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

doi:10.1136/bmjopen-2014-006620

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

Nursing

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36 Citations (Scopus)

113 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 language	English
Article number	e006620
Pages (from-to)	e006620
Number of pages	14
Journal	BMJ Open
Volume	5
Issue number	3
DOIs	https://doi.org/10.1136/bmjopen-2014-006620
Publication status	Published - 20 Mar 2015

Keywords

health interventions
long-term conditions
men

Documents and Links

10.1136/bmjopen-2014-006620

Galdas, P. et al (2015) The effectiveness of self-management support interventions for men with long-term conditions: a systematic review and meta-analysis
Copyright information: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
Final published version, 2.83 MBLicence: CC BY

36 Citations
2 Article

A systematic review and metaethnography to identify how effective, cost-effective, accessible and acceptable self-management support interventions are for men with long-term conditions (SELF-MAN)
Galdas, P., Darwin, Z., Fell, J., Kidd, L., Bower, P., Blickem, C., McPherson, K., Hunt, K., Gilbody, S. & Richardson, G., 31 Aug 2015, In: Health Services and Delivery Research. 3, 34, p. 1-336 336 p.
Research output: Contribution to journal › Article › peer-review

Open Access
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219 Downloads (Pure)
The accessibility and acceptability of self-management support interventions for men with long term conditions: a systematic review and meta-synthesis of qualitative studies
Galdas, P., Darwin, Z., Kidd, L., Blickem, C., McPherson, K., Hunt, K., Bower, P., Gilbody, S. & Richardson, G., 27 Nov 2014, In: BMC Public Health. 14, 20 p., 1230.
Research output: Contribution to journal › Article › peer-review

Open Access
File
60 Citations (Scopus)

78 Downloads (Pure)

Kerri McPherson
- kmp1gcu.acuk
- SHLS School Office - Associate Dean - Learning Teaching and Quality
Person

Cite this

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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.",

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AU - Gilbody, Simon

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N2 - 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.

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

Abstract

Keywords

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Research output

A systematic review and metaethnography to identify how effective, cost-effective, accessible and acceptable self-management support interventions are for men with long-term conditions (SELF-MAN)

The accessibility and acceptability of self-management support interventions for men with long term conditions: a systematic review and meta-synthesis of qualitative studies

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Kerri McPherson

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