Table 4.
Outcome measure | Study | Sample size | Statistic used | Heterogeneity | Effect size | Test for overall effect | Notes | ||||
---|---|---|---|---|---|---|---|---|---|---|---|
Intervention | Control | Total | I 2 (%) | [95 % CI] | Z-value | p-value | |||||
PAIN INTENSITY | |||||||||||
Education versus usual care | |||||||||||
“average pain” | Linton 1997; Soares 2002; Sparkes 2012; Ruehlman 2013 | 248 | 213 | 461 | SMD random | 0 | −0.01 | [−0.19, 0.17] | 0.12 | 0.90 | Figure 2 |
PPQ - pain in the last week | Ferrell 1997 | 10 | 10 | 20 | MD random | n/a | −2.80 | [−21.09, 15.49] | 0.30 | 0.76 | Sample >65 years |
Comparison of different types of education | |||||||||||
SF36 - bodily pain | van Oosterwijck 2013 | 15 | 15 | 30 | MD random | n/a | −3.40 | [19.98, 13.18] | 0.40 | 0.69 | |
DISABILITY | |||||||||||
Education versus usual care | |||||||||||
Disability or interference | Linton 1997; Ruehlman 2012; Sparkes 2012 | 230 | 196 | 426 | SMD random | 49 | 0.02 | [−0.31, 0.34] | 0.11 | 0.91 | Figure 4 |
Comparison of different types of education | |||||||||||
SF36 - physical function | van Oosterwijck 2013 | 15 | 15 | 30 | MD random | n/a | 5.30 | [−8.64, 19.24] | 0.75 | 0.46 | |
Roland Morris Disability Questionnaire | Moseley 2004 | 31 | 27 | 58 | MD random | n/a | −2.00 | [−3.55, −0.45] | 2.53 | 0.01 | Favours education |
Function and Disability (pooled data using negative RMDQ score for direct comparison) | van Oosterwijck 2013; Moseley 2004 | 46 | 42 | 88 | SMD random | 0 | 0.52 | [0.09, 0.95] | 2.38 | 0.02 | Figure 6; favours education |
SF36 - physical function | Ferrell 1997 | 10 | 10 | 20 | MD random | n/a | 6.70 | [−9.11, 22.51] | 0.83 | 0.41 | Sample >65 years |
PPQ patient pain questionnaire, SF-36 RAND 36-item health survey, 95 % CI 95 % confidence interval, effect size represented as standardised mean difference (SMD) or mean difference (MD) depending on statistic used; Random = random effects model; heterogeneity is not applicable (n/a) when reported as single study