Title How can clinicians enhance self-efficacy beliefs in osteoarthritis? An overview of systematic reviews with meta-analysis.
Authors Martinez-Calderon, Javier , Cano-García, Francisco Javier , GARCÍA MUÑOZ, CRISTINA, Rufo-Barbero, Carmen , Matias-Soto, Javier , Infante-Cano, Marta
External publication No
Means CLINICAL RHEUMATOLOGY
Scope Article
Nature Científica
JCR Quartile 3
SJR Quartile 2
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-85188279412&doi=10.1007%2fs10067-024-06943-2&partnerID=40&md5=e6eb2cafed6841e83abede0544fb82b1
Publication date 22/03/2024
ISI 001190215900001
Scopus Id 2-s2.0-85188279412
DOI 10.1007/s10067-024-06943-2
Abstract This overview of reviews aimed to synthesize the effectiveness of non-pharmacological approaches to enhance self-efficacy in people with osteoarthritis. The CINAHL, Embase, PsycINFO, PubMed, SPORTDiscus, and the Cochrane Library databases were searched from inception to December 2023. We considered systematic reviews with meta-analysis of randomized clinical trials evaluating any non-pharmacological intervention. We used AMSTAR 2 to assess the methodological quality of reviews. The overlap between reviews was calculated. We included eight systematic reviews with meta-analysis evaluating 30 different clinical trials. Overall, mind-body exercises, psychological interventions, and self-management strategies may improve arthritis self-efficacy. Specifically, the meta-analyses showed tai chi exercises, coping skills training, and the arthritis self-management program are more effective than controls to enhance arthritis self-efficacy in people with hip and/or knee osteoarthritis. In addition, inconsistent results were detected across meta-analyses regarding the effectiveness of multidisciplinary interventions. Finally, the degree of overlap between all reviews was moderate (CCA = 6%) and many included reviews reported most of the items of AMSTAR 2. Tai chi exercises, coping skills training, and the arthritis self-management program may be beneficial for enhancing arthritis self-efficacy. Open Science Framework Registration: https://doi.org/10.17605/OSF.IO/VX2T6 .
Keywords Interventions; Meta-analysis; Osteoarthritis; Overview; Self-efficacy; Systematic review
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