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

Australas J Ageing. 2008 Dec;27(4):170-6. doi: 10.1111/j.1741-6612.2008.00298.x.


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.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Aged
  • Aging*
  • Humans
  • Macular Degeneration / psychology*
  • Macular Degeneration / rehabilitation*
  • Middle Aged
  • Patient Education as Topic*
  • Self Care*
  • Self Efficacy