Fritsch, CG, Ferreira, ML, da Silva, AKF, Simic, M, Dunn, KM ORCID: https://orcid.org/0000-0002-6202-2606, Campbell, P ORCID: https://orcid.org/0000-0001-9148-882X, Foster, NE ORCID: https://orcid.org/0000-0003-4429-9756 and Ferreira, PH (2020) Family-based Interventions Benefit Individuals with Musculoskeletal Pain in the Short-term but not in the Long Term: A Systematic Review and Meta-analysis. Clinical Journal of Pain.

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Fritsch et al 2020 Manuscript 21Sep20.docx - Accepted Version
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Abstract

INTRODUCTION: The benefits of family-based interventions for patients with musculoskeletal pain have been previously shown in individual randomised controlled trials (RCTs), but no systematic review has summarised 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 1,223 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%CI -4.03, -3.06], and disability (MD: -1.51/100; 95%CI -1.98, -1.05) than individual-focused interventions at short-term, but not at mid 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, -5.33) compared to 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 to 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 to usual care. Future studies should review the content and optimise the mechanisms underpinning family-based interventions in musculoskeletal pain so that the approach could be further tested in adequately powered RCTs.

Item Type: Article
Additional Information: The final version of this accepted article can be found online with all relevant information at; https://journals.lww.com/clinicalpain/Abstract/9000/Family_based_Interventions_Benefit_Individuals.98655.aspx
Uncontrolled Keywords: musculoskeletal pain, pain
Subjects: R Medicine > R Medicine (General) > R735 Medical education. Medical schools. Research
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine > RC925 Diseases of the musculoskeletal system
Divisions: Faculty of Medicine and Health Sciences > School of Primary, Community and Social Care
Related URLs:
Depositing User: Symplectic
Date Deposited: 18 Nov 2020 16:19
Last Modified: 21 Nov 2020 15:22
URI: https://eprints.keele.ac.uk/id/eprint/8914

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