Family-based Interventions Benefit Individuals With Musculoskeletal Pain in the Short-term but not in the Long-Term A Systematic Review and Meta-Analysis
dc.contributor.author | Fritsch, Carolina G. | |
dc.contributor.author | Ferreira, Manuela L. | |
dc.contributor.author | Silva, Anne K. F. da [UNESP] | |
dc.contributor.author | Simic, Milena [UNESP] | |
dc.contributor.author | Dunn, Kate M. | |
dc.contributor.author | Campbell, Paul | |
dc.contributor.author | Foster, Nadine E. | |
dc.contributor.author | Ferreira, Paulo H. | |
dc.contributor.institution | Univ Sydney | |
dc.contributor.institution | Universidade Estadual Paulista (Unesp) | |
dc.contributor.institution | Keele Univ | |
dc.contributor.institution | Midlands Partnership NHS Fdn Trust | |
dc.date.accessioned | 2021-06-25T11:49:13Z | |
dc.date.available | 2021-06-25T11:49:13Z | |
dc.date.issued | 2021-02-01 | |
dc.description.abstract | Introduction: The benefits of family-based interventions for patients with musculoskeletal pain have been previously shown in individual randomized controlled trials (RCTs), but no systematic review has summarized their effects. Materials and Methods: A systematic review was conducted to assess the effectiveness of family-based interventions on clinical and biopsychosocial outcomes in people with musculoskeletal pain (PROSPERO CRD42018118442). Meta-analyses were performed for the outcomes of pain intensity, disability, mood, self-efficacy, and marital adjustment. Results: Of 1223 records identified, 18 reports representing 15 RCTs were included in the qualitative review and 10 in the meta-analyses. Family-based interventions were more effective to reduce pain (mean difference [MD], -3.55/100; 95% confidence intreval [CI], -4.03 to -3.06) and disability (MD, -1.51/100; 95% CI, -1.98 to -1.05) than individual-focused interventions at short-term, but not at mid term or long term. There were no effects on other outcomes. Family-based interventions were more effective to reduce pain (MD, -6.05/100; 95% CI, -6.78 to -5.33) compared with usual care only at short-term. No effects were found on disability and other outcomes. Discussion: There is moderate-quality evidence that family-based interventions result in small, significantly better pain and disability outcomes in the short-term compared with individual-focused interventions in patients with musculoskeletal pain. Based on low-quality evidence, family-based interventions result in small improvements on pain in the short-term compared with usual care. Future studies should review the content and optimize the mechanisms underpinning family-based interventions in musculoskeletal pain so that the approach could be further tested in adequately powered RCTs. | en |
dc.description.affiliation | Univ Sydney, Inst Bone & Joint Res, Kolling Inst, Northern Clin Sch, Sydney, NSW, Australia | |
dc.description.affiliation | Univ Sydney, Fac Hlth Sci, Musculoskeletal Res Grp, Sydney, NSW, Australia | |
dc.description.affiliation | Sao Paulo State Univ, Fac Sci & Technol, Sao Paulo, Brazil | |
dc.description.affiliation | Keele Univ, Fac Med & Hlth Sci, Primary Care Ctr Versus Arthrit, Sch Primary Community & Social Care, Keele, Staffs, England | |
dc.description.affiliation | Midlands Partnership NHS Fdn Trust, St Georges Hosp, Dept Res & Innovat, Stafford, England | |
dc.description.affiliationUnesp | Sao Paulo State Univ, Fac Sci & Technol, Sao Paulo, Brazil | |
dc.description.sponsorship | Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) | |
dc.description.sponsorship | Australian National Health Medical Research Council (NHMRC) fellowships | |
dc.description.sponsorshipId | CAPES: 001 | |
dc.format.extent | 140-157 | |
dc.identifier | http://dx.doi.org/10.1097/AJP.0000000000000897 | |
dc.identifier.citation | Clinical Journal Of Pain. Philadelphia: Lippincott Williams & Wilkins, v. 37, n. 2, p. 140-157, 2021. | |
dc.identifier.doi | 10.1097/AJP.0000000000000897 | |
dc.identifier.issn | 0749-8047 | |
dc.identifier.uri | http://hdl.handle.net/11449/209122 | |
dc.identifier.wos | WOS:000609617800008 | |
dc.language.iso | eng | |
dc.publisher | Lippincott Williams & Wilkins | |
dc.relation.ispartof | Clinical Journal Of Pain | |
dc.source | Web of Science | |
dc.subject | musculoskeletal pain | |
dc.subject | family | |
dc.subject | systematic review | |
dc.title | Family-based Interventions Benefit Individuals With Musculoskeletal Pain in the Short-term but not in the Long-Term A Systematic Review and Meta-Analysis | en |
dc.type | Resenha | |
dcterms.rightsHolder | Lippincott Williams & Wilkins | |
dspace.entity.type | Publication | |
unesp.author.orcid | 0000-0001-9148-882X[6] |