scholarly journals Low-intensity educational interventions supporting self-management to improve outcomes related to chronic breathlessness: a systematic review

2019 ◽  
Vol 29 (1) ◽  
Author(s):  
Bronwyn Raymond ◽  
Tim Luckett ◽  
Miriam Johnson ◽  
Ann Hutchinson ◽  
Melanie Lovell ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Educational Interventions ◽  
Self Management ◽  
Future Research ◽  
Management Support ◽  
Low Intensity ◽  
Standardized Reporting ◽  
Limited Health ◽  
Intervention Description

AbstractChronic breathlessness is debilitating and frightening, often resulting in emergency department presentations with acute-on-chronic breathlessness. Self-management is complex, involving 14 components as identified by the Practical Systematic Review in Self-Management Support (PRISMS). Low-intensity educational interventions that support breathlessness self-management through written/visual educational materials, alongside limited health professional support, are available. Our aim was to describe components of low-intensity educational interventions that support and improve self-management for adults with chronic breathlessness and evaluate their efficacy for improving breathlessness-related outcomes. A systematic review was conducted, including RCTs that compared these interventions with usual care in adults with chronic disease. Synthesis took a narrative approach utilizing the PRISMS taxonomy and Template for Intervention Description and Replication (TIDieR) checklist. Of the 1948 articles identified, 7 met criteria reporting 7 RCTs using 6 interventions. Studies utilized 12 out of 14 PRISMS components, the most frequent being training/rehearsal for psychological strategies. Evidence for effectiveness was inconsistent and attempts to identify beneficial components were confounded by intervention complexity and heterogeneity. The optimal content and delivery of low-intensity educational interventions that support self-management to improve chronic breathlessness-related outcomes in adults cannot be defined from current published literature. Future research should incorporate more detailed, standardized reporting to enable comparison and meta-analysis.

Digital health technologies for long term self-management of osteoporosis: a systematic review and meta-analysis (Preprint)

2021 ◽  
Author(s):  
Ghada Alhussein ◽  
Leontios Hadjileontiadis
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Digital Health ◽  
Meta Analysis ◽  
Self Management ◽  
Current Status ◽  
Future Research ◽  
Common Chronic Disease ◽  
Health Technologies ◽  
Management Interventions

BACKGROUND Osteoporosis is the fourth most common chronic disease in the world. Adopting preventative measures and effective self-management interventions help in improving bone health. Mobile health (mHealth) technologies can play a key role in osteoporosis patient care and self- management. OBJECTIVE This study presents a systematic review and meta-analysis of the currently available mHealth applications targeting osteoporosis self-management, aiming to determine the current status, gaps and challenges the future research could address, proposing appropriate recommendations. METHODS In this systematic review and meta-analysis, we searched PubMed, Scopus, EBSCO, Web of Science, and IEEExplore databases between Jan 1, 2010 and May 31, 2021, for all English publications that describe apps dedicated to or being useful for osteoporosis, targeting self-management, nutrition, physical activity, risk assessment, delivered on smartphone devices for young and older adults. In addition, a survey of all osteoporosis-related apps available in iOS and Android app stores as of May 31, 2021 was also conducted. Primary outcomes of interest were the prevention or reduction of unhealthy behaviours or improvement in healthy behaviours of the six behaviours. Outcomes were summarised in a narrative synthesis and combined using random-effects meta-analysis. RESULTS In total, 3906 unique articles were identified. Of these, 32 articles met the inclusion criteria and were reviewed in depth. The 32 studies were comprising 14 235 participants, of whom on average 69.5% were female, with a mean age of 49.8 years (SD 17.8). The app search identified 23 relevant apps for osteoporosis self-management. The meta-analysis revealed that mHealth supported interventions resulted in a significant reduction in pain (Hedge’s g -1.09, 95%CI -1.68 to -0.45) and disability (Hedge’s g -0.77, 95%CI -1.59 to 0.05). The post-treatment effect of the digital intervention was significant for physical function (Hedge’s g 2.54, 95%CI -4.08 to 4.08); yet nonsignificant for wellbeing (Hedge’s g 0.17, 95% CI -1.84 to 2.17), physical activity (Hedges’ g 0.09, 95%CI -0.59 to 0.50), anxiety (Hedge’s g -0.29, 95%CI -6.11 to 5.53), fatigue (Hedge’s g -0.34, 95%CI -5.84 to 5.16), calcium (Hedge’s g -0.05, 95%CI -0.59 to 0.50) and vitamin D (Hedge’s g 0.10, 95% CI -4.05 to 4.26) intake, and trabecular score (Hedge’s g 0.06, 95%CI -1.00 to 1.12). CONCLUSIONS Osteoporosis apps have the potential to support and improve the management of the disease and its symptoms; they also appear to be a valuable tool for patients and health professionals. However, the majority of the apps that are currently available lack clinically validated evidence of their efficacy and they most focus on a limited number of symptoms. A more holistic and personalized approach, within a co-creation design ecosystem, is needed.

scholarly journals Is the task-shifting in self-management support effective? A systematic review and meta-analysis

2016 ◽  
Vol 26 (suppl_1) ◽  
Author(s):  
A Massimi ◽  
C De Vito ◽  
I Brufola ◽  
A Corsaro ◽  
C Marzuillo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Task Shifting ◽  
Self Management ◽  
Management Support

scholarly journals A Systematic Review on Mobile Health Applications’ Education Program for Patients Taking Oral Anticoagulants

2021 ◽  
Vol 18 (17) ◽  
pp. 8902
Author(s):  
Insil Jang
Keyword(s):  
Systematic Review ◽  
Mobile Health ◽  
Mobile Application ◽  
Meta Analysis ◽  
Oral Anticoagulants ◽  
Self Management ◽  
Future Research ◽  
Anticoagulation Management ◽  
Mobile Health Application ◽  
Continuous Application

Warfarin is widely used as an oral anticoagulant. However, it is difficult to manage patients due to its narrow therapeutic range and individualized differences. Using controlled trials and real-world observational studies, this systematic review aimed to analyze health education’s impact among patients on warfarin therapy by mobile application. Smartphone and tablet applications have the potential to actively educate patients by providing them with timely information through push notifications. MEDLINE, EMBASE, CINAHL, Web of Science, and Cochrane electronic databases were searched using the keywords “anticoagulants,” “warfarin”, “mobile application”, and “smartphone” up to May 2020. Of the 414 articles obtained, 12 articles met the inclusion criteria for this review. The education and self-management programs using the mobile health application had diverse contents. A meta-analysis was not deemed appropriate because of the heterogeneity of populations, interventions, and outcomes. Thus, a narrative synthesis is presented instead. This review demonstrates that educating patients for anticoagulation management through their smartphones or tablets improves their knowledge levels, medication or treatment adherence, satisfaction, and clinical outcomes. Moreover, it has a positive effect on continuing health care. Future research concerning patients taking warfarin should include key self-management outcomes in larger, more rigorously designed studies, allowing for comparisons across studies. This study proposes a continuous application of timely education through smartphone applications to the current medical and nursing practice.

scholarly journals Are community-based nurse-led self-management support interventions effective in chronic patients? Results of a systematic review and meta-analysis

PLoS ONE ◽  
2017 ◽  
Vol 12 (3) ◽  
pp. e0173617 ◽  
Author(s):  
Azzurra Massimi ◽  
Corrado De Vito ◽  
Ilaria Brufola ◽  
Alice Corsaro ◽  
Carolina Marzuillo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Self Management ◽  
Management Support ◽  
Chronic Patients ◽  
Community Based

scholarly journals The effectiveness of self-management support interventions for men with long-term conditions: a systematic review and meta-analysis

BMJ Open ◽  
2015 ◽  
Vol 5 (3) ◽  
pp. e006620-e006620 ◽  
Author(s):  
P. Galdas ◽  
J. Fell ◽  
P. Bower ◽  
L. Kidd ◽  
C. Blickem ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Self Management ◽  
Management Support ◽  
Long Term Conditions
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