Arthritis Self-Efficacy Scale Scores in Knee Osteoarthritis: A Systematic Review and Meta-analysis Comparing Arthritis Self-Management Education With or Without Exercise
Arthritis Self-Efficacy Scale Scores in Knee Osteoarthritis: A Systematic Review and Meta-analysis Comparing Arthritis Self-Management Education With or Without Exercise
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DOI：
10.2519/jospt.2013.4471
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发表时间：
2013-12-01
影响因子：
6.1
通讯作者：
McGinnis, Mark
中科院分区：
文献类型：
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作者：
Brand, Emily;Nyland, John;McGinnis, Mark
研究设计：系统性文献综述和荟萃分析目的：评价单独使用关节炎自我管理教育或结合运动改善膝关节骨关节炎患者关节炎自我效能量表评分的研究。背景：增加自我效能可能改善患者膝关节骨关节炎症状管理和功能。Medline（1946年-2013年3月），CINAHL（1981年-2013年3月）和PsycINFO结果：共检索到24篇文献，包括3163例受试者（女性，n = 2547 [80.5%];平均+/- SD年龄，65.3 +/- 6.5岁），符合入选标准。进行了一项荟萃分析，以比较使用关节炎自我效能量表疼痛（13项研究，n = 1906）、其他症状（13项研究，n = 1957）和功能（5项研究，n = 399）子量表的随机对照研究的标准化平均差异效应量（Cohen d）。还计算了使用关节炎自我效能量表疼痛（10项研究，n = 1035）、其他症状（9项研究，n = 913）和功能（3项研究，n = 141）子量表的队列研究的Cohen d效应量。随机对照研究和队列研究均按干预类型进行分组（干预1，仅关节炎自我管理教育：干预2，关节炎自我管理教育与运动），并比较效应大小（Mann-Whitney U检验，P
STUDY DESIGN: Systematic literature review and meta-analysis.OBJECTIVE: To evaluate studies that used arthritis self-management education alone or with exercise to improve Arthritis Self-Efficacy Scale scores of patients with knee osteoarthritis.BACKGROUND: Increasing self-efficacy may improve patient knee osteoarthritis symptom management and function.METHODS: MEDLINE (1946-March 2013), CINAHL (1981-March 2013), and PsycINFO (1967-March 2013) databases were searched.RESULTS: Twenty-four studies, including 3163 subjects (women, n = 2547 [80.5%]; mean +/- SD age, 65.3 +/- 6.5 years), met the inclusion criteria. A meta-analysis was performed to compare the standardized mean difference effect sizes (Cohen d) of randomized controlled studies that used the Arthritis Self-Efficacy Scale pain (13 studies, n = 1906), other symptoms (13 studies, n = 1957), and function (5 studies, n = 399) subscales. Cohen d effect sizes were also calculated for cohort studies that used the Arthritis Self-Efficacy Scale pain (10 studies, n = 1035), other symptoms (9 studies, n = 913), and function (3 studies, n = 141) subscales. Both randomized controlled studies and cohort studies were grouped by intervention type (intervention 1, arthritis self-management education alone: intervention 2, arthritis self-management education with exercise), and effect sizes were compared (Mann-Whitney U tests, P