How can clinicians enhance self-efficacy beliefs in osteoarthritis? An overview of systematic reviews with meta-analysis

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...

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Bibliographic Details
Published in:Clinical rheumatology 2024-05, Vol.43 (5), p.1435-1446
Main Authors: Martinez-Calderon, Javier, Cano-García, Francisco Javier, García-Muñoz, Cristina, Rufo-Barbero, Carmen, Matias-Soto, Javier, Infante-Cano, Marta
Format: Article
Language:English
Subjects:
Arthritis
Clinical trials
Exercise
Exercise Therapy
hips
Humans
Medicine
Medicine & Public Health
Meta-analysis
Osteoarthritis
Osteoarthritis, Knee - therapy
people
Review Article
Reviews
Rheumatology
Self Efficacy
Skill development
Systematic Reviews as Topic
Training
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Summary: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 .
ISSN:0770-3198
1434-9949
1434-9949
DOI:10.1007/s10067-024-06943-2