Influence of 7 weeks self management education on the BAI and 6MWD of COPD stable patients

Alsayed, Sherif; Elnagar, Khalid; Mousa, Essam

doi:10.1016/j.ejcdt.2014.03.004

Cited by 1 publication

(1 citation statement)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, these studies were excluded post hoc, as was one Psychosocial Intervention in COPD Psychosomatic Medicine, V 84 • 347-358 reference based on data from the same sample of a previously included reference (35). Furthermore, three non-randomized controlled trials were excluded post hoc (36)(37)(38). The remaining 16 studies from the updated search were combined with the 19 studies of the 2015-version, resulting in 35 randomized controlled trials with a total of 3,120 patients with COPD (psychosocial intervention = 1,579, active control = 999, passive control = 542).…”

Section: Resultsmentioning

confidence: 99%

Psychosocial Intervention in Chronic Obstructive Pulmonary Disease: Meta-Analysis of Randomized Controlled Trials

et al. 2022

View full text Add to dashboard Cite

ObjectiveMany patients with chronic obstructive pulmonary disease (COPD) experience persistent interrelated psychological and physical symptoms despite optimal treatment. Several studies of psychosocial intervention in COPD have been published in recent years. The present study aimed to conduct a quantitative summary of the efficacy of such interventions on psychological and physical outcomes.MethodsTwo independent raters screened PubMed, PsycINFO, Embase, Web of Science, Cochrane Library, and CINAHL for eligible studies. In all, 35 independent, randomized controlled trials with a total of 3,120 patients with COPD were included, assessed for their methodological quality, and subjected to meta-analytic evaluation.ResultsMeta-analyses revealed small, statistically significant effects of psychosocial intervention on combined psychological (Hedges’s g = 0.28; 95%CI: 0.16–0.41) and physical outcomes (g = 0.21; 95%CI: 0.07–0.35) with no indications of publication bias. Supplementary Bayesian meta-analyses provided strong evidence for a non-zero overall effect on psychological outcomes (Bayes factor (BF) = 305) and moderate support for physical outcomes (BF = 6.1). Exploring sources of heterogeneity with meta-regression indicated that older age of patients and longer duration of interventions were associated with smaller effects on psychological outcomes.ConclusionsThe results support psychosocial intervention as an additional, useful tool in multidisciplinary respiratory care with the potential to improve both psychological and physical outcomes. Future studies are recommended to monitor adverse effects, apply blinding of active control conditions, and determine sample sizes with a priori power calculations.RegistrationRegistered with Prospero (www.crd.york.ac.uk/prospero/) prior to initiation of the literature search (Reg. ID: CRD42020170083).

show abstract