Comparison 1: Interventions targeting patients compared with usual care | ||
Observer‐based outcome measure ‐ continuous data | The study not included in the quantitative synthesis supported the pooled result | |
Studies included in the quantitative synthesis (n = 424) | SMD (95% IC) | |
LeBlanc 2015a | 0.54 (‐0.13 to 1.22) | |
Maclachlan 2016 | ||
LeBlanc 2015b | ||
Tai‐Seale 2016 | ||
Observer‐based outcome measure ‐ continuous data | ||
Studies not included in the quantitative synthesis | Results | |
Hamann 2014 | n= 100, no difference between the study groups, unclear risk of bias | |
Haskard 2008 | Unit of error analysis | |
Patient reported outcome measure ‐ continuous data | It is unlikely that the study not included in the quantitative synthesis would change the direction of the effect size estimate given that its sample size is not very large | |
Studies included in the quantitative synthesis (n = 1386) | SMD (95% IC) | |
Deen 2012 | 0.32 (0.16 to 0.48) | |
Maranda 2014 | ||
Pickett 2012 | ||
van der Krieke 2013 | ||
van Peperstraten 2010 | ||
Cooper 2011 | ||
Perestelo‐Perez 2016 | ||
Tai‐Seale 2016 | ||
Eggly 2017 | ||
Patient‐reported outcome measure ‐ continuous data | ||
Studies not included in the quantitative synthesis | Results | |
Hamann 2014 | n = 100, no difference between the study groups, unclear risk of bias | |
Patient‐reported outcome measure ‐ categorical data | Van Tol‐Geerdink 2016 does not support the pooled result but given that the pooled estimate of the effect size is in favor of the control group, it is likely that adding this study would move the pooled estimate of the effect size towards a null effect. Wolderslund 2017 does not support the pooled result but given its very large sample size, it is likely that adding this study would move the pooled estimate of the effect size towards a positive effect. Korteland 2017 supports the pooled result (null effect). |
|
Studies included in the quantitative synthesis (n = 754) | RD (95% IC) | |
Krist 2007 | ‐0,09 (‐0.19 to 0.01) | |
Landrey 2012 | ||
Murray 2001 | ||
Sheridan 2014 | ||
Vestala 2013 | ||
Vodermaier 2009 | ||
Patient‐reported outcome measure ‐ categorical data | ||
Studies not included in the quantitative synthesis | Results | |
van Tol‐Geerdink 2016 | n = 240, significant difference in favor of the intervention group, high risk of bias | |
Wolderslund 2017 | n = 4349, significant difference in favor of the intervention group, high risk of bias | |
Korteland 2017 | n = 155, no difference between the study groups, high risk of bias | |
Comparison 2. Effect of intervention: Interventions targeting healthcare professionals compared to usual care | ||
Observer‐based outcome measure ‐ continuous data | Murray 2010 and Bernhard 2011 ‐ ANZ (Australia and New Zealand sub‐sample) support the pooled result. Bernhard 2011 ‐ SGA (Switzerland, Germany and Austria sub‐sample) does not support the pooled result but it is unlikely that adding these data to the quantitative synthesis would move the pooled estimate of the effect size toward a null effect or in the opposite direction, given its very small sample size. Moreover, the different results observed in the two sub‐samples is a possible indication of an effect modification |
|
Studies included in the quantitative synthesis (n = 479) | SMD (95% IC) | |
Fossli 2011 | 0.70 (0.21 to 1.19) | |
Shepherd 2011 | ||
Stacey 2006 | ||
Sanders 2017 | ||
Cox 2017 | ||
LeBlanc 2015b | ||
Observer‐based outcome measure ‐ continuous data | ||
Studies not included in the quantitative synthesis | Results | |
Bernhard 2011‐ SGA | n = 32, no difference between the study groups, high risk of bias | |
Bernhard 2011‐ ANZ | n = 21, significant difference in favor of the intervention group, high risk of bias | |
Murray 2010 | n = 88, significant difference in favor of the intervention group, low risk of bias | |
Patient‐reported outcome measure ‐ continuous data | Légaré 2012 does not support the pooled result. However, it is unlikely that adding these data to the quantitative synthesis would move the pooled estimate of the effect size from the null effect to a significant positive effect. | |
Studies included in the quantitative synthesis (n = 5772) | SMD (95% IC) | |
Cooper 2011 | 0.03 (‐0.15 to 0.20) | |
Kennedy 2013 | ||
Koerner 2014 | ||
Tinsel 2013 | ||
Wilkes 2013 | ||
Patient reported outcome measure ‐ continuous | ||
Studies not included in the quantitative synthesis | Results | |
Légaré 2012 | n = 359, significant difference in favor of the intervention group, unclear risk of bias | |
Patient ‐reported outcome measure ‐ categorical data | Bernhard 2011 supports the pooled result. | |
Studies included in the quantitative synthesis (n = 6303) | RD (95% IC) | |
Légaré 2012 | 0,01 (‐0.03 to 0.06) | |
O'Cathain 2002 | ||
Patient‐reported outcome measure ‐ categorical | ||
Studies not included in the quantitative synthesis | Results | |
Bernhard 2011 | n = 694, no difference between the study groups, high risk of bias | |
Comparison 3: Interventions targeting both patients and healthcare professionals compared to usual care | ||
Patient‐reported outcome measure ‐ continous data | Although the confidence interval of the pooled estimate of the effect size contains the null effect, the estimate is in favor of the intervention group. Adding data from Loh 2007 would move the pooled estimate towards a positive effect. Adding Wetzels 2005 would move the result towards a null effect. |
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Studies included in the quantitative synthesis (n = 1479) | SMD (95% IC) | |
Cooper 2011 | 0.13 (‐0.02 to 0.28) | |
Härter 2015 | ||
Hamann 2007 | ||
Rise 2012 | ||
Wilkes 2013 | ||
Tai‐Seale 2016 | ||
Epstein 2017 | ||
Patient reported outcome measure ‐ continuous data | ||
Studies not included in the quantitative synthesis | Results | |
Loh 2007 | n = 405, significant difference in favor of the intervention group, unclear risk of bias | |
Wetzels 2005 | n = 263, no difference between the study groups, high risk of bias | |
Patient‐reported outcome measure ‐ categorical data | Leighl 2011 supports the pooled result | |
Studies included in the quantitative synthesis (n = 266) | RD (95% IC) | |
Mathers 2012 | ‐0.01 (‐0.20 to 0.19) | |
Härter 2015 | ||
Patient‐reported outcome measure ‐ categorical data | ||
Studies not included in the quantitative synthesis | Results | |
Leighl 2011 | n = 207, no difference between the study groups, unclear risk of bias | |
Comparison 4: Interventions targeting patients compared to other interventions targeting patients | ||
Patient‐reported outcome measure ‐ continuous data | Lalonde 2006 and Street 1995 support the pooled results | |
Studies included in the quantitative synthesis (n = 1906) | SMD (95% IC) | |
Causarano 2014 | 0.03 (‐0.18 to 0.24) | |
Deen 2012 | ||
Hamann 2011 | ||
Schroy 2011 | ||
van Roosmalen 2004 | ||
Schroy 2016 | ||
Adarkwah 2016 | ||
Eggly 2017 | ||
Hamann 2017 | ||
Jouni 2017 | ||
Smallwood 2017 | ||
Patient‐reported outcome measure ‐ continuous data | ||
Studies not included in the quantitative synthesis | Results | |
Lalonde 2006 | n = 26, no difference between study groups, high risk of bias | |
Street 1995 | n = 60, no difference between study groups, high risk of bias | |
Patient‐reported outcome measure ‐ categorical data | Kopke 2014 and Butow 2004 support the pooled results. Wolderslund 2017 does not support the pooled result but given its very large sample size, it is likely that adding this study would move the pooled estimate of the effect size toward a positive effect. | |
Studies included in the quantitative synthesis (n = 2272) | RD (95% IC) | |
Butow 2004 | 0,03 (‐0.02 to 0.08) | |
Davison 1997 | ||
Deschamps 2004 | ||
Dolan 2002 | ||
Kasper 2008 | ||
Krist 2007 | ||
Raynes‐Greenow 2010 | ||
Stiggelbout 2008 | ||
Thomson 2007 | ||
Davison 2002 | ||
Patient‐reported outcome measure ‐ categorical data | ||
Studies not included in the quantitative synthesis | Results | |
Köpke 2014 | n = 192, no difference between the study groups, high risk of bias | |
Butow 2004 | n =164, no difference between the study groups, high risk of bias | |
Wolderslund 2017 | n = 4349, significant difference in favor of the intervention group, high risk of bias | |
Comparison 5: Interventions targeting healthcare professionals compared to other interventions targeting healthcare professionals | ||
Observer‐based outcome measure ‐ continuous data | Contrary to Elwyn 2004, which reported null results, Feng 2013 reported significant positive results. However it is unlikely that combining these two studies would move the estimate of the effect towards a significant positive result. More studies are needed to draw robust conclusions. | |
Studies included in the quantitative synthesis (n = 20) | SMD (95% IC) | |
Elwyn 2004 | ‐0,30 (‐1.19 to 0.59) | |
Observer‐based outcome measure ‐ continuous data | ||
Studies not included in the quantitative synthesis | Results | |
Feng 2013 | n =118, significant difference in favor of the intervention group, high risk of bias |