Table 5.
SMD, 95% CIs for the effect of self-management interventions compared with control conditions on measures of health-related quality of life, with measures of heterogeneity
| Moderators | Number of interventions | Number of participants within trials
|
Measure of effect
|
|||
|---|---|---|---|---|---|---|
| Total | Intervention | Control | SMD (95% CI) | P-value | ||
| Overall effect | 28 | 3,518 | 1,827 | 1,691 | −0.16 (−0.25 to −0.07) | 0.001 |
| Severitya | ||||||
| Moderate | 10 | 1,172 | 610 | 562 | −0.12 (−0.28 to 0.03) | 0.12 |
| Severe | 14 | 1,644 | 874 | 770 | −0.21 (−0.35 to −0.08) | 0.01 |
| Between group | 0.39 | |||||
| Model of careb | ||||||
| Single practitioner | 17 | 2,297 | 1,204 | 1,093 | −0.17 (−0.29 to −0.06) | <0.01 |
| Multidisciplinary team | 9 | 1,117 | 581 | 536 | −0.10 (−0.27 to 0.07) | 0.23 |
| Between group | 0.49 | |||||
| Duration of intervention | ||||||
| Single session | 5 | 637 | 321 | 316 | −0.03 (−0.23 to 0.17) | 0.77 |
| Multiple session | 23 | 2,881 | 1,506 | 1,375 | −0.19 (−0.29 to −0.09) | <0.001 |
| Between group | 0.17 | |||||
| Session format | ||||||
| Individual | 17 | 2,301 | 1,182 | 1,119 | −0.14 (−0.25 to −0.02) | 0.02 |
| Group | 10 | 789 | 420 | 369 | −0.20 (−0.39 to 0.01) | 0.04 |
| Between group | 0.56 | |||||
| Mental health | ||||||
| Targeted | 11 | 1,313 | 698 | 615 | −0.27 (−0.41 to −0.13) | <0.001 |
| Not targeted | 17 | 2,205 | 1,129 | 1,076 | −0.08 (−0.19 to 0.02) | 0.12 |
| Between group | 0.04 | |||||
| Physical activity | ||||||
| Targeted | 18 | 2,550 | 1,297 | 1,253 | −0.17 (−0.28 to −0.05) | <0.01 |
| Not targeted | 10 | 968 | 530 | 438 | −0.14 (−0.30 to −0.02) | 0.08 |
| Between group | 0.83 | |||||
Notes: The number of participants has now been added as additional columns. The number of trials will not always equal 28 as missing data in some studies.
Sample were, at baseline, predominantly classified as severe according to GOLD criteria. Studies may not have actively recruited a severe sample.
Intervention was delivered by a single provider (of any profession) rather than multidisciplinary team. Bold values indicate significant values.
Abbreviations: CI, confidence interval; GOLD, Global Initiative for Chronic Obstructive Lung Disease; SMD, standardized mean difference.