Tosan Okpako|Abi Woodward|Kate Walters|Nathan Davies|Fiona Stevenson|Danielle Nimmons|Carolyn Chew?Graham|Joanne Protheroe|Megan Armstrong
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
University College London|University College London|University College London|University College London|University College London|University College London|Keele University|Keele University|University College London
longterm conditions ltcs prevalent socioeconomically deprived populations selfmanagement interventions improve health outcomes socioeconomically deprived groups lower participation potentially lower effectiveness review explored whether selfmanagement interventions delivered people experiencing socioeconomic deprivation improve outcomeswe searched databases november 2022 randomized trials screened extracted data assessed quality studies using cochrane risk bias 2 rob2 narratively synthesized studies performed metaanalysis eligible articles assessed certainty evidence using grade articles included metaanalysisthe 51 studies included review mixed findings diabetes metaanalysis statistically significant pooled reduction haemoglobin a1c 029 moderate certainty evidence thirtyeight study interventions specific tailoring socioeconomically deprived populations including adaptions low literacy financial incentives intervention average four selfmanagement componentsselfmanagement interventions socioeconomically deprived populations show promise though evidence needed review suggests number selfmanagement components may important increasing emphasis selfmanagement avoid exacerbating health inequalities interventions include tailoring socioeconomically deprived individuals