dc.contributor.author | Miles, CL | en_US |
dc.contributor.author | Pincus, T | en_US |
dc.contributor.author | Carnes, D | en_US |
dc.contributor.author | Homer, KE | en_US |
dc.contributor.author | Taylor, SJC | en_US |
dc.contributor.author | Bremner, SA | en_US |
dc.contributor.author | Rahman, A | en_US |
dc.contributor.author | Underwood, M | en_US |
dc.date.accessioned | 2013-01-28T16:12:20Z | |
dc.date.available | 2011-01-31 | en_US |
dc.date.issued | 2011-09 | en_US |
dc.identifier.issn | 1090-3801 | en_US |
dc.identifier.other | 775.e1 | |
dc.identifier.other | 775.e1 | |
dc.identifier.other | 775.e1 | en_US |
dc.identifier.other | 775.e1 | en_US |
dc.identifier.uri | http://qmro.qmul.ac.uk/xmlui/handle/123456789/3293 | |
dc.description.abstract | Background: There are now several systematic reviews of RCTs testing self-management for those with chronic musculoskeletal pain. Evidence for the effectiveness of self-management interventions in chronic musculoskeletal pain is equivocal and it is not clear for which sub-groups of patients SM is optimally effective.
Aims: To systematically review randomized controlled trials of self-management for chronic musculoskeletal pain that reported predictors, i.e., ‘baseline factors that predict outcome independent of any treatment effect’; moderators, i.e., ‘baseline factors which predict benefit from a particular treatment’; or mediators i.e., ‘factors measured during treatment that impact on outcome’ of outcome.
Method: We searched relevant electronic databases. We assessed the evidence according to the methodological strengths of the studies. We did meta-regression analyses for age and gender, as potential moderators.
Results: Although the methodological quality of primary trials was good, there were few relevant studies; most were compromised by lack of power for moderator and mediator analyses. We found strong evidence that self-efficacy and depression at baseline predict outcome and strong evidence that pain catastrophizing and physical activity can mediate outcome from self-management. There was insufficient data on moderators of treatment.
Conclusions: The current evidence suggests four factors that relate to outcome as predictors/mediators, but there is no evidence for effect moderators. Future studies of mediation and moderation should be designed with ‘a priori’ hypotheses and adequate statistical power. | |
dc.format.extent | ? - ? | en_US |
dc.relation.ispartof | EUR J PAIN | en_US |
dc.subject | Moderator | en_US |
dc.subject | Sub-groups | en_US |
dc.subject | Predictor | en_US |
dc.subject | Mediator | en_US |
dc.subject | Self-management | en_US |
dc.subject | RCT | en_US |
dc.subject | Chronic pain | en_US |
dc.subject | Musculoskeletal pain | en_US |
dc.subject | Systematic review | en_US |
dc.subject | LOW-BACK-PAIN | en_US |
dc.subject | COGNITIVE-BEHAVIORAL TREATMENT | en_US |
dc.subject | RANDOMIZED CONTROLLED-TRIAL | en_US |
dc.subject | MULTIDISCIPLINARY REHABILITATION | en_US |
dc.subject | HEALTH-STATUS | en_US |
dc.subject | OLDER-ADULTS | en_US |
dc.subject | MODERATORS | en_US |
dc.subject | INTERVENTION | en_US |
dc.subject | METAANALYSIS | en_US |
dc.subject | OSTEOARTHRITIS | en_US |
dc.title | Can we identify how programmes aimed at promoting self-management in musculoskeletal pain work and who benefits? A systematic review of sub-group analysis within RCTs | en_US |
dc.type | Article | |
dc.rights.holder | © 2011 European Federation of Chapters of the International Association for the Study of Pain | |
dc.identifier.doi | 10.1016/j.ejpain.2011.01.016 | en_US |
pubs.issue | 8 | en_US |
pubs.notes | Not known | en_US |
pubs.volume | 15 | en_US |