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@article{Smalley:2021:10.1016/j.pec.2020.08.015,
author = {Smalley, K and Aufegger, L and Flott, K and Mayer, E and Darzi, A},
doi = {10.1016/j.pec.2020.08.015},
journal = {Patient Education and Counseling},
pages = {50--63},
title = {Can self-management programmes change healthcare utilisation in COPD?: A systematic review and framework analysis},
url = {http://dx.doi.org/10.1016/j.pec.2020.08.015},
volume = {104},
year = {2021}
}
TY - JOUR
AB - ObjectiveThe study aims to evaluate the ability of self-management programmes to change the healthcare-seeking behaviours of people with Chronic Obstructive Pulmonary Disease (COPD), and any associations between programme design and outcomes.MethodsA systematic search of the literature returned randomised controlled trials of SMPs for COPD. Change in healthcare utilisation was the primary outcome measure. Programme design was analysed using the Theoretical Domains Framework (TDF).ResultsA total of 26 papers described 19 SMPs. The most common utilisation outcome was hospitalisation (n = 22). Of these, 5 showed a significant decrease. Two theoretical domains were evidenced in all programmes: skills and behavioural regulation. All programmes evidenced at least 5 domains. However, there was no clear association between TDF domains and utilisation. Overall, study quality was moderate to poor.ConclusionThis review highlights the need for more alignment in the goals, design, and evaluation of SMPs. Specifically, the TDF could be used to guide programme design and evaluation in future.Practice implicationsPractices have a reasonable expectation that interventions they adopt will provide patient benefit and value for money. Better design and reporting of SMP trials would address their ability to do so.
AU - Smalley,K
AU - Aufegger,L
AU - Flott,K
AU - Mayer,E
AU - Darzi,A
DO - 10.1016/j.pec.2020.08.015
EP - 63
PY - 2021///
SN - 0738-3991
SP - 50
TI - Can self-management programmes change healthcare utilisation in COPD?: A systematic review and framework analysis
T2 - Patient Education and Counseling
UR - http://dx.doi.org/10.1016/j.pec.2020.08.015
UR - https://www.sciencedirect.com/science/article/pii/S0738399120304420?via%3Dihub
UR - http://hdl.handle.net/10044/1/82791
VL - 104
ER -
