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. 2015 May 27;2015(5):CD007988. doi: 10.1002/14651858.CD007988.pub2

Comparison 1. Chronic disease management programme versus usual care.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Asthma‐specific quality of life score (post intervention measurements) 9   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
1.1 RCTs 8 1627 Std. Mean Difference (IV, Random, 95% CI) 0.22 [0.08, 0.37]
1.2 NRCT 1 413 Std. Mean Difference (IV, Random, 95% CI) 0.46 [0.27, 0.66]
2 Subgroup analysis asthma‐specific quality of life score according to the comprehensiveness of the intervention (≥ 8 / < 8 components) 8 1627 Std. Mean Difference (IV, Random, 95% CI) 0.22 [0.08, 0.37]
2.1 Comprehensive intervention (≥ 8 components) 6 1349 Std. Mean Difference (IV, Random, 95% CI) 0.17 [0.04, 0.29]
2.2 Less comprehensive intervention (< 8 components) 2 278 Std. Mean Difference (IV, Random, 95% CI) 0.44 [0.12, 0.77]
3 Subgroup analysis asthma‐specific quality of life score according to the dominant component of the intervention 8 1627 Std. Mean Difference (IV, Random, 95% CI) 0.22 [0.08, 0.37]
3.1 Education and/or self‐management support 4 698 Std. Mean Difference (IV, Random, 95% CI) 0.20 [‐0.11, 0.51]
3.2 Mixed 4 929 Std. Mean Difference (IV, Random, 95% CI) 0.26 [0.12, 0.39]
4 Subgroup analysis asthma‐specific quality of life score according to the presence of limited CDM components in the control group 8 1627 Std. Mean Difference (IV, Random, 95% CI) 0.22 [0.08, 0.37]
4.1 Control group without limited CDM components 4 629 Std. Mean Difference (IV, Random, 95% CI) 0.28 [0.05, 0.51]
4.2 Control group with limited CDM components 4 998 Std. Mean Difference (IV, Random, 95% CI) 0.17 [‐0.03, 0.37]
5 Subgroup analysis asthma‐specific quality of life score according to QOL scale 8   Mean Difference (IV, Random, 95% CI) Subtotals only
5.1 AQLQ ‐ overall score 7 1543 Mean Difference (IV, Random, 95% CI) 0.32 [0.12, 0.52]
5.2 LWAQ ‐ overall score 1 84 Mean Difference (IV, Random, 95% CI) 0.02 [‐0.16, 0.20]
6 Sensitivity analysis asthma‐specific quality of life (change from baseline measurements) 8   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
6.1 RCTs 7 1547 Std. Mean Difference (IV, Random, 95% CI) 0.30 [0.18, 0.43]
6.2 NRCT 1 413 Std. Mean Difference (IV, Random, 95% CI) 0.37 [0.18, 0.57]
7 Self‐efficacy score (post intervention measurements) 5 642 Std. Mean Difference (IV, Random, 95% CI) 0.51 [‐0.08, 1.11]
8 Asthma severity score (post intervention measurements) 7   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
8.1 RCTs 6 1330 Std. Mean Difference (IV, Random, 95% CI) 0.18 [0.05, 0.30]
8.2 NRCT 1 409 Std. Mean Difference (IV, Random, 95% CI) 0.47 [0.27, 0.66]
9 Lung function (FEV1 and PEF) (post intervention measurements) 8 1559 Std. Mean Difference (IV, Random, 95% CI) 0.19 [0.09, 0.30]
9.1 FEV1 (% predicted) 6 1279 Std. Mean Difference (IV, Random, 95% CI) 0.16 [0.05, 0.27]
9.2 PEF (L/min) 1 224 Std. Mean Difference (IV, Random, 95% CI) 0.30 [0.03, 0.56]
9.3 PEF (% predicted) 1 56 Std. Mean Difference (IV, Random, 95% CI) 0.53 [‐0.01, 1.06]
10 FEV1 (% predicted) (post intervention measurements) 6 1279 Mean Difference (IV, Random, 95% CI) 2.81 [0.99, 4.64]
11 PEF (L/min) (post intervention measurements) 3   Mean Difference (IV, Random, 95% CI) Subtotals only
11.1 RCTs 2 372 Mean Difference (IV, Random, 95% CI) 33.52 [11.38, 55.65]
11.2 NRCT 1 409 Mean Difference (IV, Random, 95% CI) 30.52 [7.46, 53.58]
12 PEF (% predicted) (post intervention measurements) 2 307 Mean Difference (IV, Random, 95% CI) 8.68 [3.73, 13.63]
13 Subgroup analysis lung function according to the comprehensiveness of the intervention (≥ 8 / < 8 components) 8 1559 Std. Mean Difference (IV, Random, 95% CI) 0.19 [0.09, 0.30]
13.1 Comprehensive intervention (≥ 8 components) 5 1133 Std. Mean Difference (IV, Random, 95% CI) 0.19 [0.07, 0.31]
13.2 Less comprehensive intervention (< 8 components) 3 426 Std. Mean Difference (IV, Random, 95% CI) 0.21 [0.01, 0.40]
14 Subgroup analysis lung function according to the dominant component of the intervention 8 1559 Std. Mean Difference (IV, Random, 95% CI) 0.19 [0.09, 0.30]
14.1 Education and/or self‐management support 4 675 Std. Mean Difference (IV, Random, 95% CI) 0.19 [0.04, 0.35]
14.2 Organisation component targeting healthcare system 1 56 Std. Mean Difference (IV, Random, 95% CI) 0.53 [‐0.01, 1.06]
14.3 Mixed 3 828 Std. Mean Difference (IV, Random, 95% CI) 0.17 [0.03, 0.32]
15 Subgroup analysis lung function according to the presence of limited CDM components in the control group 8 1559 Std. Mean Difference (IV, Random, 95% CI) 0.19 [0.09, 0.30]
15.1 Control group without limited CDM components 4 585 Std. Mean Difference (IV, Random, 95% CI) 0.21 [0.02, 0.39]
15.2 Control group with limited CDM components 4 974 Std. Mean Difference (IV, Random, 95% CI) 0.19 [0.06, 0.32]