Evidence map›Paper›PMID 37553102›Full record

SynthesisJournal of public health (Oxford, England)2023

Effectiveness of self-management interventions for long-term conditions in people experiencing socio-economic deprivation in high-income countries: a systematic review and meta-analysis.

Tosan Okpako, Abi Woodward, Kate Walters, Nathan Davies, Fiona Stevenson, Danielle Nimmons, Carolyn A Chew-Graham, Joanne Protheroe, Megan Armstrong

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of public health (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 11% 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.

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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Barriers and facilitators of self-management of diabetes amongst people experiencing socioeconomic deprivation: A systematic review and qualitative synthesis.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Adapting an Osteoarthritis Peer Mentorship Intervention for Remote Delivery to People Experiencing Socioeconomic Disadvantage: A Multi-Method Approach.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  8. A qualitative exploration of the barriers and facilitators to self-managing multiple long-term conditions amongst people experiencing socioeconomic deprivation.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
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

9 authors at 2 institutions in 1 country.

Tosan OkpakoResearch Department of Behavioural Science and Health, University College London, London WC1E 6BT, UK.ORCID 0000-0001-8794-8280
Abi WoodwardResearch Department of Primary Care and Population Health, University College London, London NW3 2PF, UK.
Kate WaltersResearch Department of Primary Care and Population Health, University College London, London NW3 2PF, UK.
Nathan DaviesResearch Department of Primary Care and Population Health, University College London, London NW3 2PF, UK.
Fiona StevensonResearch Department of Primary Care and Population Health, University College London, London NW3 2PF, UK.
Danielle NimmonsResearch Department of Primary Care and Population Health, University College London, London NW3 2PF, UK.
Carolyn A Chew-GrahamSchool of Medicine, Keele University, Keele ST5 5BG, UK.
Joanne ProtheroeSchool of Medicine, Keele University, Keele ST5 5BG, UK.
Megan ArmstrongResearch Department of Primary Care and Population Health, University College London, London NW3 2PF, UK.
University College London · GBKeele University · GB

Funding

Department of Health and Social CareNational Institute for Health and Care Research 539
6 · The paper itself

Abstract

backgroundLong-term conditions (LTCs) are prevalent in socio-economically deprived populations. Self-management interventions can improve health outcomes, but socio-economically deprived groups have lower participation in them, with potentially lower effectiveness. This review explored whether self-management interventions delivered to people experiencing socio-economic deprivation improve outcomes.

methodsWe searched databases up to November 2022 for randomized trials. We screened, extracted data and assessed the quality of these studies using Cochrane Risk of Bias 2 (RoB2). We narratively synthesized all studies and performed a meta-analysis on eligible articles. We assessed the certainty of evidence using GRADE for articles included in the meta-analysis.

resultsThe 51 studies included in this review had mixed findings. For the diabetes meta-analysis, there was a statistically significant pooled reduction in haemoglobin A1c (-0.29%). We had moderate certainty in the evidence. Thirty-eight of the study interventions had specific tailoring for socio-economically deprived populations, including adaptions for low literacy and financial incentives. Each intervention had an average of four self-management components.

conclusionsSelf-management interventions for socio-economically deprived populations show promise, though more evidence is needed. Our review suggests that the number of self-management components may not be important. With the increasing emphasis on self-management, to avoid exacerbating health inequalities, interventions should include tailoring for socio-economically deprived individuals.

Indexed as

Self-ManagementDeveloped CountriesHumansIncomePovertychronic diseasepublic healthsystematic review

Identifiers

PMID37553102
PMCPMC10687879
OpenAlexW4385651389

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.