A systematic review of outcomes of chronic disease self-management interventions

Nolte, Sandra and Osborne, Richard H. 2013, A systematic review of outcomes of chronic disease self-management interventions, Quality of life research, vol. 22, no. 7, pp. 1805-1816.

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Title A systematic review of outcomes of chronic disease self-management interventions
Author(s) Nolte, Sandra
Osborne, Richard H.
Journal name Quality of life research
Volume number 22
Issue number 7
Start page 1805
End page 1816
Total pages 12
Publisher Springer
Place of publication Dordrecht, The Netherlands
Publication date 2013-09
ISSN 0962-9343
1573-2649
Keyword(s) systematic review
chronic disease
self-management
patient education
program evaluation
outcomes assessment
Summary Purpose
To carry out a systematic review of program outcomes used in the evaluation of group-based self-management interventions aimed at people with arthritis and other chronic conditions.

Methods
The systematic search was performed across databases MEDLINE, EMBASE, CINAHL, and PsycINFO. Both between-group and within-group effect sizes (ES) were calculated. Results were interpreted as small (ES ~ 0.2), medium (ES ~ 0.5), or large (ES ~ 0.8) effects.

Results
The majority of 18 included trials investigated the effectiveness of arthritis-specific interventions. Across most outcomes, small effects on course participants were shown. While effects on knowledge were large (between-group ES = 0.78), effects on clinical outcomes such as pain (ES = 0.10) were negligible to small.

Conclusions
This paper is consistent with other reviews in this area, suggesting that people with arthritis receive only marginal benefits from participating in chronic disease self-management interventions. When looking at the types of outcomes that trials are based on, however, alternative explanations for these results seem probable. As evaluations heavily rely on patient self-report, current approaches to program evaluation may not be sufficient to assess the intended impact of self-management education. An in-depth investigation of the types of outcomes assessed is provided in a separate paper.
Language eng
Field of Research 111717 Primary Health Care
Socio Economic Objective 920205 Health Education and Promotion
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, Wiley-Blackwell Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30052481

Document type: Journal Article
Collection: School of Health and Social Development
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