Evidence map›Paper›PMID 28652723›Full record

SynthesisInternational journal of chronic obstructive pulmonary disease2017

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.

James J Newham, Justin Presseau, Karen Heslop-Marshall, Sian Russell, Oladapo J Ogunbayo, Paul Netts, Barbara Hanratty, Eileen Kaner

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in International journal of chronic obstructive pulmonary disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 9 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  14. Effects of a COPD self-management support intervention: a randomized controlled trial.International journal of chronic obstructive pulmonary disease
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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.

James J NewhamInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Justin PresseauOttawa Hospital Research Institute, The Ottawa Hospital, General Campus, Ottawa, ON, Canada.
Karen Heslop-MarshallInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Sian RussellInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Oladapo J OgunbayoInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Paul NettsNHS Newcastle Gateshead Clinical Commissioning Group, Newcastle upon Tyne, UK.
Barbara HanrattyInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Eileen KanerInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.

Funding

Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

backgroundSelf-management interventions (SMIs) are recommended for individuals with COPD to help monitor symptoms and optimize health-related quality of life (HRQOL). However, SMIs vary widely in content, delivery, and intensity, making it unclear which methods and techniques are associated with improved outcomes. This systematic review aimed to summarize the current evidence base surrounding the effectiveness of SMIs for improving HRQOL in people with COPD.

methodsSystematic reviews that focused upon SMIs were eligible for inclusion. Intervention descriptions were coded for behavior change techniques (BCTs) that targeted self-management behaviors to address 1) symptoms, 2) physical activity, and 3) mental health. Meta-analyses and meta-regression were used to explore the association between health behaviors targeted by SMIs, the BCTs used, patient illness severity, and modes of delivery, with the impact on HRQOL and emergency department (ED) visits.

resultsData related to SMI content were extracted from 26 randomized controlled trials identified from 11 systematic reviews. Patients receiving SMIs reported improved HRQOL (standardized mean difference =-0.16; 95% confidence interval [CI] =-0.25, -0.07;

conclusionSMIs can be effective at improving HRQOL and reducing ED visits, with those targeting mental health being significantly more effective than those targeting symptom management alone.

Indexed as

Quality of LifeAgedAged, 80 and overDisease ProgressionEmergency Service, HospitalFemaleHealth BehaviorHealth Knowledge, Attitudes, PracticeHealth ResourcesHumansLungMaleMental HealthMiddle AgedPulmonary Disease, Chronic ObstructiveSelf Carebehavior change techniquesCOPDemergency department visitsmental healthmeta-analysisself-management

Identifiers

PMID28652723
PMCPMC5473493

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.