Trial reportJournal of epidemiology and community health2007
The effectiveness and cost effectiveness of a national lay-led self care support programme for patients with long-term conditions: a pragmatic randomised controlled trial.
Trial report in Journal of epidemiology and community health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 138 papers, 17 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.
Promotion of Self-management of Chronic Mobility Limitations Among Vulnerable Seniors at the MUHC: Training the New Generation of Canadian Physiotherapists for This Role. Addendum: Planning Physiotherapy Services for Persons Treated at the MUHC for Cancer: A Needs Assessment
The Military Spouse Resiliency Group (MSRG) Peer Support Program: Equipping Families For Resiliency With Tools (EFFRT)
Who cites it
138 citing papers in PubMed, 17 syntheses or guidelines pooled it, 355 citations in OpenAlex.
- Pooled it
- Pooled 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
- Prognostic factors for chronic headache: A systematic review.Neurology · 2017Pooled it
- Self-management education interventions for patients with cancer: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Pooled it
- Systematic Review and Meta-Analysis of Peer-Led Self-Management Programs for Increasing Physical Activity.International journal of behavioral medicine · 2016Pooled it
- Who is in control? Clinicians' view on their role in self-management approaches: a qualitative metasynthesis.BMJ open · 2015Pooled it
- The effectiveness of self-management support interventions for men with long-term conditions: a systematic review and meta-analysis.BMJ open · 2015Pooled it
- Pooled it
- Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views.PloS one · 2015Pooled it
- The accessibility and acceptability of self-management support interventions for men with long term conditions: a systematic review and meta-synthesis of qualitative studies.BMC public health · 2014Pooled it
- Telephone based self-management support by 'lay health workers' and 'peer support workers' to prevent and manage vascular diseases: a systematic review and meta-analysis.BMC health services research · 2013Pooled it
- Self-management: a systematic review of outcome measures adopted in self-management interventions for stroke.Disability and rehabilitation · 2013Pooled it
- Computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus.The Cochrane database of systematic reviews · 2013Pooled it
- A meta-analysis of health status, health behaviors, and health care utilization outcomes of the Chronic Disease Self-Management Program.Preventing chronic disease · 2013Pooled it
- Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis.Lancet (London, England) · 2008Pooled it
- Strategies for recruiting populations to participate in the chronic disease self-management program (CDSMP): A systematic review.Health marketing quarterlyPooled it
- A feasibility randomised controlled trial of a Fibromyalgia Self-management Programme for adults in a community setting with a nested qualitative study (FALCON).BMC musculoskeletal disorders · 2022Trial
- Twelve-month effect of chronic pain self-management intervention delivered in an easily accessible primary healthcare service - a randomised controlled trial.BMC health services research · 2018Trial
- Trial
78 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
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveSupporting patients' self care could have a major effect on the management of long-term conditions, which has led to worldwide interest in effective self care interventions. In England, self care support is being developed through the "Expert Patients Programme", which provides lay-led generic courses to improve patients' self care skills. However, the clinical and cost effectiveness of such courses remains unclear.
methodsTwo-arm pragmatic randomised controlled trial design with waiting list control in community settings in England. 629 patients with a wide range of self-defined long-term conditions were studied. The lay-led self care support group involved 6-weekly sessions to teach self care skills. Primary outcomes were self-efficacy, reported energy and routine health services utilisation at 6 months. A cost-effectiveness analysis was also conducted.
resultsPatients receiving immediate course access reported considerably greater self-efficacy and energy at 6-month follow-up, but reported no statistically significant reductions in routine health services utilisation over the same time period. The cost-effectiveness analysis showed that patients receiving immediate course access reported considerably greater health related quality of life, and a small reduction in costs. If a quality adjusted life year was valued at 20,000 pounds (39,191 dollars; 30,282 Euro), there was a 70% probability that the intervention was cost effective.
conclusionsLay-led self care support groups are effective in improving self-efficacy and energy levels among patients with long-term conditions, and are likely to be cost effective over 6 months at conventional values of a decision-maker's willingness to pay. They may be a useful addition to current services in the management of long-term conditions.
Indexed as
Identifiers
What 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.