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Quality of Life Research
Gepubliceerd in: Quality of Life Research 7/2013

01-09-2013 | Review

A systematic review of outcomes of chronic disease self-management interventions

Auteurs: Sandra Nolte, Richard H. Osborne

Gepubliceerd in: Quality of Life Research | Uitgave 7/2013

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Abstract

Purpose

To carry out a systematic review of program outcomes used in the evaluation of group-based self-management interventions aimed at people with arthritis and other chronic conditions.

Methods

The systematic search was performed across databases MEDLINE, EMBASE, CINAHL, and PsycINFO. Both between-group and within-group effect sizes (ES) were calculated. Results were interpreted as small (ES ~ 0.2), medium (ES ~ 0.5), or large (ES ~ 0.8) effects.

Results

The majority of 18 included trials investigated the effectiveness of arthritis-specific interventions. Across most outcomes, small effects on course participants were shown. While effects on knowledge were large (between-group ES = 0.78), effects on clinical outcomes such as pain (ES = 0.10) were negligible to small.

Conclusions

This paper is consistent with other reviews in this area, suggesting that people with arthritis receive only marginal benefits from participating in chronic disease self-management interventions. When looking at the types of outcomes that trials are based on, however, alternative explanations for these results seem probable. As evaluations heavily rely on patient self-report, current approaches to program evaluation may not be sufficient to assess the intended impact of self-management education. An in-depth investigation of the types of outcomes assessed is provided in a separate paper.
vorige artikel Systematic review reveals limitations of studies evaluating health-related quality of life after potentially curative treatment for esophageal cancer
volgende artikel Erratum to: A systematic review of outcomes of chronic disease self-management interventions
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Metagegevens
Titel
A systematic review of outcomes of chronic disease self-management interventions
Auteurs
Sandra Nolte
Richard H. Osborne
Publicatiedatum
01-09-2013
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 7/2013
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-012-0302-8

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