一项针对增加慢性肌肉骨骼疼痛成年人身体活动的干预措施的系统评价——方案
A systematic review of interventions aimed at increasing physical activity in adults with chronic musculoskeletal pain--protocol.
作者信息
Marley Joanne, Tully Mark A, Porter-Armstrong Alison, Bunting Brendan, O'Hanlon John, McDonough Suzanne M
机构信息
Centre for Health and Rehabilitation Technologies, Institute of Nursing and Health, School of Health Sciences, University of Ulster, Shore Road, Newtownabbey, Co Antrim BT37 0QB, UK.
出版信息
Syst Rev. 2014 Sep 19;3:106. doi: 10.1186/2046-4053-3-106.
BACKGROUND
Chronic musculoskeletal pain is highly prevalent, affecting around one in five people across Europe. Osteoarthritis, low back pain, neck pain and other musculoskeletal disorders are leading causes of disability worldwide and the most common source of chronic pain. Exercise and/or physical activity interventions have the potential to address not only the pain and disability associated with chronic pain but also the increased risk of morbidity and mortality seen in this population. Although exercise and/or physical activity is widely recommended, there is currently a paucity of research that offers an evidence base upon which the development or optimisation of interventions can be based. This systematic review will investigate the components of interventions associated with changes in physical activity levels in adults with chronic musculoskeletal pain.
METHODS/DESIGN: This systematic review will be reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidance. Randomised and quasi-randomised controlled trials of interventions aimed at increasing physical activity in adults with chronic musculoskeletal pain will be included. Articles will be identified through a comprehensive search of the following databases: CENTRAL in the Cochrane Library, the Cochrane Database of Systematic Reviews (CDSR), MEDLINE, Embase, CINAHL, PsycINFO and AMED. Two review authors will independently screen articles retrieved from the search for eligibility, extract relevant data on methodological issues and code interventions according to the behaviour change technique taxonomy (v1) of 93 hierarchically clustered techniques. As complex healthcare interventions can be modified by a wide variety of factors, data will be summarised statistically when the data are available, are sufficiently similar and are of sufficient quality. A narrative synthesis will be completed if there is insufficient data to permit a formal meta-analysis.
DISCUSSION
This review will be of value to clinicians working in chronic pain services and to researchers involved in designing and evaluating interventions.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO reference: CRD42014010640.
背景
慢性肌肉骨骼疼痛非常普遍，影响着欧洲约五分之一的人口。骨关节炎、腰痛、颈痛和其他肌肉骨骼疾病是全球致残的主要原因，也是慢性疼痛最常见的来源。运动和/或体育活动干预不仅有可能解决与慢性疼痛相关的疼痛和残疾问题，还能降低该人群中增加的发病和死亡风险。尽管运动和/或体育活动被广泛推荐，但目前缺乏相关研究为干预措施的制定或优化提供证据基础。本系统评价将调查与慢性肌肉骨骼疼痛成人身体活动水平变化相关的干预措施组成部分。
方法/设计：本系统评价将按照系统评价和Meta分析的首选报告项目（PRISMA）指南进行报告。将纳入旨在增加慢性肌肉骨骼疼痛成人身体活动的干预措施的随机和半随机对照试验。通过全面检索以下数据库来识别文章：Cochrane图书馆中的CENTRAL、Cochrane系统评价数据库（CDSR）、MEDLINE、Embase、CINAHL、PsycINFO和AMED。两位综述作者将独立筛选检索到的文章以确定其是否符合纳入标准，提取有关方法学问题的相关数据，并根据93种分层聚类技术的行为改变技术分类法（第1版）对干预措施进行编码。由于复杂的医疗保健干预措施可能受到多种因素的影响，当数据可用、足够相似且质量足够高时，将对数据进行统计汇总。如果没有足够的数据进行正式的Meta分析，将完成叙述性综合分析。
讨论
本综述将对从事慢性疼痛服务的临床医生以及参与干预措施设计和评估的研究人员有价值。
系统评价注册
PROSPERO编号：CRD42014010640。
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