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The effectiveness of self-management support interventions for men with long-term conditions: a systematic review and meta-analysis.

Galdas, Paul; Fell, Jennifer; Bower, Peter; Kidd, Lisa; Blickem, Christian; McPherson, Kerri; Hunt, Kate; Gilbody, Simon; Richardson, Gerry

Authors

Paul Galdas

Jennifer Fell

Peter Bower

Lisa Kidd

Christian Blickem

Kerri McPherson

Kate Hunt

Simon Gilbody

Gerry Richardson



Abstract

Objectives: To assess the effectiveness of self-management support interventions in men with longterm conditions. Methods: A quantitative systematic review with meta-analysis. Data sources: The Cochrane Database of Systematic Reviews was searched to identify published reviews of self-management support interventions. Relevant reviews were screened to identify randomised controlled trials (RCTs) of self-management support interventions conducted in men alone, or which analysed the effects of interventions by sex. Review methods: Data on relevant outcomes, patient populations, intervention type and study quality were extracted. Quality appraisal was conducted using the Cochrane Risk of Bias Tool. Meta-analysis was conducted to compare the effects of interventions in men, women, and mixed-sex sub-groups. Results: 40 RCTs of self-management support interventions in men, and 20 eligible RCTs where an analysis by sex was reported, were included in the review. Meta-analysis suggested that physical activity, education, and peer support-based interventions have a positive impact on quality of life in men. However, there is currently insufficient evidence to make strong statements about whether self-management support interventions show larger, similar or smaller effects in men compared with women and mixed-sex groups. Conclusions: Clinicians may wish to consider whether certain types of self-management support (eg, physical activity, education, peer support) are particularly effective in men, although more research is needed to fully determine and explore this.

Citation

ALDAS, P., FELL, J., BOWER, P., KIDD, L., BLICKEM, C., MCPHERSON, K., HUNT, K., GILBODY, S. and RICHARDSON, G. 2015. The effectiveness of self-management support interventions for men with long-term conditions: a systematic review and meta-analysis. BMJ open [online], 5(3), e006620. Available from: https://doi.org/10.1136/bmjopen-2014-006620

Journal Article Type Article
Acceptance Date Feb 26, 2015
Online Publication Date Mar 20, 2015
Publication Date Mar 31, 2015
Deposit Date Oct 29, 2015
Publicly Available Date Oct 29, 2015
Journal BMJ open
Electronic ISSN 2044-6055
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 5
Issue 3
Article Number e006620
DOI https://doi.org/10.1136/bmjopen-2014-006620
Keywords Long-term conditions; Men; Self-management; Support
Public URL http://hdl.handle.net/10059/1328

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