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Effectiveness of self-management interventions for long-term conditions in people experiencing socio-economic deprivation in high-income countries: a systematic review and meta-analysis.
- Source :
- Journal of Public Health; Dec2023, Vol. 45 Issue 4, p970-1041, 72p
- Publication Year :
- 2023
-
Abstract
- Background Long-term conditions (LTCs) are prevalent in socio-economically deprived populations. Self-management interventions can improve health outcomes, but socio-economically deprived groups have lower participation in them, with potentially lower effectiveness. This review explored whether self-management interventions delivered to people experiencing socio-economic deprivation improve outcomes. Methods We searched databases up to November 2022 for randomized trials. We screened, extracted data and assessed the quality of these studies using Cochrane Risk of Bias 2 (RoB2). We narratively synthesized all studies and performed a meta-analysis on eligible articles. We assessed the certainty of evidence using GRADE for articles included in the meta-analysis. Results The 51 studies included in this review had mixed findings. For the diabetes meta-analysis, there was a statistically significant pooled reduction in haemoglobin A1c (−0.29%). We had moderate certainty in the evidence. Thirty-eight of the study interventions had specific tailoring for socio-economically deprived populations, including adaptions for low literacy and financial incentives. Each intervention had an average of four self-management components. Conclusions Self-management interventions for socio-economically deprived populations show promise, though more evidence is needed. Our review suggests that the number of self-management components may not be important. With the increasing emphasis on self-management, to avoid exacerbating health inequalities, interventions should include tailoring for socio-economically deprived individuals. [ABSTRACT FROM AUTHOR]
- Subjects :
- EVALUATION of medical care
PSYCHOLOGY information storage & retrieval systems
CINAHL database
GLYCOSYLATED hemoglobin
EVALUATION of human services programs
DEVELOPED countries
META-analysis
MEDICAL information storage & retrieval systems
CONFIDENCE intervals
SELF-management (Psychology)
CHRONIC diseases
SYSTEMATIC reviews
DIABETES
SOCIAL isolation
SOCIOECONOMIC factors
RESEARCH funding
DESCRIPTIVE statistics
MEDLINE
AMED (Information retrieval system)
Subjects
Details
- Language :
- English
- ISSN :
- 17413842
- Volume :
- 45
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 174183766
- Full Text :
- https://doi.org/10.1093/pubmed/fdad145