Review: Can we identify how programmes aimed at promoting self‐management in musculoskeletal pain work and who benefits? A systematic review of sub‐group analysis within RCTs

Abstract

The current evidence suggests four factors that relate to outcome as predictors/mediators, but there is no evidence for effect moderators. Future studies of mediation and moderation should be designed with 'a priori' hypotheses and adequate statistical power.

Identifying potential moderators for response to treatment in low back pain: A systematic review

“…Our findings about treatment expectations also concur with earlier work [30][31][32]. A systematic review of factors that influenced outcome from self-management programmes for chronic musculoskeletal pain found that self-efficacy, depression, pain catastrophising and physical activity were important [33].…”

Predicting adjustment to chronic pain in older adults.

“…Although our data were cross sectional, our conclusion is consistent with findings of longitudinal research involving younger persons and demonstrating that these variables are predictive of future adjustment to pain (Miles et al, 2011).…”

Effectiveness of the Alfredson Protocol Compared With a Lower Repetition-Volume Protocol for Midportion Achilles Tendinopathy: A Randomized Controlled Trial

“…One potential benefit of active patient management is improved self-efficacy, which has been linked to positive outcomes for treatment of musculoskeletal conditions. 21 An often-mentioned threshold for good adherence to an eccentric-exercise regimen is above 75% of the total desired exercise volume (eg, 135 of 180 repetitions). 10,26,28 In our study, the standardregimen group achieved a mean exercise volume that was above this threshold.…”