Literature DB >> 19032617

Self-management education programs for age-related macular degeneration: a systematic review.

Lily Lee1, Tanya L Packer, Seok Hun Tang, Sonya Girdler.   

Abstract

OBJECTIVE: To review the effectiveness of education programs to improve emotional status, daily living and self-efficacy in adults older than 60 years with age-related macular degeneration (AMD).
METHOD: Electronic searches of three databases and manual searches of references lists located randomised controlled trials (RCTs) and quasi-experimental studies. Health education programs aimed at increasing knowledge of AMD, skills training or behavioural change were included. Data extraction and quality assessment were undertaken by two reviewers. A narrative analysis was possible.
RESULTS: Three protocols were reported in four studies (n = 532) with three follow-up studies--all contained elements of self-management programs. Effect sizes for the three outcomes ranged from small to very large (0.14-1.21).
CONCLUSIONS: Self-management programs appear effective for older adults with AMD. Small sample size, use of non-traditional statistics and methodological quality meant only a narrative analysis was possible. Future studies with more robust methodology including intent-to-treat analysis are still required.

Entities:  

Mesh:

Year:  2008        PMID: 19032617     DOI: 10.1111/j.1741-6612.2008.00298.x

Source DB:  PubMed          Journal:  Australas J Ageing        ISSN: 1440-6381            Impact factor:   2.111


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