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

TY - JOUR

T1 - The effectiveness of self-management support interventions for men with long-term conditions

T2 - a systematic review and meta-analysis

AU - Galdas, Paul

AU - Fell, Jennifer

AU - Bower, Peter

AU - Kidd, Lisa

AU - Blickem, Christian

AU - McPherson, Kerri

AU - Hunt, Kate

AU - Gilbody, Simon

AU - Richardson, Gerry

N1 - 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.

PY - 2015/3/20

Y1 - 2015/3/20

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.

AB - 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.

U2 - 10.1136/bmjopen-2014-006620

DO - 10.1136/bmjopen-2014-006620

M3 - Article

C2 - 25795688

SN - 2044-6055

VL - 5

JO - BMJ Open

JF - BMJ Open

IS - 3

M1 - e006620

ER -