The effectiveness of musculoskeletal education interventions in people with lower literacy: a systematic review
The effectiveness of musculoskeletal education interventions in people with lower literacy: a systematic review
Objective: to conduct a systematic review to assess the effectiveness of patient education interventions delivered or directed by health professionals for people with musculoskeletal conditions who also have lower levels of literacy.
Methods: electronic databases were searched from 1946 to May 2012. Randomised controlled trials with primary interventions designed specifically for individuals with musculoskeletal conditions and lower levels of literacy were eligible for inclusion. The quality of the study was determined by assessing method of randomization, allocation concealment, creation and maintenance of comparable groups, blinding of patients and providers, control of confounding, and the validity and reliability of outcome measures.
Results: of the 2440 studies located using the search strategy, six studies met the inclusion criteria. Three public health community studies and three rheumatology clinic based studies delivered educational programmes to people with musculoskeletal conditions who also had lower levels of literacy. Three moderate quality studies suggest that musculoskeletal educational interventions had a small short term effect on knowledge and two moderate quality studies suggest musculoskeletal interventions had a small effect on self-efficacy (although results on self-efficacy were conflicting in one of these studies). Only one moderate quality study showed a small effect on anxiety and one on self perceived health and wellbeing in people with lower literacy.
Conclusions: high quality evidence is lacking on the effectiveness of musculoskeletal education interventions for people with lower literacy levels. Research programs that test the effectiveness of patient education interventions for arthritis must recruit and engage people with lower levels of literacy
1976-1985
Lowe, Wendy
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Ballinger, Claire
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Protheroe, Jo
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Lueddeke, Jill
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Nutbeam, Don
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Armstrong, Ray
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Falzon, Louise
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Edwards, Chris
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Russell, Cynthia
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McCaffery, Kirsten
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Adams, Jo
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December 2013
Lowe, Wendy
52e7ece8-e94a-4501-842d-a0df2d6ce568
Ballinger, Claire
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Protheroe, Jo
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Lueddeke, Jill
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Nutbeam, Don
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Armstrong, Ray
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Falzon, Louise
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Edwards, Chris
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Russell, Cynthia
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McCaffery, Kirsten
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Adams, Jo
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Lowe, Wendy, Ballinger, Claire, Protheroe, Jo, Lueddeke, Jill, Nutbeam, Don, Armstrong, Ray, Falzon, Louise, Edwards, Chris, Russell, Cynthia, McCaffery, Kirsten and Adams, Jo
(2013)
The effectiveness of musculoskeletal education interventions in people with lower literacy: a systematic review.
Arthritis & Rheumatism, 65 (12), .
(doi:10.1002/acr.22085).
Abstract
Objective: to conduct a systematic review to assess the effectiveness of patient education interventions delivered or directed by health professionals for people with musculoskeletal conditions who also have lower levels of literacy.
Methods: electronic databases were searched from 1946 to May 2012. Randomised controlled trials with primary interventions designed specifically for individuals with musculoskeletal conditions and lower levels of literacy were eligible for inclusion. The quality of the study was determined by assessing method of randomization, allocation concealment, creation and maintenance of comparable groups, blinding of patients and providers, control of confounding, and the validity and reliability of outcome measures.
Results: of the 2440 studies located using the search strategy, six studies met the inclusion criteria. Three public health community studies and three rheumatology clinic based studies delivered educational programmes to people with musculoskeletal conditions who also had lower levels of literacy. Three moderate quality studies suggest that musculoskeletal educational interventions had a small short term effect on knowledge and two moderate quality studies suggest musculoskeletal interventions had a small effect on self-efficacy (although results on self-efficacy were conflicting in one of these studies). Only one moderate quality study showed a small effect on anxiety and one on self perceived health and wellbeing in people with lower literacy.
Conclusions: high quality evidence is lacking on the effectiveness of musculoskeletal education interventions for people with lower literacy levels. Research programs that test the effectiveness of patient education interventions for arthritis must recruit and engage people with lower levels of literacy
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e-pub ahead of print date: 27 November 2013
Published date: December 2013
Organisations:
Physical & Rehabilitation Health, Primary Care & Population Sciences
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Local EPrints ID: 359734
URI: http://eprints.soton.ac.uk/id/eprint/359734
ISSN: 0004-3591
PURE UUID: e5e51fc1-f1dd-47c2-9922-07343fb9248a
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Date deposited: 23 Jan 2014 09:34
Last modified: 15 Mar 2024 02:49
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Author:
Wendy Lowe
Author:
Claire Ballinger
Author:
Jo Protheroe
Author:
Jill Lueddeke
Author:
Don Nutbeam
Author:
Ray Armstrong
Author:
Louise Falzon
Author:
Cynthia Russell
Author:
Kirsten McCaffery
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