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Effectiveness of Musculoskeletal Education Interventions in People With Low Literacy Levels: A Systematic Review

OBJECTIVE: To conduct a systematic review to assess the effectiveness of patient education interventions delivered or directed by health professionals for people with musculoskeletal conditions who also have lower levels of literacy. METHODS: Electronic databases were searched from 1946 to May 2012....

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Autores principales: Lowe, Wendy, Ballinger, Claire, Protheroe, Jo, Lueddeke, Jill, Nutbeam, Don, Armstrong, Ray, Falzon, Louise, Edwards, Chris, Russell, Cynthia, McCaffery, Kirsten, Adams, Jo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BlackWell Publishing Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4298758/
https://www.ncbi.nlm.nih.gov/pubmed/23925869
http://dx.doi.org/10.1002/acr.22085
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author Lowe, Wendy
Ballinger, Claire
Protheroe, Jo
Lueddeke, Jill
Nutbeam, Don
Armstrong, Ray
Falzon, Louise
Edwards, Chris
Russell, Cynthia
McCaffery, Kirsten
Adams, Jo
author_facet Lowe, Wendy
Ballinger, Claire
Protheroe, Jo
Lueddeke, Jill
Nutbeam, Don
Armstrong, Ray
Falzon, Louise
Edwards, Chris
Russell, Cynthia
McCaffery, Kirsten
Adams, Jo
author_sort Lowe, Wendy
collection PubMed
description OBJECTIVE: To conduct a systematic review to assess the effectiveness of patient education interventions delivered or directed by health professionals for people with musculoskeletal conditions who also have lower levels of literacy. METHODS: Electronic databases were searched from 1946 to May 2012. Randomized controlled trials with primary interventions designed specifically for individuals with musculoskeletal conditions and lower levels of literacy were eligible for inclusion. The quality of the study was determined by assessing method of randomization, allocation concealment, creation and maintenance of comparable groups, blinding of patients and providers, control of confounding, and the validity and reliability of outcome measures. RESULTS: Of the 2,440 studies located using the search strategy, 6 studies met the inclusion criteria. Three public health community studies and 3 rheumatology clinic-based studies delivered educational programs to people with musculoskeletal conditions who also had lower levels of literacy. Three moderate quality studies suggest that musculoskeletal educational interventions had a small short-term effect on knowledge and 2 moderate quality studies suggest musculoskeletal interventions had a small effect on self-efficacy (although results on self-efficacy were conflicting in 1 of these studies). Only 1 moderate quality study showed a small effect on anxiety and 1 on self-perceived health and well-being in people with lower literacy. CONCLUSION: High quality evidence is lacking on the effectiveness of musculoskeletal education interventions for people with lower literacy levels. Research programs that test the effectiveness of patient education interventions for arthritis must recruit and engage people with lower levels of literacy.
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spelling pubmed-42987582015-01-27 Effectiveness of Musculoskeletal Education Interventions in People With Low Literacy Levels: A Systematic Review Lowe, Wendy Ballinger, Claire Protheroe, Jo Lueddeke, Jill Nutbeam, Don Armstrong, Ray Falzon, Louise Edwards, Chris Russell, Cynthia McCaffery, Kirsten Adams, Jo Arthritis Care Res (Hoboken) Musculoskeletal Education OBJECTIVE: To conduct a systematic review to assess the effectiveness of patient education interventions delivered or directed by health professionals for people with musculoskeletal conditions who also have lower levels of literacy. METHODS: Electronic databases were searched from 1946 to May 2012. Randomized controlled trials with primary interventions designed specifically for individuals with musculoskeletal conditions and lower levels of literacy were eligible for inclusion. The quality of the study was determined by assessing method of randomization, allocation concealment, creation and maintenance of comparable groups, blinding of patients and providers, control of confounding, and the validity and reliability of outcome measures. RESULTS: Of the 2,440 studies located using the search strategy, 6 studies met the inclusion criteria. Three public health community studies and 3 rheumatology clinic-based studies delivered educational programs to people with musculoskeletal conditions who also had lower levels of literacy. Three moderate quality studies suggest that musculoskeletal educational interventions had a small short-term effect on knowledge and 2 moderate quality studies suggest musculoskeletal interventions had a small effect on self-efficacy (although results on self-efficacy were conflicting in 1 of these studies). Only 1 moderate quality study showed a small effect on anxiety and 1 on self-perceived health and well-being in people with lower literacy. CONCLUSION: High quality evidence is lacking on the effectiveness of musculoskeletal education interventions for people with lower literacy levels. Research programs that test the effectiveness of patient education interventions for arthritis must recruit and engage people with lower levels of literacy. BlackWell Publishing Ltd 2013-12 2013-11-27 /pmc/articles/PMC4298758/ /pubmed/23925869 http://dx.doi.org/10.1002/acr.22085 Text en © 2013 The Authors. Arthritis Care & Research is published by Wiley Periodicals, Inc. on behalf of the American College of Rheumatology. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Musculoskeletal Education
Lowe, Wendy
Ballinger, Claire
Protheroe, Jo
Lueddeke, Jill
Nutbeam, Don
Armstrong, Ray
Falzon, Louise
Edwards, Chris
Russell, Cynthia
McCaffery, Kirsten
Adams, Jo
Effectiveness of Musculoskeletal Education Interventions in People With Low Literacy Levels: A Systematic Review
title Effectiveness of Musculoskeletal Education Interventions in People With Low Literacy Levels: A Systematic Review
title_full Effectiveness of Musculoskeletal Education Interventions in People With Low Literacy Levels: A Systematic Review
title_fullStr Effectiveness of Musculoskeletal Education Interventions in People With Low Literacy Levels: A Systematic Review
title_full_unstemmed Effectiveness of Musculoskeletal Education Interventions in People With Low Literacy Levels: A Systematic Review
title_short Effectiveness of Musculoskeletal Education Interventions in People With Low Literacy Levels: A Systematic Review
title_sort effectiveness of musculoskeletal education interventions in people with low literacy levels: a systematic review
topic Musculoskeletal Education
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4298758/
https://www.ncbi.nlm.nih.gov/pubmed/23925869
http://dx.doi.org/10.1002/acr.22085
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