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Self-management of health care behaviors for COPD : a systematic review and meta-analysis
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Jolly, Kate, Majothi, Saimma, Sitch, Alice, Heneghan, Nicola, Moore, David, Riley, Richard, Bates, Elizabeth, Turner, Alice, Bayliss, Sue, Price, Malcolm, Singh, Sally, Adab, Peymane, Fitzmaurice, David and Jordan, Rachel (2016) Self-management of health care behaviors for COPD : a systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 11 (1). pp. 305-326. doi:10.2147/COPD.S90812 ISSN 1178-2005.
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Official URL: http://dx.doi.org/10.2147/COPD.S90812
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.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | International Journal of Chronic Obstructive Pulmonary Disease | ||||||
| Publisher: | Dove Medical Press | ||||||
| ISSN: | 1178-2005 | ||||||
| Official Date: | 17 February 2016 | ||||||
| Dates: |
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| Volume: | 11 | ||||||
| Number: | 1 | ||||||
| Page Range: | pp. 305-326 | ||||||
| DOI: | 10.2147/COPD.S90812 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) |
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