SynthesisInternational journal of chronic obstructive pulmonary disease2016
Self-management of health care behaviors for COPD: a systematic review and meta-analysis.
Synthesis in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Self-management interventions for people with chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2022Pooled it
- Low-intensity educational interventions supporting self-management to improve outcomes related to chronic breathlessness: a systematic review.NPJ primary care respiratory medicine · 2019Pooled it
- Systematic review of the effectiveness of community-based self-management interventions among primary care COPD patients.NPJ primary care respiratory medicine · 2018Pooled it
- Features of self-management interventions for people with COPD associated with improved health-related quality of life and reduced emergency department visits: a systematic review and meta-analysis.International journal of chronic obstructive pulmonary disease · 2017Pooled it
- Counseling for health behavior change in people with COPD: systematic review.International journal of chronic obstructive pulmonary disease · 2017Pooled it
- Sputum colour charts to guide antibiotic self-treatment of acute exacerbation of chronic obstructive pulmonary disease: the Colour-COPD RCT.BMJ open respiratory research · 2025Trial
- Sputum colour charts to guide antibiotic self-treatment of acute exacerbation of chronic obstructive pulmonary disease: the Colour-COPD RCT.Health technology assessment (Winchester, England) · 2025Trial
- Self management of patients with mild COPD in primary care: randomised controlled trial.BMJ (Clinical research ed.) · 2018Trial
- Effects of a self-management education program on self-efficacy in patients with COPD: a mixed-methods sequential explanatory designed study.International journal of chronic obstructive pulmonary disease · 2017Trial
- The Role of Digital Media in Chronic Disease Self-Management: Protocol for a Multimethod Study of the DISELMA Research Consortium.JMIR research protocols · 2026Article
- Article
- Intensive out-of-hospital coaching for frequently hospitalized COPD patients: a before-after feasibility study.Frontiers in medicine · 2023Article
- Effectiveness of integrated care interventions for patients with long-term conditions: a review of systematic reviews.Integrated healthcare journal · 2022Review
- The Importance of Self-Management in the Context of Personalized Care in COPD.International journal of chronic obstructive pulmonary disease · 2022Review
- Talking the same language on patient empowerment: Development and content validation of a taxonomy of self-management interventions for chronic conditions.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Development and Validity Assessment of a Chronic Obstructive Pulmonary Disease Knowledge Questionnaire in Low- and Middle-Income Countries.Annals of the American Thoracic Society · 2021Article
- Using a co-design process to develop an integrated model of care for delivering self-management intervention to multi-morbid COPD people in rural Nepal.Health research policy and systems · 2021Article
- Article
- A Virtual Reality-Supported Intervention for Pulmonary Rehabilitation of Patients With Chronic Obstructive Pulmonary Disease: Mixed Methods Study.Journal of medical Internet research · 2020Article
- Self-Management Training in Chronic Obstructive Lung Disease Improves the Quality of Life.Turkish thoracic journal · 2020Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
purposeThis 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.
methodsWe 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.
resultsOne 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, I (2) 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, I (2) 0%).
conclusionWhile 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.
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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.