Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2005
Randomised controlled trial of a lay-led self-management programme for Bangladeshi patients with chronic disease.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05726539 (The Military Spouse Resiliency Group), which is not on this map. Cited by 65 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Military Spouse Resiliency Group (MSRG) Peer Support Program: Equipping Families For Resiliency With Tools (EFFRT)
Who cites it
65 citing papers in PubMed, 10 syntheses or guidelines pooled it, 193 citations in OpenAlex.
- Acceptability of community health worker and peer supported interventions for ethnic minorities with type 2 diabetes: a qualitative systematic review.Frontiers in clinical diabetes and healthcare · 2024Pooled it
- Effectiveness of therapeutic patient education interventions for chronic diseases: A systematic review and meta-analyses of randomized controlled trials.Frontiers in medicine · 2022Pooled it
- A close look at lay-led self-management programs for chronic diseases and health care utilisation: A systematic review and meta-analysis.German medical science : GMS e-journal · 2019Pooled it
- Self-management for bronchiectasis.The Cochrane database of systematic reviews · 2018Pooled it
- Toward consensus on self-management support: the international chronic condition self-management support framework.Health promotion international · 2017Guideline
- Culture-specific programs for children and adults from minority groups who have asthma.The Cochrane database of systematic reviews · 2017Pooled it
- A systematic review of outcomes of chronic disease self-management interventions.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2013Pooled it
- Telehealthcare for chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2011Pooled it
- Indigenous healthcare worker involvement for Indigenous adults and children with asthma.The Cochrane database of systematic reviews · 2010Pooled it
- Strategies for recruiting populations to participate in the chronic disease self-management program (CDSMP): A systematic review.Health marketing quarterlyPooled it
- Effect of the OPTIMAL programme on self-management of multimorbidity in primary care: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Trial
- (In)Visible illness: A photovoice study of the lived experience of self-managing rheumatoid arthritis.PloS one · 2021Trial
- Why Effective Interventions Do Not Work for All Patients: Exploring Variation in Response to a Chronic Disease Management Intervention.Medical care · 2018Trial
- Effect of an Education Programme for South Asians with Asthma and Their Clinicians: A Cluster Randomised Controlled Trial (OEDIPUS).PloS one · 2016Trial
- Benefits for elders with vulnerable health from the Chronic Disease Self-management Program (CDSMP) at short and longer term.BMC geriatrics · 2015Trial
- OPTIMAL, an occupational therapy led self-management support programme for people with multimorbidity in primary care: a randomized controlled trial.BMC family practice · 2015Trial
- Trial
- A single group follow-up study of non-surgical patients seen by physiotherapists working in expanded roles in orthopaedic departments: recall of recommendations, change in exercise and self-efficacy.BMC research notes · 2012Trial
- Adherence therapy for medication non-compliant patients with hypertension: a randomised controlled trial.Journal of human hypertension · 2012Trial
- Trial
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReducing the impact of chronic disease in minority ethnic groups is an important public health challenge. Lay-led education may overcome cultural and language barriers that limit the effectiveness of professionally-led programmes. We report the first randomised trial of a lay-led self-management programme - the Chronic Disease Self-Management Programme (CDSMP) (Expert Patient Programme) - in a south Asian group.
aimTo determine the effectiveness of a culturally-adapted lay-led self-management programme for Bangladeshi adults with chronic disease. DESIGN OF STUDY: Randomised controlled trial.
settingTower Hamlets, east London.
methodWe recruited Bangladeshi adults with diabetes, cardiovascular disease, respiratory disease or arthritis from general practices and randomised them to the CDSMP or waiting-list control. Self-efficacy (primary outcome), self-management behaviour, communication with clinician, depression scores, and healthcare use were assessed by blinded interviewer-administered questionnaires in Sylheti before randomisation and 4 months later.
resultsOf the 1363 people invited, 476 (34%) agreed to take part and 92% (439/476) of participants were followed up. The programme improved self-efficacy (difference: 0.67, 95% confidence interval [CI] = 0.08 to 1.25) and self-management behaviour (0.53; 95% CI = 0.01 to 1.06). In the 51% (121/238) of intervention participants attending three or more of the 6-weekly education sessions the programme led to greater improvements in self-efficacy (1.47; 95% CI = 0.50 to 1.82) and self-management behaviour (1.16; 95% CI = 0.50 to 1.82), and reduced HADS depression scores (0.64; 95% CI = 0.07 to 1.22). Communication and healthcare use were not significantly different between groups. The programme cost pound123 (181) per participant.
conclusionA culturally-adapted CDSMP improves self-efficacy and self-care behaviour in Bangladeshi patients with chronic disease. Effects on health status were marginal. Benefits were limited by moderate uptake and attendance.
Indexed as
Identifiers
16281998PMC1570787W1905138792What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.