Arthritis Self-Efficacy Scale Scores in Knee Osteoarthritis: A Systematic Review and Meta-analysis Comparing Arthritis Self-Management Education With or Without Exercise.

Autor:	BRAND, EMILY, NYLAND, JOHN, HENZMAN, CAMERON, MCGINNIS, MARK
Předmět:	KNEE disease treatment OSTEOARTHRITIS treatment RESEARCH methodology evaluation CINAHL database CONFIDENCE intervals EXERCISE therapy EXPERIMENTAL design PSYCHOLOGY information storage & retrieval systems LIFE skills MEDLINE META-analysis PAIN PATIENT education SCALE analysis (Psychology) HEALTH self-care SELF-efficacy U-statistics SYSTEMATIC reviews EVIDENCE-based medicine EFFECT sizes (Statistics) DATA analysis software DESCRIPTIVE statistics EVALUATION
Zdroj:	Journal of Orthopaedic & Sports Physical Therapy; Dec2013, Vol. 43 Issue 12, p895-910, 16p
Abstrakt:	STUDY DESIGN: Systematic literature review and meta-analysis. OBJECTIVE: To evaluate studies that used arthritis self-management education alone or with exercise to improve Arthritis Self-Efficacy Scale scores of patients with knee osteoarthritis. BACKGROUND: Increasing self-efficacy may improve patient knee osteoarthritis symptom management and function. METHODS: MEDLINE (1946-March 2013), CINAHL (1981-March 2013), and PsycINFO (1967-March 2013) databases were searched. RESULTS: Twenty-four studies, including 3163 subjects (women, n = 2547 [80.5%]; mean ± SD age, 65.3 ± 6.5 years), met the inclusion criteria. A meta-analysis was performed to compare the standardized mean difference effect sizes (Cohen d) of randomized controlled studies that used the Arthritis Self-Efficacy Scale pain (13 studies, n = 1906), other symptoms (13 studies, n = 1957), and function (5 studies, n = 399) subscales. Cohen d effect sizes were also calculated for cohort studies that used the Arthritis Self-Efficacy Scale pain (10 studies, n = 1035), other symptoms (9 studies, n = 913), and function (3 studies, n = 141) subscales. Both randomized controlled studies and cohort studies were grouped by intervention type (intervention 1, arthritis self-management education alone; intervention 2, arthritis self-management education with exercise), and effect sizes were compared (Mann-Whitney U tests, P<.05). Interventions that used arthritis self-management education with exercise displayed higher methodological quality scale scores (76.8 ± 13.1 versus 61.6 ± 19.6, P = .03). Statistically significant standardized effect-size differences between intervention 1 and intervention 2 were not observed. CONCLUSION: Small to moderate effect sizes were observed regardless of whether the intervention included exercise. Exercise interventions used in conjunction with arthritis self-management education programs need to be developed to better enhance the self-efficacy of patients with knee osteoarthritis. LEVEL OF EVIDENCE: Therapy, level 2b-. J Orthop Sports Phys Ther 2013;43(12):895-910. Epub 30 October 2013. doi:10.2519/jospt.2013.4471 [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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