 Downloads (Pure)


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 languageEnglish
Pages (from-to)305-326
Number of pages22
JournalInternational journal of chronic obstructive pulmonary disease
Issue number1
Publication statusPublished - 17 Feb 2016

Bibliographical note

accepted for publication 25 August 2015


  • COPD, self-management, systematic review, meta-analysis


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