Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis

Tao Wang; Jing Yu Tan; Lily Dongxia Xiao; Renli Deng

doi:10.1016/j.pec.2017.02.026

Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis

Tao Wang, Jing Yu Tan, Lily Dongxia Xiao, Renli Deng

Research output: Contribution to journal › Review article › peer-review

Abstract

Objectives: To update a previously published systematic review on the effectiveness of self-management education (SME) for patients with chronic obstructive pulmonary disease (COPD).

Methods: Electronic databases were accessed (from inception to July 2016) to find relevant randomized controlled trials. Studies that compared SME with routine methods of care in COPD patients were retrieved. Both data synthesis and descriptive analysis were used for outcome assessment (e.g. quality of life and healthcare utilization).

Results: Twenty-four studies were included. Data synthesis showed better quality of life among COPD patients receiving SME. Significant reductions in COPD-related hospital admissions and emergency department visits were identified in the SME group. SME may positively affect the reduction of COPD patients’ emotional distress. No significant reduction in smoking rate and mortality rate was observed between groups. No clear evidence supports the improvement of pulmonary functions, dyspnea, and nutritional status in COPD patients with the use of SME.

Conclusion: SME can be a useful strategy to improve quality of life and disease-specific knowledge in patients with COPD. It also reduces respiratory-related hospital admissions and emergency department visits in COPD patients.

Practice implications: Inclusion of SME as one of the key components for the comprehensive management of COPD is encouraged.

Original language	English
Pages (from-to)	1432-1446
Number of pages	15
Journal	Patient Education and Counseling
Volume	100
Issue number	8
DOIs	https://doi.org/10.1016/j.pec.2017.02.026
Publication status	Published - Aug 2017
Externally published	Yes

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10.1016/j.pec.2017.02.026

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title = "Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis",

abstract = "Objectives: To update a previously published systematic review on the effectiveness of self-management education (SME) for patients with chronic obstructive pulmonary disease (COPD). Methods: Electronic databases were accessed (from inception to July 2016) to find relevant randomized controlled trials. Studies that compared SME with routine methods of care in COPD patients were retrieved. Both data synthesis and descriptive analysis were used for outcome assessment (e.g. quality of life and healthcare utilization). Results: Twenty-four studies were included. Data synthesis showed better quality of life among COPD patients receiving SME. Significant reductions in COPD-related hospital admissions and emergency department visits were identified in the SME group. SME may positively affect the reduction of COPD patients{\textquoteright} emotional distress. No significant reduction in smoking rate and mortality rate was observed between groups. No clear evidence supports the improvement of pulmonary functions, dyspnea, and nutritional status in COPD patients with the use of SME. Conclusion: SME can be a useful strategy to improve quality of life and disease-specific knowledge in patients with COPD. It also reduces respiratory-related hospital admissions and emergency department visits in COPD patients. Practice implications: Inclusion of SME as one of the key components for the comprehensive management of COPD is encouraged.",

keywords = "chronic obstructive lung disease, data base, descriptive research, dyspnea, emergency ward, emotional stress, health care utilization, health education, hospital admission, human, lung function, meta analysis, mortality rate, nutritional status, outcome assessment, patient-reported outcome, priority journal, quality of life, Review, self care, smoking, systematic review, pathology, patient education, randomized controlled trial (topic), treatment outcome, Humans, Patient Education as Topic, Pulmonary Disease, Chronic Obstructive, Quality of Life, Randomized Controlled Trials as Topic, Self-Management, Treatment Outcome",

author = "Tao Wang and Tan, {Jing Yu} and Xiao, {Lily Dongxia} and Renli Deng",

year = "2017",

month = aug,

doi = "10.1016/j.pec.2017.02.026",

language = "English",

volume = "100",

pages = "1432--1446",

journal = "Patient Education and Counseling",

issn = "0738-3991",

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Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis. / Wang, Tao ; Tan, Jing Yu; Xiao, Lily Dongxia et al.
In: Patient Education and Counseling, Vol. 100, No. 8, 08.2017, p. 1432-1446.

Research output: Contribution to journal › Review article › peer-review

TY - JOUR

T1 - Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease

T2 - An updated systematic review and meta-analysis

AU - Wang, Tao

AU - Tan, Jing Yu

AU - Xiao, Lily Dongxia

AU - Deng, Renli

PY - 2017/8

Y1 - 2017/8

N2 - Objectives: To update a previously published systematic review on the effectiveness of self-management education (SME) for patients with chronic obstructive pulmonary disease (COPD). Methods: Electronic databases were accessed (from inception to July 2016) to find relevant randomized controlled trials. Studies that compared SME with routine methods of care in COPD patients were retrieved. Both data synthesis and descriptive analysis were used for outcome assessment (e.g. quality of life and healthcare utilization). Results: Twenty-four studies were included. Data synthesis showed better quality of life among COPD patients receiving SME. Significant reductions in COPD-related hospital admissions and emergency department visits were identified in the SME group. SME may positively affect the reduction of COPD patients’ emotional distress. No significant reduction in smoking rate and mortality rate was observed between groups. No clear evidence supports the improvement of pulmonary functions, dyspnea, and nutritional status in COPD patients with the use of SME. Conclusion: SME can be a useful strategy to improve quality of life and disease-specific knowledge in patients with COPD. It also reduces respiratory-related hospital admissions and emergency department visits in COPD patients. Practice implications: Inclusion of SME as one of the key components for the comprehensive management of COPD is encouraged.

AB - Objectives: To update a previously published systematic review on the effectiveness of self-management education (SME) for patients with chronic obstructive pulmonary disease (COPD). Methods: Electronic databases were accessed (from inception to July 2016) to find relevant randomized controlled trials. Studies that compared SME with routine methods of care in COPD patients were retrieved. Both data synthesis and descriptive analysis were used for outcome assessment (e.g. quality of life and healthcare utilization). Results: Twenty-four studies were included. Data synthesis showed better quality of life among COPD patients receiving SME. Significant reductions in COPD-related hospital admissions and emergency department visits were identified in the SME group. SME may positively affect the reduction of COPD patients’ emotional distress. No significant reduction in smoking rate and mortality rate was observed between groups. No clear evidence supports the improvement of pulmonary functions, dyspnea, and nutritional status in COPD patients with the use of SME. Conclusion: SME can be a useful strategy to improve quality of life and disease-specific knowledge in patients with COPD. It also reduces respiratory-related hospital admissions and emergency department visits in COPD patients. Practice implications: Inclusion of SME as one of the key components for the comprehensive management of COPD is encouraged.

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KW - descriptive research

KW - dyspnea

KW - emergency ward

KW - emotional stress

KW - health care utilization

KW - health education

KW - hospital admission

KW - human

KW - lung function

KW - meta analysis

KW - mortality rate

KW - nutritional status

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KW - quality of life

KW - Review

KW - self care

KW - smoking

KW - systematic review

KW - pathology

KW - patient education

KW - randomized controlled trial (topic)

KW - treatment outcome, Humans

KW - Patient Education as Topic

KW - Pulmonary Disease, Chronic Obstructive

KW - Quality of Life

KW - Randomized Controlled Trials as Topic

KW - Self-Management

KW - Treatment Outcome

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U2 - 10.1016/j.pec.2017.02.026

DO - 10.1016/j.pec.2017.02.026

M3 - Review article

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SN - 0738-3991

VL - 100

SP - 1432

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JO - Patient Education and Counseling

JF - Patient Education and Counseling

IS - 8

ER -

Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis

Abstract

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