Accelerating Best Practices in Peer Support Around the World
4.27.15

Review: Effectiveness of Self-management Support Interventions for Men with Long-term Conditions

BMJ Open. 2015 Mar 20;5(3):e006620. [Pubmed Abstract]

The effectiveness of self-management support interventions for men with long-term conditions: a systematic review and meta-analysis
Galdas P, Fell J, Bower P, Kidd L, Blickem C, McPherson K, Hunt K, Gilbody S, Richardson G

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.

 

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