A systematic review of outcome measures utilised to assess self-management in clinical trials in patients with chronic pain

Banerjee, Anirban and Hendrick, Paul and Bhattacharjee, Purba and Blake, Holly (2018) A systematic review of outcome measures utilised to assess self-management in clinical trials in patients with chronic pain. Patient Education and Counseling, 101 (5). pp. 767-778. ISSN 0738-3991

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Abstract

Objectives

The aim of this review was to identify, appraise and synthesise the outcome measures used to assess self-management in patients with chronic pain.

Methods

Medline, Embase, CINAHL, PsycINFO, the Cochrane Library and Google Scholar were searched to identify quantitative measures used within randomised or non-randomised clinical trials to assess self-management in adults (≥18 years) with chronic pain.

Results

25 RCTs published between 1998 and 2016 were included in this review. Studies included patients with chronic pain, hip/knee osteoarthritis, rheumatoid arthritis, chronic low back pain, fibromyalgia and chronic fatigue syndrome. Included studies utilised 14 different measures assessing a variety of constructs including self-efficacy (n = 19), coping (n = 4), empowerment (n = 2), pain attitude and management (n = 3), self-care (n = 1), role behaviour (n = 1) and multiple constructs of self-management (n = 1). The Chronic Pain Coping Inventory (CPCI) and Health Education Impact Questionnaire (heiQ) cover different self-management related constructs across the physical, mental and social health domains.

Conclusion

The review identified 14 measures used as proxy measure to assess self-management in patients with chronic pain. These measures have good content and construct validity, and internal consistency. However additional research is required to develop their reliability, responsiveness and interpretability.

Practice implications

Multi-constructs measures (CPCI, heiQ) are suitable for assessing self-management.

Item Type: Article
Keywords: Self-management, Chronic pain, Systematic review, Outcome measures
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Health Sciences
Identification Number: https://doi.org/10.1016/j.pec.2017.12.002
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Depositing User: Banerjee, Anirban
Date Deposited: 27 Feb 2018 09:48
Last Modified: 10 Dec 2018 04:30
URI: http://eprints.nottingham.ac.uk/id/eprint/50035

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