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|Title:||Self-management of health care behaviors for COPD: a systematic review and meta-analysis|
Sitch, A. J.
Heneghan, N. R.
Riley, R. D.
Moore, D. J.
Bates, E. J.
Turner, A. M.
Bayliss, S. E.
Price, M. J .
Singh, Sally J.
Fitzmaurice, D. A.
Jordan, R. E.
|Publisher:||Dove Medical Press|
|Citation:||International Journal of COPD 2016:11 305–326|
|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.|
|Rights:||This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License.|
|Appears in Collections:||Published Articles, College of Medicine, Biological Sciences and Psychology|
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