Talia Barnet-Hepples , Amabile Dario , Juliana Oliveira , Christopher Maher , Anne Tiedemann , Anita Amorim
{"title":"健康指导可改善慢性非癌性疼痛成人的体育活动、残疾和疼痛状况：系统性综述。","authors":"Talia Barnet-Hepples , Amabile Dario , Juliana Oliveira , Christopher Maher , Anne Tiedemann , Anita Amorim","doi":"10.1016/j.jphys.2024.01.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Question</h3><p>What is the effect of health coaching on physical activity, disability, pain and quality of life compared with a non-active control in adults with chronic non-cancer pain?</p></div><div><h3>Design</h3><p>Systematic review and meta-analysis of randomised controlled trials. Evidence was synthesised as standardised mean differences with 95% confidence intervals using random-effects models. Risk of bias was assessed using the revised Cochrane risk of bias tool. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was used to determine evidence certainty.</p></div><div><h3>Data sources</h3><p>MEDLINE, Embase, CENTRAL, CINAHL, Scopus and PEDro were searched from inception to November 2023.</p></div><div><h3>Participants</h3><p>Adults with chronic non-cancer pain.</p></div><div><h3>Intervention</h3><p>Health coaching to increase physical activity.</p></div><div><h3>Outcome measures</h3><p>Measures of physical activity, disability, pain and quality of life.</p></div><div><h3>Results</h3><p>Twenty-six randomised trials (n = 4,403) were included. Trials had moderate to high risk of bias. Health coaching had a trivial to small effect on improving physical activity compared with control (15 trials; SMD 0.21, 95% CI 0.07 to 0.35; low certainty evidence). Health coaching had a small effect on improving disability (19 trials; SMD 0.25, 95% CI 0.17 to 0.32; moderate certainty evidence) and pain (19 trials; SMD 0.31, 95% CI 0.18 to 0.43; very low certainty evidence) compared with control. The effect of health coaching on quality of life was unclear due to significant imprecision in the effect estimate (five trials; SMD 0.19, 95% CI –0.14 to 0.53; moderate certainty evidence).</p></div><div><h3>Conclusion</h3><p>Health coaching promotes a trivial to small improvement in physical activity and small improvements in disability and pain in adults with chronic non-cancer pain. The effect of health coaching on quality of life remains unclear.</p></div><div><h3>Registration</h3><p>PROSPERO CRD42020182740.</p></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 2","pages":"Pages 115-123"},"PeriodicalIF":9.7000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S183695532400002X/pdfft?md5=18b0268dbfa50d8d528be30d176f02c5&pid=1-s2.0-S183695532400002X-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Health coaching improves physical activity, disability and pain in adults with chronic non-cancer pain: a systematic review\",\"authors\":\"Talia Barnet-Hepples , Amabile Dario , Juliana Oliveira , Christopher Maher , Anne Tiedemann , Anita Amorim\",\"doi\":\"10.1016/j.jphys.2024.01.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Question</h3><p>What is the effect of health coaching on physical activity, disability, pain and quality of life compared with a non-active control in adults with chronic non-cancer pain?</p></div><div><h3>Design</h3><p>Systematic review and meta-analysis of randomised controlled trials. Evidence was synthesised as standardised mean differences with 95% confidence intervals using random-effects models. Risk of bias was assessed using the revised Cochrane risk of bias tool. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was used to determine evidence certainty.</p></div><div><h3>Data sources</h3><p>MEDLINE, Embase, CENTRAL, CINAHL, Scopus and PEDro were searched from inception to November 2023.</p></div><div><h3>Participants</h3><p>Adults with chronic non-cancer pain.</p></div><div><h3>Intervention</h3><p>Health coaching to increase physical activity.</p></div><div><h3>Outcome measures</h3><p>Measures of physical activity, disability, pain and quality of life.</p></div><div><h3>Results</h3><p>Twenty-six randomised trials (n = 4,403) were included. Trials had moderate to high risk of bias. Health coaching had a trivial to small effect on improving physical activity compared with control (15 trials; SMD 0.21, 95% CI 0.07 to 0.35; low certainty evidence). Health coaching had a small effect on improving disability (19 trials; SMD 0.25, 95% CI 0.17 to 0.32; moderate certainty evidence) and pain (19 trials; SMD 0.31, 95% CI 0.18 to 0.43; very low certainty evidence) compared with control. The effect of health coaching on quality of life was unclear due to significant imprecision in the effect estimate (five trials; SMD 0.19, 95% CI –0.14 to 0.53; moderate certainty evidence).</p></div><div><h3>Conclusion</h3><p>Health coaching promotes a trivial to small improvement in physical activity and small improvements in disability and pain in adults with chronic non-cancer pain. 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Health coaching improves physical activity, disability and pain in adults with chronic non-cancer pain: a systematic review
Question
What is the effect of health coaching on physical activity, disability, pain and quality of life compared with a non-active control in adults with chronic non-cancer pain?
Design
Systematic review and meta-analysis of randomised controlled trials. Evidence was synthesised as standardised mean differences with 95% confidence intervals using random-effects models. Risk of bias was assessed using the revised Cochrane risk of bias tool. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was used to determine evidence certainty.
Data sources
MEDLINE, Embase, CENTRAL, CINAHL, Scopus and PEDro were searched from inception to November 2023.
Participants
Adults with chronic non-cancer pain.
Intervention
Health coaching to increase physical activity.
Outcome measures
Measures of physical activity, disability, pain and quality of life.
Results
Twenty-six randomised trials (n = 4,403) were included. Trials had moderate to high risk of bias. Health coaching had a trivial to small effect on improving physical activity compared with control (15 trials; SMD 0.21, 95% CI 0.07 to 0.35; low certainty evidence). Health coaching had a small effect on improving disability (19 trials; SMD 0.25, 95% CI 0.17 to 0.32; moderate certainty evidence) and pain (19 trials; SMD 0.31, 95% CI 0.18 to 0.43; very low certainty evidence) compared with control. The effect of health coaching on quality of life was unclear due to significant imprecision in the effect estimate (five trials; SMD 0.19, 95% CI –0.14 to 0.53; moderate certainty evidence).
Conclusion
Health coaching promotes a trivial to small improvement in physical activity and small improvements in disability and pain in adults with chronic non-cancer pain. The effect of health coaching on quality of life remains unclear.
期刊介绍：
The Journal of Physiotherapy is the official journal of the Australian Physiotherapy Association. It aims to publish high-quality research with a significant impact on global physiotherapy practice. The journal's vision is to lead the field in supporting clinicians to access, understand, and implement research evidence that will enhance person-centred care. In January 2008, the Journal of Physiotherapy became the first physiotherapy journal to adhere to the ICMJE requirement of registering randomized trials with a recognized Trial Registry. The journal prioritizes systematic reviews, clinical trials, economic analyses, experimental studies, qualitative studies, epidemiological studies, and observational studies. In January 2014, it also became the first core physiotherapy/physical therapy journal to provide free access to editorials and peer-reviewed original research. The Australian Physiotherapy Association extended their support for excellence in physiotherapy practice by sponsoring open access publication of all Journal of Physiotherapy content in 2016. As a result, all past, present, and future journal articles are freely accessible, and there are no author fees for publication.
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