Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2008
Predicting who will benefit from an Expert Patients Programme self-management course.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Pooled it
- Multimorbidity and Patient Safety Incidents in Primary Care: A Systematic Review and Meta-Analysis.PloS one · 2015Pooled 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
- Health service utilization among African American women living with systemic lupus erythematosus: perceived impacts of a self-management intervention.Arthritis research & therapy · 2019Trial
- Trial
- Effect of an Education Programme for South Asians with Asthma and Their Clinicians: A Cluster Randomised Controlled Trial (OEDIPUS).PloS one · 2016Trial
- Effect evaluation of a self-management program for dutch workers with a chronic somatic disease: a randomized controlled trial.Journal of occupational rehabilitation · 2013Trial
- Effectiveness of Moving On: an Australian designed generic self-management program for people with a chronic illness.BMC health services research · 2013Trial
- What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map.Campbell systematic reviews · 2022Review
- Cross-sectional study of the effects of self-efficacy on fatigue and pain interference in black women with systemic lupus erythematosus: the role of depression, age and education.Lupus science & medicine · 2022Article
- Impact of the chronic disease self-management program (CDSMP) on self-perceived frailty condition: the EU-EFFICHRONIC project.Therapeutic advances in chronic disease · 2021Article
- Web-Based Health Coaching for Spinal Cord Injury: Results From a Mixed Methods Feasibility Evaluation.JMIR rehabilitation and assistive technologies · 2020Article
- Exploring the Perceived Impact of the Chronic Disease Self-Management Program on Self-Management Behaviors among African American Women with Lupus: A Qualitative Study.ACR open rheumatology · 2020Article
- Associations of Arthritis-Attributable Interference with Routine Life Activities: A Modifiable Source of Compromised Quality-of-Life.ACR open rheumatology · 2019Article
- Article
- A case series of an off-the-shelf online health resource with integrated nurse coaching to support self-management in COPD.International journal of chronic obstructive pulmonary disease · 2017Article
- Patient activation in older people with long-term conditions and multimorbidity: correlates and change in a cohort study in the United Kingdom.BMC health services research · 2016Observational
- Cost-effectiveness of the chronic disease self-management program: implications for community-based organizations.Frontiers in public health · 2015Article
- Effects of chronic disease self-management programs for participants with higher depression scores: secondary analyses of an on-line and a small-group program.Translational behavioral medicine · 2014Article
- Capacity, responsibility, and motivation: a critical qualitative evaluation of patient and practitioner views about barriers to self-management in people with multimorbidity.BMC health services research · 2014Article
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 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn England, the Expert Patients Programme, a lay-led chronic disease self-management course, was developed to improve self-care support and skills. The course is designed for anyone with a self-defined long-term condition, and attracts a heterogeneous group of patients. A randomised controlled trial has demonstrated effectiveness in improving subjective health. However, it is not known whether particular patient characteristics predict the impact of the course.
aimTo determine whether baseline characteristics predict clinical outcomes from attendance at a chronic disease self-management course; and to assess whether identification of such characteristics assists in targeting the course to individuals most likely to benefit. DESIGN OF STUDY: A post-hoc subgroup analysis of data from a randomised controlled trial to explore predictors of three trial outcomes: self-efficacy, energy, and health-related quality of life.
settingParticipants with self-defined long-term conditions (n = 629) were recruited from community settings in all 28 strategic health authorities in England.
methodMultiple regression was used to examine interactions between baseline variables and trial outcomes.
resultsThe predictors demonstrating significant interactions were: age and general health, and baseline values for self-efficacy, energy levels, and health-related quality of life.
conclusionParticipants with lower self-efficacy and health-related quality of life at baseline demonstrated more positive health outcomes. The Expert Patients Programme may have a protective effect on health-related quality of life for patients with poor health and low confidence. Younger people benefited substantially more than older people. Results suggest that positive outcomes associated with the course will be demonstrated with a wide variety of patients, although it may be worthwhile encouraging attendance of younger patients, those lacking confidence, and those coping poorly with their condition.
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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.