The effectiveness of generic self-management interventions for patients with chronic musculoskeletal pain on physical function, self-efficacy, pain intensity and physical activity: A systematic review and meta-analysis

European Journal of Pain : EJP
S ElbersR J E M Smeets

Abstract

Generic self-management programs aim to facilitate behavioural adjustment and therefore have considerable potential for patients with chronic musculoskeletal pain. Our main objective was to collect and synthesize all data on the effectiveness of generic self-management interventions for patients with chronic musculoskeletal pain in terms of physical function, self-efficacy, pain intensity and physical activity. Our secondary objective was to describe the content of these interventions, by means of classification according to the Behaviour Change Technique Taxonomy. We searched PubMed, CENTRAL, Embase and Psycinfo for eligible studies. Study selection, data extraction and risk of bias were assessed by two researchers independently. Meta-analyses were only performed if the studies were sufficiently homogeneous and GRADE was used to determine the quality of evidence. We identified 20 randomized controlled trials that compared a self-management intervention to any type of control group. For post-intervention results, there was moderate quality evidence of a statistically significant but clinically unimportant effect for physical function and pain intensity, both favouring the self-management group. At follow-up, there was moderate ...Continue Reading

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Citations

Apr 2, 2019·The Journal of Orthopaedic and Sports Physical Therapy·Nathan HuttingYvonne F Heerkens
Sep 17, 2019·International Journal of Adolescent Medicine and Health·Adeleh SadeghlooHamid Hojjati
Apr 9, 2019·Journal of Parkinson's Disease·Charlotte L OwenHelen C Roberts
Dec 19, 2020·International Journal of Psychology : Journal International De Psychologie·Xinian JiaoZhun Gong
Mar 7, 2021·International Journal of Environmental Research and Public Health·Jesús Martínez de la CalInmaculada Carmen Lara-Palomo
Sep 8, 2020·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Hayat HamzehZiad Hawamdeh

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