SynthesisArthritis care & research2013
Effectiveness of musculoskeletal education interventions in people with low literacy levels: a systematic review.
Synthesis in Arthritis care & research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 45 citations in OpenAlex.
- Trial
- Comparative adherence to weekly oral and quarterly intravenous bisphosphonates among patients with limited heath literacy who sustained distal radius fractures.Journal of bone and mineral metabolism · 2018Trial
- Voices from the clinic: a qualitative analysis of physiotherapy strategies in musculoskeletal care for knee osteoarthritis patients.BMC musculoskeletal disorders · 2025Article
- Health literacy and pain neuroscience education in an interdisciplinary pain management programme: a qualitative study of patient perspectives.Pain reports · 2023Article
- Supported self-management for all with musculoskeletal pain: an inclusive approach to intervention development: the EASIER study.BMC musculoskeletal disorders · 2023Article
- Development and validation of a self-administered questionnaire measuring essential knowledge in patients with rheumatoid arthritis.Rheumatology international · 2022Article
- Health literacy and recovery following a non-catastrophic road traffic injury.BMC public health · 2022Article
- Acceptability of a brief fatigue intervention for inflammatory arthritis: a qualitative process evaluation.Rheumatology advances in practice · 2022Article
- Self-Reported Patient Compliance With Physician Advised Lifestyle Behavior Changes Among Adults With Musculoskeletal Conditions.Frontiers in public health · 2022Article
- Comparing reactions to written leaflets, online information and real-time Doppler images among South Asian patients with rheumatoid arthritis.Rheumatology advances in practice · 2020Article
- Self-management of a musculoskeletal condition for people from harder to reach groups: a qualitative patient interview study.Disability and rehabilitation · 2019Article
- Can patients with low health literacy be identified from routine primary care health records? A cross-sectional and prospective analysis.BMC family practice · 2019Article
- The Impact of Inadequate Health Literacy in a Population with Musculoskeletal Pain.Health literacy research and practice · 2018Article
- Toward Ensuring Health Equity: Readability and Cultural Equivalence of OMERACT Patient-reported Outcome Measures.The Journal of rheumatology · 2015Review
- Article
- Patient and staff perspectives on pain treatment experiences in a community clinic serving under-resourced older adults.Pain managementArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 5 institutions in 3 countries.
Funding
Abstract
objectiveTo conduct a systematic review to assess the effectiveness of patient education interventions delivered or directed by health professionals for people with musculoskeletal conditions who also have lower levels of literacy.
methodsElectronic databases were searched from 1946 to May 2012. Randomized controlled trials with primary interventions designed specifically for individuals with musculoskeletal conditions and lower levels of literacy were eligible for inclusion. The quality of the study was determined by assessing method of randomization, allocation concealment, creation and maintenance of comparable groups, blinding of patients and providers, control of confounding, and the validity and reliability of outcome measures.
resultsOf the 2,440 studies located using the search strategy, 6 studies met the inclusion criteria. Three public health community studies and 3 rheumatology clinic-based studies delivered educational programs to people with musculoskeletal conditions who also had lower levels of literacy. Three moderate quality studies suggest that musculoskeletal educational interventions had a small short-term effect on knowledge and 2 moderate quality studies suggest musculoskeletal interventions had a small effect on self-efficacy (although results on self-efficacy were conflicting in 1 of these studies). Only 1 moderate quality study showed a small effect on anxiety and 1 on self-perceived health and well-being in people with lower literacy.
conclusionHigh quality evidence is lacking on the effectiveness of musculoskeletal education interventions for people with lower literacy levels. Research programs that test the effectiveness of patient education interventions for arthritis must recruit and engage people with lower levels of literacy.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.