期刊
BMJ OPEN
卷 5, 期 3, 页码 -出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/bmjopen-2014-006620
关键词
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资金
- National Institute for Health Research Health Services and Delivery Research Programme [12/5001/14]
- MRC [MC_UU_12017/3, MC_UU_12017/12] Funding Source: UKRI
- Chief Scientist Office [SPHSU12] Funding Source: researchfish
- Medical Research Council [MC_UU_12017/12, MC_UU_12017/3] Funding Source: researchfish
- National Institute for Health Research [12/5001/14] Funding Source: researchfish
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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