Emma S Martin1,2, Fiona Dobson1,3, Michelle Hall3, Charlotte Marshall3, Thorlene Egerton1,3. 1. Department of Physiotherapy, University of Melbourne, Melbourne, VIC, Australia. 2. St Vincent's Hospital, Melbourne, VIC, Australia. 3. Centre for Health Exercise & Sports Medicine, University of Melbourne, Melbourne, VIC, Australia.
Abstract
OBJECTIVE: A systematic review and meta-analysis of controlled trials was carried out to examine the effect of behavioural counselling on determinants of behaviour change in adults with chronic, painful musculoskeletal conditions. METHODS: Seven databases were searched up to January 2019. Two reviewers independently screened title/abstracts and full texts. Eligible trials included those including participants over 18 years of age with a chronic, painful musculoskeletal condition, a measurement of at least one behavioural determinant and lifestyle behaviour, and where behavioural counselling was the distinguishing intervention. Two reviewers independently extracted data and assessed for risk of bias using the Cochrane Risk of Bias Tool. Meta-analyses were conducted, using standardized mean differences and 95% confidence intervals (CIs) when at least two trials examined the same outcome. The quality of the evidence was evaluated using the Grades of Recommendation, Assessment, Development and Evaluation approach. RESULTS: Fourteen unique trials, reported in 16 publications, were included. Low-quality evidence showed that behavioural counselling has a small effect on increasing self-reported physical activity (standardized mean difference 0.26; 95% CI 0.00, 0.53). Very-low-quality evidence showed that behavioural counselling has a moderate effect on self-efficacy related to physical activity (standardized mean difference 0.69; 95% CI 0.19, 1.18). Low-quality evidence suggested that behavioural counselling has no effect on symptoms of depression and anxiety. CONCLUSIONS: Behavioural counselling may help to increase self-reported physical activity levels in adults with chronic painful musculoskeletal conditions. Self-efficacy may be a behavioural determinant in an underlying causal pathway explaining positive lifestyle change.
OBJECTIVE: A systematic review and meta-analysis of controlled trials was carried out to examine the effect of behavioural counselling on determinants of behaviour change in adults with chronic, painful musculoskeletal conditions. METHODS: Seven databases were searched up to January 2019. Two reviewers independently screened title/abstracts and full texts. Eligible trials included those including participants over 18 years of age with a chronic, painful musculoskeletal condition, a measurement of at least one behavioural determinant and lifestyle behaviour, and where behavioural counselling was the distinguishing intervention. Two reviewers independently extracted data and assessed for risk of bias using the Cochrane Risk of Bias Tool. Meta-analyses were conducted, using standardized mean differences and 95% confidence intervals (CIs) when at least two trials examined the same outcome. The quality of the evidence was evaluated using the Grades of Recommendation, Assessment, Development and Evaluation approach. RESULTS: Fourteen unique trials, reported in 16 publications, were included. Low-quality evidence showed that behavioural counselling has a small effect on increasing self-reported physical activity (standardized mean difference 0.26; 95% CI 0.00, 0.53). Very-low-quality evidence showed that behavioural counselling has a moderate effect on self-efficacy related to physical activity (standardized mean difference 0.69; 95% CI 0.19, 1.18). Low-quality evidence suggested that behavioural counselling has no effect on symptoms of depression and anxiety. CONCLUSIONS: Behavioural counselling may help to increase self-reported physical activity levels in adults with chronic painful musculoskeletal conditions. Self-efficacy may be a behavioural determinant in an underlying causal pathway explaining positive lifestyle change.
Authors: Gordon J Hendry; Lindsay Bearne; Nadine E Foster; Emma Godfrey; Samantha Hider; Lisa Jolly; Helen Mason; Alex McConnachie; Iain B McInnes; Aimie Patience; Catherine Sackley; Mandeep Sekhon; Bethany Stanley; Marike van der Leeden; Anita E Williams; Jim Woodburn; Martijn P M Steultjens Journal: Pilot Feasibility Stud Date: 2022-05-30
Authors: Kim L Bennell; Catherine Keating; Belinda J Lawford; Alexander J Kimp; Thorlene Egerton; Courtney Brown; Jessica Kasza; Libby Spiers; Joseph Proietto; Priya Sumithran; Jonathan G Quicke; Rana S Hinman; Anthony Harris; Andrew M Briggs; Carolyn Page; Peter F Choong; Michelle M Dowsey; Francis Keefe; Christine Rini Journal: BMC Musculoskelet Disord Date: 2020-03-12 Impact factor: 2.362