CG Fritsch
Family-based Interventions Benefit Individuals with Musculoskeletal Pain in the Short-term but not in the Long Term: A Systematic Review and Meta-analysis.
Fritsch, CG; Ferreira, ML; da Silva, AKF; Simic, M; Dunn, K; Campbell, P; Foster, NE; Ferreira, PH
Authors
ML Ferreira
AKF da Silva
M Simic
Professor Kathryn Dunn k.m.dunn@keele.ac.uk
Dr Paul Campbell p.campbell@keele.ac.uk
Honorary Reader
NE Foster
PH Ferreira
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.
Journal Article Type | Article |
---|---|
Acceptance Date | Oct 27, 2020 |
Publication Date | Feb 1, 2021 |
Publicly Available Date | Mar 28, 2024 |
Journal | Clinical Journal of Pain |
Print ISSN | 0749-8047 |
Publisher | Lippincott, Williams & Wilkins |
Peer Reviewed | Peer Reviewed |
Volume | 37 |
Issue | 2 |
Pages | 140-157 |
DOI | https://doi.org/10.1097/AJP.0000000000000897 |
Keywords | musculoskeletal pain, pain |
Publisher URL | https://journals.lww.com/clinicalpain/Abstract/9000/Family_based_Interventions_Benefit_Individuals.98655.aspx |
Files
Fritsch et al 2020 Manuscript 21Sep20.docx
(442 Kb)
Document
Publisher Licence URL
https://creativecommons.org/licenses/by-nc/4.0/
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