Self-management interventions that include COPD exacerbation action plans improve health-related quality of life – A Cochrane review

Anke Lenferink, Marjolein Brusse-Keizer, Paul van der Valk, Peter Frith, Marlies Zwerink, Evelyn Monninkhof, Job van der Palen, Tanja Effing

Research output: Contribution to journalMeeting AbstractOther research output

Abstract

COPD self-management interventions usually have an action plan as a key component. Studies of these interventions show contradictory results. We have assessed the effectiveness of COPD self-management interventions that include COPD exacerbation action plans compared to usual care.

After a literature search, full-text articles were each independently assessed by two authors. Criteria for considering studies for this review were: randomised controlled trials published from 1995–May 2015; self-management interventions that included a written action plan for COPD exacerbations; and an iterative process between patient and healthcare provider.

From the 1,633 identified records, 22 studies were included, which had follow-up times between two and 24 months. A statistically significant effect of self-management on health-related quality of life (HRQoL) was found (St George's Respiratory Questionnaire total score, mean difference -2.55 (95% CI -4.22;-0.88), 10 studies, 1,799 participants, I2: 8%). Self-management also led to a statistically significant lower probability of respiratory-related hospitalisations (OR 0.69 (95% CI 0.50;0.95), 13 studies, 3,095 participants, I2: 60%) and a non-significant trend towards less all-cause hospitalisations (OR 0.74 (95% CI 0.54;1.03), 10 studies, 2,467 participants, I2: 62%). No effects on mortality were found (risk difference 0.00 (95% CI -0.03;0.03), 14 studies, 3,205 participants, I2: 55%).

Self-management interventions that include action plans for COPD exacerbations are associated with improved HRQoL and lower probability of respiratory-related hospitalisations. No effects were found on mortality.
Original languageEnglish
Article numberPA715
JournalEuropean respiratory journal. Supplement
Volume48
Issue numberSuppl. 60
DOIs
Publication statusPublished - 2016

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Self Care
Chronic Obstructive Pulmonary Disease
Quality of Life
Hospitalization
Mortality
Health Personnel
Randomized Controlled Trials

Cite this

Lenferink, Anke ; Brusse-Keizer, Marjolein ; van der Valk, Paul ; Frith, Peter ; Zwerink, Marlies ; Monninkhof, Evelyn ; van der Palen, Job ; Effing, Tanja. / Self-management interventions that include COPD exacerbation action plans improve health-related quality of life – A Cochrane review. In: European respiratory journal. Supplement. 2016 ; Vol. 48, No. Suppl. 60.
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abstract = "COPD self-management interventions usually have an action plan as a key component. Studies of these interventions show contradictory results. We have assessed the effectiveness of COPD self-management interventions that include COPD exacerbation action plans compared to usual care.After a literature search, full-text articles were each independently assessed by two authors. Criteria for considering studies for this review were: randomised controlled trials published from 1995–May 2015; self-management interventions that included a written action plan for COPD exacerbations; and an iterative process between patient and healthcare provider.From the 1,633 identified records, 22 studies were included, which had follow-up times between two and 24 months. A statistically significant effect of self-management on health-related quality of life (HRQoL) was found (St George's Respiratory Questionnaire total score, mean difference -2.55 (95{\%} CI -4.22;-0.88), 10 studies, 1,799 participants, I2: 8{\%}). Self-management also led to a statistically significant lower probability of respiratory-related hospitalisations (OR 0.69 (95{\%} CI 0.50;0.95), 13 studies, 3,095 participants, I2: 60{\%}) and a non-significant trend towards less all-cause hospitalisations (OR 0.74 (95{\%} CI 0.54;1.03), 10 studies, 2,467 participants, I2: 62{\%}). No effects on mortality were found (risk difference 0.00 (95{\%} CI -0.03;0.03), 14 studies, 3,205 participants, I2: 55{\%}).Self-management interventions that include action plans for COPD exacerbations are associated with improved HRQoL and lower probability of respiratory-related hospitalisations. No effects were found on mortality.",
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Self-management interventions that include COPD exacerbation action plans improve health-related quality of life – A Cochrane review. / Lenferink, Anke ; Brusse-Keizer, Marjolein; van der Valk, Paul; Frith, Peter; Zwerink, Marlies; Monninkhof, Evelyn; van der Palen, Job; Effing, Tanja.

In: European respiratory journal. Supplement, Vol. 48, No. Suppl. 60, PA715, 2016.

Research output: Contribution to journalMeeting AbstractOther research output

TY - JOUR

T1 - Self-management interventions that include COPD exacerbation action plans improve health-related quality of life – A Cochrane review

AU - Lenferink, Anke

AU - Brusse-Keizer, Marjolein

AU - van der Valk, Paul

AU - Frith, Peter

AU - Zwerink, Marlies

AU - Monninkhof, Evelyn

AU - van der Palen, Job

AU - Effing, Tanja

PY - 2016

Y1 - 2016

N2 - COPD self-management interventions usually have an action plan as a key component. Studies of these interventions show contradictory results. We have assessed the effectiveness of COPD self-management interventions that include COPD exacerbation action plans compared to usual care.After a literature search, full-text articles were each independently assessed by two authors. Criteria for considering studies for this review were: randomised controlled trials published from 1995–May 2015; self-management interventions that included a written action plan for COPD exacerbations; and an iterative process between patient and healthcare provider.From the 1,633 identified records, 22 studies were included, which had follow-up times between two and 24 months. A statistically significant effect of self-management on health-related quality of life (HRQoL) was found (St George's Respiratory Questionnaire total score, mean difference -2.55 (95% CI -4.22;-0.88), 10 studies, 1,799 participants, I2: 8%). Self-management also led to a statistically significant lower probability of respiratory-related hospitalisations (OR 0.69 (95% CI 0.50;0.95), 13 studies, 3,095 participants, I2: 60%) and a non-significant trend towards less all-cause hospitalisations (OR 0.74 (95% CI 0.54;1.03), 10 studies, 2,467 participants, I2: 62%). No effects on mortality were found (risk difference 0.00 (95% CI -0.03;0.03), 14 studies, 3,205 participants, I2: 55%).Self-management interventions that include action plans for COPD exacerbations are associated with improved HRQoL and lower probability of respiratory-related hospitalisations. No effects were found on mortality.

AB - COPD self-management interventions usually have an action plan as a key component. Studies of these interventions show contradictory results. We have assessed the effectiveness of COPD self-management interventions that include COPD exacerbation action plans compared to usual care.After a literature search, full-text articles were each independently assessed by two authors. Criteria for considering studies for this review were: randomised controlled trials published from 1995–May 2015; self-management interventions that included a written action plan for COPD exacerbations; and an iterative process between patient and healthcare provider.From the 1,633 identified records, 22 studies were included, which had follow-up times between two and 24 months. A statistically significant effect of self-management on health-related quality of life (HRQoL) was found (St George's Respiratory Questionnaire total score, mean difference -2.55 (95% CI -4.22;-0.88), 10 studies, 1,799 participants, I2: 8%). Self-management also led to a statistically significant lower probability of respiratory-related hospitalisations (OR 0.69 (95% CI 0.50;0.95), 13 studies, 3,095 participants, I2: 60%) and a non-significant trend towards less all-cause hospitalisations (OR 0.74 (95% CI 0.54;1.03), 10 studies, 2,467 participants, I2: 62%). No effects on mortality were found (risk difference 0.00 (95% CI -0.03;0.03), 14 studies, 3,205 participants, I2: 55%).Self-management interventions that include action plans for COPD exacerbations are associated with improved HRQoL and lower probability of respiratory-related hospitalisations. No effects were found on mortality.

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DO - 10.1183/13993003.congress-2016.PA715

M3 - Meeting Abstract

VL - 48

JO - European respiratory journal. Supplement

JF - European respiratory journal. Supplement

SN - 0904-1850

IS - Suppl. 60

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