|
Barlow et al. (2009)[31]
|
MS
|
216
|
I = 48.2 (10.1)
|
59 M
|
In-person group-based chronic disease self-management program
|
Wait-list control + comparison group
|
6 weeks (2 h/week)
|
4, 12 months
|
0 Self-management self-efficacy (P = 0.132, ES = 0.30)
|
|
C = 50.7 (11.7)
|
+ MSIS physical status (P = 0.005, ES = 0.21)
|
|
Comparison = 54.6 (10.8)
|
0 Improvement in depression (P = 0.632)
|
|
0 MS self-efficacy (P = 0.161)
|
|
0 cognitive symptom management (P = 0.140)
|
|
0 MD communication (P = 0.861)
|
|
Glasgow et al. (2012)[32]
|
Diabetes
|
463
|
I (CASM+) = 57.8 (9.3)
|
232 M
|
Internet-based diabetes self-management program with (CASM+) and without enhanced social support (CASM)
|
Enhanced usual care (computer-based health risk appraisal feedback with recommendations for preventive behaviors)
|
12 months (ongoing internet-based intervention); CASM + group also received three 120-minute group sessions and two follow-up calls
|
4, 12 months
|
+ Health behaviors (eating habits, fat intake, physical activity: P < 0.05, ES = 0.09-0.16)
|
|
I (CASM) = 58.7 (9.3)
|
+ Biological outcomes (lower HbA1c, improved lipid ratio, BP MAP, 10-year CHD risk: P < 0.05)
|
|
C = 58.7 (9.1)
|
+ Psychosocial and QOL measures (self-efficacy, problem solving, general health state, diabetes distress: P < 0.05)
|
|
0 Medication adherence
|
|
Goeppinger et al. (2007)[33]
|
Arthritis
|
416
|
I = 64 (12.78)
|
75 M
|
Arthritis self-help group: small group, in-person workshops specific to arthritis
|
Generic chronic disease self-management group: small group, in-person workshops not specific to arthritis
|
6 weekly sessions 2–2.5 h each
|
4, 12 months
|
+ Self-efficacy (P = 0.004)
|
|
C = 64 (12.8)
|
|
+ General health (P = 0.016)
|
|
+ Stretching minutes (P = 0.023)
|
|
+ Strengthening minutes (P = 0.016)
|
|
Hibbard et al. (2007)[34]
|
At least one of six chronic diseases (T2D, HTN, arthritis, CHD, COPD, hyperlipidemia)
|
479
|
I = 59.6
|
147 M
|
In-person group-based chronic disease self-management program
|
No intervention
|
6 weeks
|
6 months
|
0 Engagement (PAM) (P < 0.001)
|
|
C = 60.0
|
(2.5 h/1 wk)
|
|
+ General self-management behaviors (P < 0.05)
|
|
+Diabetes self-management behaviors (P < 0.05)
|
|
+Arthritis self-management behaviors (P < 0.05)
|
|
+ HRQoL (P = NR)
|
|
Huang et al. (2009)[35]
|
Asthma
|
148
|
I = NR
|
108 M
|
Individualized self-care education program, with and without peak flow monitoring (PFM)
|
Usual care
|
6 months
|
1, 6 months
|
+ Asthma self-care competence (P < 0.001)
|
|
I + PFM = NR
|
+ Asthma self-care behaviors (P < 0.001)
|
|
C = NR
|
Asthma self efficacy (P < 0.001)
|
|
0 Unscheduled health service usage
|
|
Lavery et al. (2011)[36]
|
Bronchiectasis
|
64
|
I = 60 (9)
|
29 M
|
In-person, group-based patient self-management program
|
Usual care
|
8 weeks (2.5 h/week)
|
3, 6 months
|
+ Self-efficacy in exercise (P = 0.02); to get information about disease (P = 0.03); to manage disease in general (P = 0.05); to do chores (P = 0.04); for social/recreational activities (P = 0.03); to manage symptoms (P < 0.01); to control/manage depression (P = 0.01)
|
|
0 Self-efficacy in obtaining help from community, family and friends (P = 0.06); communicate with physician (P = 0.85); to manage shortness of breath (P = 0.08)
|
|
+ Symptom reporting (P < 0.05)
|
|
+ Decreased QOL (P = 0.01)
|
|
+ Increase in self-reported health care use (P < 0.05)
|
|
0 IPQ-R score
|
|
0 Lung function
|
|
C = 60 (8)
|
|
Lorig et al. (2010)[37]
|
Diabetes
|
761
|
All = 54.3
|
206 M
|
Internet-based diabetes self-management program
|
Usual care
|
6 weeks
|
6, 18 months
|
+ Engagement (PAM) (P = 0.021)
|
|
+ Self-efficacy (P < 0/001)
|
|
+ Lower HbA1C (P < 0.05; ES = 0.111)
|
|
+ Lower HbA1C high subgroup baseline ≥7.0 (P = 0.01; ES = 0.499)
|
|
0 Health behavior and utilization
|
|
0 Exercise (P = 0.810)
|
|
Lorig et al. (2009)[38]
|
Diabetes
|
345
|
I = 67.7 (11.9)
|
124 M
|
Community-based, peer-led diabetes self-management program
|
Usual care
|
6 weeks
|
6, 12 months
|
+ Engagement (PAM) (P = 0.017)
|
|
(2.5 h/1 wk)
|
|
C = 65.4 (11.4)
|
+ Self-efficacy (P = 0.001)
|
| |
0 Lower HbA1C
|
|
+ Hypoglycemia symptoms (P = 0.002; ES > 0.30)
|
|
0 Hyperglycemia symptoms
|
|
+ Healthy eating (P < 0.001; ES > 0.30)
|
|
+ Lower depression (P < 0.001)
|
|
+ Communication with providers (P = 0.016)
|
|
Moriyama et al. (2009)[39]
|
Diabetes
|
75
|
I = 66.4 (9.2)
|
30 M
|
In person, individual self-management education program
|
Usual care
|
12 months
|
3, 6, 9, 12 months
|
+ Lower body weight (P = 0.001)
|
|
+ Lower HbA1C (P = 0.049)
|
|
+ Self-efficacy (P = 0.001)
|
|
+ Dietary and exercise stages (P = 0.017 and P = 0.020)
|
|
+ Degree of goal attainment (P = NR)
|
|
+ QOL (P = 0.055)
|
|
+ Lower diastolic BP (P = 0.067)
|
|
+ Lower total cholesterol (P = 0.087)
|
|
C = 65.2 (8.5)
|
|
Wolever et al. (2010)[40]
|
Diabetes
|
56
|
I = 53.1 (8.29)
|
13 M
|
Integrative health coaching
|
Wait-list control
|
6 months
|
1 month
|
+ Engagement (PAM) (P < 0.001)
|
|
C = 52.8 (7.64)
|
(14 sessions, 0.5 h each)
|
+ Medication adherence (P < 0.005)
|
|
+ Perception of illness (P < 0.05)
|
|
+ Psychosocial health (P < 0.05)
|
|
0 Lower HbA1C (all subjects)
|
| | | | | | | | | |
+ Lower HbA1C for high subgroup baseline >7.0 (P = 0.016; ES = 0.34)
|
