Self-management of health care behaviors for COPD: a systematic review and meta-analysis.
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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, I (2) 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, I (2) 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.
SUBMITTER: Jolly K
PROVIDER: S-EPMC4762587 | biostudies-literature | 2016
REPOSITORIES: biostudies-literature
Publications
Self-management of health care behaviors for COPD: a systematic review and meta-analysis.
Jolly Kate K Majothi Saimma S Sitch Alice J AJ Heneghan Nicola R NR Riley Richard D RD Moore David J DJ Bates Elizabeth J EJ Turner Alice M AM Bayliss Susan E SE Price Malcolm J MJ Singh Sally J SJ Adab Peymane P Fitzmaurice David A DA Jordan Rachel E RE
International journal of chronic obstructive pulmonary disease 20160217
<h4>Purpose</h4>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.<h4>Methods</h4>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% con ...[more]
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