Bernadette Capili, Joyce K Anastasi
Cohort Studies
The American journal of nursing
determine selfmanagement programs supported health professional rehabilitation costeffective six databases searched december 2023 randomised controlled trials adults completing supported selfmanagement program participating rehabilitation receiving health professional input hospital community settings included selfmanagement programs completed outside structured supervised therapy health professional sessions included trials cost measure effectiveness outcome reported healthrelated quality life function grading recommendations assessment development evaluations grade used determine certainty evidence across trials included metaanalysis incremental cost effectiveness ratios icers calculated based mean difference metaanalyses contributing healthcare costs quality life following application search strategy two independent reviewers determined eligibility identified literature initially reviewing title andor abstract prior full text review using customised form data extracted one reviewer checked second reviewer fortythree trials included 27 data included metaanalyses selfmanagement primary intervention moderate certainty meaningful positive difference quality life utility index 003 units 95 ci 001 006 cost difference selfmanagement primary intervention usual care comprising usual interventiontherapy minimal intervention including education intervention potentially favoured comparison group md aud90 95 ci aud130 aud310 cost per quality adjusted life year qaly gained selfmanagement programs standalone intervention aud3000 acceptable willingnesstopay threshold australia per qaly gained 50000qaly gained selfmanagement intervention low cost could improve healthrelated quality life crd42021275472