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

Galdas, P and Fell, J and Bower, P and Kidd, L and Blickem, C and McPherson, K and Hunt, K and 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, 5 (3). pp. 1-14. ISSN 2044-6055

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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.

Item Type: Article
Uncontrolled Keywords: Science & Technology; Life Sciences & Biomedicine; Medicine, General & Internal; General & Internal Medicine; QUALITY-OF-LIFE; RANDOMIZED CONTROLLED-TRIAL; BREAST-CANCER PATIENTS; INCREASE PHYSICAL-ACTIVITY; INTEGRATED YOGA PROGRAM; CLINICAL-TRIAL; HELP-SEEKING; OLDER-ADULTS; EXERCISE; SURVIVORS
Subjects: R Medicine > R Medicine (General)
Divisions: Public Health Institute
Publisher: BMJ PUBLISHING GROUP
Related URLs:
Date Deposited: 18 Feb 2016 13:47
Last Modified: 18 Feb 2016 13:47
DOI or Identification number: 10.1136/bmjopen-2014-006620
URI: http://researchonline.ljmu.ac.uk/id/eprint/2949

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