Cochrane · systematic review · CD013246

Digital interventions for the management of chronic obstructive pulmonary disease

Janjua, S, Banchoff, E, Threapleton, CJD, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
11
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 63.6%Low 4 · 36.4%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Digital intervention with or without routine supported self‐management compared to control for the management of chronic obstructive pulmonary disease (Random‐effects model)

Population: the management of chronic obstructive pulmonary disease
6 questions
OutcomeEffectEvidenceStatus / GRADE
Impact on health behaviour: 6MWD
Digital intervention with or without routine supported self‐management vs control
no estimate extracted2 studies · 122 participantsVery low
Downgraded: risk of bias
Self‐efficacy: PRAISE
Digital intervention with or without routine supported self‐management vs control
no estimate extracted1 study · 55 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Self‐efficacy: SEMCD total
Digital intervention with or without routine supported self‐management vs control
no estimate extracted1 study · 42 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Quality of life: CRQ total, SGRQ total or CAT
Digital intervention with or without routine supported self‐management vs control
no estimate extracted2 studies · 123 participantsLow
Downgraded: risk of bias
Dyspnoea symptoms: CRQ dyspnoea
Digital intervention with or without routine supported self‐management vs control
no estimate extracted1 study · 84 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Exacerbations: mean number of exacerbations
Digital intervention with or without routine supported self‐management vs control
no estimate extracted1 study · 69 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Multi‐component intervention compared to other intervention or routine, usual care or control treatment for the management of chronic obstructive pulmonary disease (Random‐effects model)

Population: the management of chronic obstructive pulmonary disease
5 questions
OutcomeEffectEvidenceStatus / GRADE
Impact on health behaviour: 6MWD
Multi‐component intervention vs other intervention or routine, usual care or control treatment
no estimate extracted1 study · 20 participantsVery low
Downgraded: risk of bias
Quality of life: SGRQ total
Multi‐component intervention vs other intervention or routine, usual care or control treatment
no estimate extracted3 studies · 241 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Exacerbations: number of people experiencing at least one exacerbation
Multi‐component intervention vs other intervention or routine, usual care or control treatment
OR 0.86 [0.58, 1.28]2 studies · 485 participantsVery low
Downgraded: risk of bias
Adverse events: number of people experiencing an AE
Multi‐component intervention vs other intervention or routine, usual care or control treatment
OR 1.07 [0.51, 2.25]1 study · 166 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Adverse events: number of people experiencing a serious adverse event
Multi‐component intervention vs other intervention or routine, usual care or control treatment
OR 0.85 [0.55, 1.34]1 study · 319 participantsLow
Downgraded: risk of bias