Skip to main content

Research Repository

Advanced Search

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

Banerjee, Anirban; Hendrick, Paul; Bhattacharjee, Purba; Blake, Holly

Authors

Anirban Banerjee anirban.banerjee@nottingham.ac.uk

Paul Hendrick paul.hendrick@nottingham.ac.uk

Purba Bhattacharjee



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.

Citation

Banerjee, A., Hendrick, P., Bhattacharjee, P., & Blake, H. (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), https://doi.org/10.1016/j.pec.2017.12.002

Journal Article Type Article
Acceptance Date Dec 5, 2017
Online Publication Date Dec 10, 2017
Publication Date May 1, 2018
Deposit Date Feb 27, 2018
Publicly Available Date Dec 11, 2018
Journal Patient Education and Counseling
Print ISSN 0738-3991
Electronic ISSN 0738-3991
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 101
Issue 5
DOI https://doi.org/10.1016/j.pec.2017.12.002
Keywords Self-management, Chronic pain, Systematic review, Outcome measures
Public URL http://eprints.nottingham.ac.uk/id/eprint/50035
Publisher URL https://www.sciencedirect.com/science/article/pii/S0738399117306481?via%3Dihub
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0

Files


PEC_5843 Accepted Manuscript.pdf (553 Kb)
PDF

Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0





You might also like



Downloadable Citations