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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
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
0004-3591
1976-1985
Lowe, Wendy
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Ballinger, Claire
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Protheroe, Jo
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Lueddeke, Jill
d7881f09-f4d8-4272-a3ba-e3c28bf50461
Nutbeam, Don
352dc808-9160-42e7-8b52-b8cac02ad486
Armstrong, Ray
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Falzon, Louise
858e3518-6098-488e-9a45-0a1056acef16
Edwards, Chris
dcb27fec-75ea-4575-a844-3588bcf14106
Russell, Cynthia
7004bba9-a609-47ed-9b7c-898eb3f2caa1
McCaffery, Kirsten
57a6624b-dc7a-49f3-98ab-c3eda522c809
Adams, Jo
6e38b8bb-9467-4585-86e4-14062b02bcba
Lowe, Wendy
52e7ece8-e94a-4501-842d-a0df2d6ce568
Ballinger, Claire
1495742c-90aa-4074-920e-95e6cc3d5380
Protheroe, Jo
6e104a66-e01f-41c3-a27b-90d612949fa6
Lueddeke, Jill
d7881f09-f4d8-4272-a3ba-e3c28bf50461
Nutbeam, Don
352dc808-9160-42e7-8b52-b8cac02ad486
Armstrong, Ray
496b7c78-3799-4913-a570-7f80e4464c1a
Falzon, Louise
858e3518-6098-488e-9a45-0a1056acef16
Edwards, Chris
dcb27fec-75ea-4575-a844-3588bcf14106
Russell, Cynthia
7004bba9-a609-47ed-9b7c-898eb3f2caa1
McCaffery, Kirsten
57a6624b-dc7a-49f3-98ab-c3eda522c809
Adams, Jo
6e38b8bb-9467-4585-86e4-14062b02bcba

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), 1976-1985. (doi:10.1002/acr.22085).

Record type: Article

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

Identifiers

Local EPrints ID: 359734
URI: https://eprints.soton.ac.uk/id/eprint/359734
ISSN: 0004-3591
PURE UUID: e5e51fc1-f1dd-47c2-9922-07343fb9248a
ORCID for Jo Adams: ORCID iD orcid.org/0000-0003-1765-7060

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Date deposited: 23 Jan 2014 09:34
Last modified: 20 Jul 2019 01:18

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