Cochrane · systematic review · CD008963
Self‐management education programmes for osteoarthritis
Kroon, FPB, van der Burg, LRA, Buchbinder, R, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
26
No studies
1
Included studies
NR
No studies 1 · 3.6%Ungraded 1 · 3.6%Very low 0 · 0%Low 8 · 28.6%Moderate 18 · 64.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
SMP compared to Attention control for osteoarthritis
Population: patients with osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Self‐management of OA Arthritis self‐efficacy scale (ASES). Scale from 1 to 10, higher better SMP vs Attention control | no estimate extracted | 344 participants | Low Downgraded: indirectness |
Positive and active engagement in life —not measured SMP vs Attention control | no estimate extracted | NR | No studies |
Pain Multiple tools4. Scale from: 0 to 10, 0 = no pain SMP vs Attention control | no estimate extracted | 575 participants | Low Downgraded: indirectness |
Global OA scores AIMS2 (average of physical, affect, and pain subscales). Scale from 0 to 10, lower better SMP vs Attention control | no estimate extracted | 251 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Self‐reported function Multiple tools.7 Lower score better SMP vs Attention control | no estimate extracted | 574 participants | Low Downgraded: indirectness |
Quality of life Quality of well‐being scale. Scale from 0 to 1, higher better SMP vs Attention control | no estimate extracted | 165 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Withdrawals SMP vs Attention control | RR 1.11 [0.78, 1.57] | 937 participants | Moderate Downgraded: risk of bias, imprecision, indirectness |
SMP compared with usual care for osteoarthritis
Population: patients with osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Self‐management of OA Multiple tools1. Scale from 1 to 10, higher better SMP vs usual care | no estimate extracted | 11 studies · 1706 participants | Moderate Downgraded: risk of bias, inconsistency |
Positive and active engagement in life Multiple tools4 SMP vs usual care | no estimate extracted | 357 participants | Moderate Downgraded: risk of bias, inconsistency |
Pain Multiple tools6 SMP vs usual care | no estimate extracted | 14 studies · 2083 participants | Moderate Downgraded: risk of bias, inconsistency |
Global OA scores Multiple tools8 SMP vs usual care | no estimate extracted | 1957 participants | Moderate Downgraded: risk of bias, inconsistency |
Function—Self‐reported Scale from 0 to 68. Lower score is better SMP vs usual care | no estimate extracted | 13 studies · 2254 participants | Moderate Downgraded: risk of bias, inconsistency |
Quality of life Multiple tools11 SMP vs usual care | no estimate extracted | 1383 participants | Moderate Downgraded: risk of bias, inconsistency |
Withdrawals Losses to SMP vs usual care | RR 0.99 [0.74, 1.33] | 16 studies · 3738 participants | Low Downgraded: risk of bias, inconsistency |
SMP compared with information only for osteoarthritis
Population: patients with osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Self‐management of OA Multiple tools1. Scale from 5 to 35 points (higher better) SMP vs information only | no estimate extracted | 760 participants | Moderate Downgraded: risk of bias |
Positive and active engagement in life heiQ subscale for positive and active engagement in life. Scale from 1 to 6 (higher better) SMP vs information only | no estimate extracted | 93 participants | Low Downgraded: risk of bias |
Pain WOMAC subscale for pain . Scale from 0 to 20 (lower better) SMP vs information only | no estimate extracted | 751 participants | Moderate Downgraded: risk of bias |
Global OA scores Multiple tools6. Scale from 0 to 96 (lower score better) SMP vs information only | no estimate extracted | 751 participants | Moderate Downgraded: risk of bias |
Self‐reported function Multiple tools7. Scale from 0 to 68 (lower better) SMP vs information only | no estimate extracted | 854 participants | Moderate Downgraded: risk of bias |
Quality of life Multiple tools8. Scale from 0 to 100 (higher better) SMP vs information only | no estimate extracted | 648 participants | Moderate Downgraded: risk of bias |
Withdrawals Losses to SMP vs information only | RR 1.6 [0.75, 3.4] | 1251 participants | Low Downgraded: risk of bias |
SMP compared with non‐SMP intervention for osteoarthritis
Population: patients with osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Self‐management of OA Arthritis self‐efficacy scale. Scale from 30 to 300. SMP vs non‐SMP intervention | no estimate extracted | 175 participants | Moderate Downgraded: risk of bias |
Positive and active engagement in life Not measured SMP vs non‐SMP intervention | no estimate extracted | 0 studies · 0 participants | Ungraded |
Pain Multiple tools3. Scale from 0 to 20. Lower score is better. SMP vs non‐SMP intervention | no estimate extracted | 321 participants | Moderate Downgraded: risk of bias |
Global OA scores WOMAC. Scale from 0 to 240. Lower score is better. SMP vs non‐SMP intervention | no estimate extracted | 98 participants | Moderate Downgraded: risk of bias |
Function—Self‐reported Multiple tools3. Scale from 0 to 68. Lower score is better. SMP vs non‐SMP intervention | no estimate extracted | 216 participants | Moderate Downgraded: risk of bias |
Quality of life Multiple tools6. Scale from 0 to 1. Higher score is better. SMP vs non‐SMP intervention | no estimate extracted | 226 participants | Moderate Downgraded: risk of bias |
Withdrawals Losses to SMP vs non‐SMP intervention | RR 0.86 [0.69, 1.09] | 919 participants | Moderate Downgraded: risk of bias |