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

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

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

36 Citations (Scopus)
107 Downloads (Pure)

Abstract

Objectives: To assess the effectiveness of self-management support interventions in men with long-term 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.
Original languageEnglish
Article numbere006620
Pages (from-to)e006620
Number of pages14
JournalBMJ Open
Volume5
Issue number3
DOIs
Publication statusPublished - 20 Mar 2015

Keywords

  • health interventions
  • long-term conditions
  • men

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