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dc.contributor.authorCannon, Danielle
dc.contributor.authorBuys, Nicholas
dc.contributor.authorSriram, Krishna Bajee
dc.contributor.authorSharma, Siddharth
dc.contributor.authorMorris, Norman
dc.contributor.authorSun, Jing
dc.date.accessioned2018-10-23T12:30:59Z
dc.date.available2018-10-23T12:30:59Z
dc.date.issued2016
dc.identifier.issn0954-6111
dc.identifier.doi10.1016/j.rmed.2016.11.005
dc.identifier.urihttp://hdl.handle.net/10072/143094
dc.description.abstractThis article aimed to analyse the outcome of self-management randomised control trials and their impact upon chronic obstructive pulmonary disease patients' health outcomes using meta-analysis approach. PubMed, Scopus, CINAHL, Web of Science databases and Cochrane Library, were searched for articles between 1990 and December 2015 by two researchers. Self-management programs significantly improved patients' quality of life across all domains of the St George Respiratory Questionnaire (SGRQ) (activity −2.21 (95% CI: −3.61 to −0.80), p = 0.002; impact −3.30 (95% CI: −5.28 to −1.32), p = 0.001; symptoms −3.12 (95% CI: −4.94 to −1.03), p = 0.001; total −3.32 (95% CI: −4.60 to −2.04), p < 0.001), the six-minute walk test (−30.50 (95% CI: 3.32 to 57.68), p = 0.028), and across three domains of the chronic obstructive pulmonary disease self-efficacy scale (negative effect −1.22 (95% CI: −2.31 to −0.14), p = 0.027; physical exertion −1.27 (95% CI: −2.52 to −0.02), p = 0.047; behavioural risk factors −0.58 (95% CI: −0.99 to −0.16), p = 0.007). Subgroup analyses revealed that chronic obstructive pulmonary disease education (p < 0.01) was the strongest component with improvements on all aspects of the SGRQ and the six-minute walk test. Providing an exacerbation action plan significantly improved SGRQ activity and impact scores whilst exercise information had a positive effect on activity and symptom scores (p < 0.05). Interventions with a duration of less than five weeks (p < 0.05) significantly improved symptom and activity scores, in addition to the number of patient hospital admissions. Thus, self-management interventions are effective at improving the health outcomes of chronic obstructive pulmonary disease patients, especially when disease education is provided.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom81
dc.relation.ispartofpageto90
dc.relation.ispartofjournalRespiratory Medicine
dc.relation.ispartofvolume121
dc.subject.fieldofresearchCardiovascular medicine and haematology
dc.subject.fieldofresearchCardiovascular medicine and haematology not elsewhere classified
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode3201
dc.subject.fieldofresearchcode320199
dc.subject.fieldofresearchcode3202
dc.titleThe effects of chronic obstructive pulmonary disease self-management interventions on improvement of quality of life in COPD patients: A meta-analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.description.versionAccepted Manuscript (AM)
gro.facultyGriffith Health, School of Medicine
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.rights.copyright© 2016 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorBuys, Nicholas J.
gro.griffith.authorMorris, Norman
gro.griffith.authorCannon, Danielle L.
gro.griffith.authorSun, Jing
gro.griffith.authorSriram, Krishna K.


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