Effectiveness of remotely delivered motivational conversations on health outcomes in patients living with musculoskeletal conditions: A systematic review and meta-analysis.

Autor: MacKean A; Guy's and St Thomas' NHS Foundation Trust Physiotherapy Department, London, UK., Godfrey E; Department of Population Health Sciences, School of Life Course and Population Sciences, Faculty of Life Sciences & Medicine, Kings College London, London, UK; Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK., Jones GD; Guy's and St Thomas' NHS Foundation Trust Physiotherapy Department, London, UK; Centre for Human and Applied Physiological Sciences (CHAPS), Faculty of Life Sciences & Medicine, King's College London, UK., Kedroff L; Physiotherapy Dept, Great Ormond Street Institute of Child Health, University College London, London, UK., Sparks L; University College London Hospitals NHS Foundation Trust Physiotherapy Department, London, UK., Jones GL; Guy's and St Thomas' NHS Foundation Trust Physiotherapy Department, London, UK. Electronic address: gareth.jones2@gstt.nhs.uk.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2024 Jun; Vol. 123, pp. 108204. Date of Electronic Publication: 2024 Feb 14.
DOI: 10.1016/j.pec.2024.108204
Abstrakt: Objective: To evaluate the efficacy of remotely delivered motivational conversations on health outcomes in musculoskeletal populations.
Methods: Four electronic databases (inception-March 2022) were searched and combined with grey literature. Randomised control trials (RCTs) evaluating the effect of remotely delivered motivational conversation-based interventions within musculoskeletal populations, using valid measures of pain, disability, quality of life (QoL), or self-efficacy were included. Overall quality was assessed using GRADE criteria. Meta-analyses were performed using random effects models with pooled effect sizes expressed as standardised mean differences ( ± 95%CIs).
Results: Twelve RCTs were included. Meta-analyses revealed very-low to moderate quality evidence that remote interventions have a positive effect on pain and disability both immediately post intervention and at long-term follow-up compared to control, and have a positive effect on self-efficacy immediately post intervention. There was no effect on QoL immediately post intervention or at long-term follow up.
Conclusion: Remotely delivered motivation-based conversational interventions have a positive effect on pain, disability, and self-efficacy but not on QoL.
Practice Implications: Motivational conversations, delivered remotely, may be effective in improving some health-related outcomes in MSK populations. However, higher quality evidence is needed to determine optimal intervention durations, and dosing frequencies using sufficient sample sizes and follow-up time frames.
Competing Interests: Declaration of Competing Interest None.
(Crown Copyright © 2024. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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