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  • Title: Self-management education programs for age-related macular degeneration: a systematic review.
    Author: Lee L, Packer TL, Tang SH, Girdler S.
    Journal: Australas J Ageing; 2008 Dec; 27(4):170-6. PubMed ID: 19032617.
    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.
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