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
HOLLY BLAKE firstname.lastname@example.org
Professor of Behavioural Medicine
The aim of this review was to identify, appraise and synthesise the outcome measures used to assess self-management in patients with chronic pain.
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.
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.
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.
Multi-constructs measures (CPCI, heiQ) are suitable for assessing self-management.
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|
|Peer Reviewed||Peer Reviewed|
|Keywords||Self-management, Chronic pain, Systematic review, Outcome measures|
PEC_5843 Accepted Manuscript.pdf
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0
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