Evidence map›Paper›PMID 23327828›Full record

SynthesisPreventing chronic disease2013

A meta-analysis of health status, health behaviors, and health care utilization outcomes of the Chronic Disease Self-Management Program.

Teresa J Brady, Louise Murphy, Benita J O'Colmain, Danielle Beauchesne, Brandy Daniels, Michael Greenberg, Marnie House, Doryn Chervin

2 registry-linked trialsOpen access · diamondAbstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Preventing chronic disease, 2013. 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 139 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
139citing papers in PubMed, 9 pooled it
16.1field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT03463213 naunknown statusnot on this mapstarted 2018, after this paper: background citation

She's Healthy and Empowered (SHE Tribe): A Social Networked-based Peer-facilitated Intervention to Improve Health Behavior Among Women in Underserved Communities

TypeinterventionalSponsorUniversity of North Texas Health Science CenterRan2018 to 2020Enrolled240ConditionsHealth PromotionArmsSHE Tribe
NCT04669340 nacompletednot on this mapstarted 2021, after this paper: background citation

E-learning in Patient Education to Patients With Rheumatoid Arthritis - An Evaluation of the Effectiveness, the Patient Perspective and the Implementation

TypeinterventionalSponsorAarhus University HospitalRan2021 to 2024Enrolled181ConditionsRheumatoid Arthritis, Patient Involvement, Self EfficacyArmsE-learning patient education, Standard face-to-face patient education
3 · Its place in the literature

Who cites it

139 citing papers in PubMed, 9 syntheses or guidelines pooled it, 288 citations in OpenAlex.

  1. Pooled it
  2. Evaluation of temporomandibular disorder self-management apps in Australia: a systematic review to inform clinical use.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
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  13. The Victoria Assistive Devices and Coach (VADAC) study.Canadian journal of public health = Revue canadienne de sante publique · 2023
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  16. 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 · 2021
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79 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 2 countries.

Teresa J BradyDivision of Population Health, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. tob9@cdc.gov
Louise Murphy
Benita J O'Colmain
Danielle Beauchesne
Brandy Daniels
Michael Greenberg
Marnie House
Doryn Chervin
Centers for Disease Control and Prevention · KE

Funding

PHS HHS 200-2007-20003
6 · The paper itself

Abstract

introductionThe Chronic Disease Self-Management Program (CDSMP) is a community-based self-management education program designed to help participants gain confidence (self-efficacy) and skills to better manage their chronic conditions; it has been implemented worldwide. The objective of this meta-analysis was to quantitatively synthesize the results of CDSMP studies conducted in English-speaking countries to determine the program's effects on health behaviors, physical and psychological health status, and health care utilization at 4 to 6 months and 9 to 12 months after baseline.

methodsWe searched 8 electronic databases to identify CDSMP-relevant literature published from January 1, 1999, through September 30, 2009; experts identified additional unpublished studies. We combined the results of all eligible studies to calculate pooled effect sizes. We included 23 studies. Eighteen studies presented data on small English-speaking groups; we conducted 1 meta-analysis on these studies and a separate analysis on results by other delivery modes.

resultsAmong health behaviors for small English-speaking groups, aerobic exercise, cognitive symptom management, and communication with physician improved significantly at 4- to 6-month follow-up; aerobic exercise and cognitive symptom management remained significantly improved at 9 to 12 months. Stretching/strengthening exercise improved significantly at 9 to 12 months. All measures of psychological health improved significantly at 4 to 6 months and 9 to 12 months. Energy, fatigue, and self-rated health showed small but significant improvements at 4 to 6 months but not at 9 to 12 months. The only significant change in health care utilization was a small improvement in the number of hospitalization days or nights at 4 to 6 months

conclusionSmall to moderate improvements in psychological health and selected health behaviors that remain after 12 months suggest that CDSMP delivered in small English-speaking groups produces health benefits for participants and would be a valuable part of comprehensive chronic disease management strategy.

Indexed as

Health BehaviorHealth StatusChronic DiseaseFemaleHealth ServicesHumansMaleOutcome and Process Assessment, Health CarePatient Education as TopicProgram EvaluationRandomized Controlled Trials as TopicSelf Care

Identifiers

PMID23327828
PMCPMC3547675
OpenAlexW2170849021

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.