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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.authorFritsch, Carolina G.
dc.contributor.authorFerreira, Manuela L.
dc.contributor.authorSilva, Anne K. F. da [UNESP]
dc.contributor.authorSimic, Milena [UNESP]
dc.contributor.authorDunn, Kate M.
dc.contributor.authorCampbell, Paul
dc.contributor.authorFoster, Nadine E.
dc.contributor.authorFerreira, Paulo H.
dc.contributor.institutionUniv Sydney
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionKeele Univ
dc.contributor.institutionMidlands Partnership NHS Fdn Trust
dc.date.accessioned2021-06-25T11:49:13Z
dc.date.available2021-06-25T11:49:13Z
dc.date.issued2021-02-01
dc.description.abstractIntroduction: 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.affiliationUniv Sydney, Inst Bone & Joint Res, Kolling Inst, Northern Clin Sch, Sydney, NSW, Australia
dc.description.affiliationUniv Sydney, Fac Hlth Sci, Musculoskeletal Res Grp, Sydney, NSW, Australia
dc.description.affiliationSao Paulo State Univ, Fac Sci & Technol, Sao Paulo, Brazil
dc.description.affiliationKeele Univ, Fac Med & Hlth Sci, Primary Care Ctr Versus Arthrit, Sch Primary Community & Social Care, Keele, Staffs, England
dc.description.affiliationMidlands Partnership NHS Fdn Trust, St Georges Hosp, Dept Res & Innovat, Stafford, England
dc.description.affiliationUnespSao Paulo State Univ, Fac Sci & Technol, Sao Paulo, Brazil
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.description.sponsorshipAustralian National Health Medical Research Council (NHMRC) fellowships
dc.description.sponsorshipIdCAPES: 001
dc.format.extent140-157
dc.identifierhttp://dx.doi.org/10.1097/AJP.0000000000000897
dc.identifier.citationClinical Journal Of Pain. Philadelphia: Lippincott Williams & Wilkins, v. 37, n. 2, p. 140-157, 2021.
dc.identifier.doi10.1097/AJP.0000000000000897
dc.identifier.issn0749-8047
dc.identifier.urihttp://hdl.handle.net/11449/209122
dc.identifier.wosWOS:000609617800008
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofClinical Journal Of Pain
dc.sourceWeb of Science
dc.subjectmusculoskeletal pain
dc.subjectfamily
dc.subjectsystematic review
dc.titleFamily-based Interventions Benefit Individuals With Musculoskeletal Pain in the Short-term but not in the Long-Term A Systematic Review and Meta-Analysisen
dc.typeResenha
dcterms.rightsHolderLippincott Williams & Wilkins
dspace.entity.typePublication
unesp.author.orcid0000-0001-9148-882X[6]

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