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Patient-centred medicine
Research
The effectiveness of self-management support interventions for men with long-term conditions: a systematic review and meta-analysis
  1. Paul Galdas1,
  2. Jennifer Fell1,
  3. Peter Bower2,
  4. Lisa Kidd3,
  5. Christian Blickem4,
  6. Kerri McPherson3,
  7. Kate Hunt5,
  8. Simon Gilbody1,
  9. Gerry Richardson6
  1. 1Department of Health Sciences, University of York, York, UK
  2. 2NIHR School for Primary Care Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
  3. 3School of Health and Life Sciences/Institute for Applied Health Research, Glasgow Caledonian University, Glasgow, UK
  4. 4NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Greater Manchester, Centre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK
  5. 5MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK
  6. 6Centre for Health Economics, University of York, York, UK
  1. Correspondence to Dr Paul Galdas; paul.galdas{at}york.ac.uk

Abstract

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.

  • PRIMARY CARE
  • PUBLIC HEALTH

This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/

https://doi.org/10.1136/bmjopen-2014-006620

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