Journal
PATIENT EDUCATION AND COUNSELING
Volume 100, Issue 1, Pages 37-49Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2016.07.029
Keywords
Low back pain; Chronic; Self-management program; Systematic review; Meta analysis
Funding
- Youth Fund of Humanities and Social Science Research Foundation, Ministry of Education, China [14YJCZH024]
- Directing Program of Philosophy and Social Science Research Projects in Institutions of Higher Education, Jiangsu Province [2014SJD140]
- Qing Lan Project of Jiangsu Province
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Objective: To determine the effectiveness of self-management programs (SMPs) on chronic low back pain (CLBP). Methods: A search of randomized controlled trials (RCTs) was performed in Pubmed, Cochrane Library, Web of Science, Elsevier, and CINAHL through June, 2015. Two reviewers selected trials, conducted critical appraisal, and extracted data. Meta analyses were performed. Results: Thirteen moderate-quality RCTs were included. There were 9 RCTs for immediate post intervention on pain intensity and disability, 5 RCTs for short term, 3 RCTs for intermediate and 4 RCTs for long term. Specifically, the effect sizes (ESs) of SMP on pain intensity were -0.29, -0.20, -0.23, and -0.25 at immediate post-intervention, short-term, intermediate-term, and long-term follow-ups, respectively. The ESs on disability were -0.28, -0.23, -0.19, and -0.19 at immediate post-intervention, short-term, intermediate-term, and long-term follow-ups, respectively. Conclusion: For CLBP patients, there is moderate-quality evidence that SMP has a moderate effect on pain intensity, and small to moderate effect on disability. Practice implications: SMP can be regarded as an effective approach for CLBP management. In addition to face-to-face mode, internet-based strategy can also be considered as a useful option to deliver SMP. Theoretically driven programs are preferred. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
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