Evidence map›Paper›PMID 26428467›Full record

SynthesisSystematic reviews2015

Effects of education to facilitate knowledge about chronic pain for adults: a systematic review with meta-analysis.

Louise J Geneen, Denis J Martin, Nicola Adams, Clare Clarke, Martin Dunbar, Derek Jones, Paul McNamee, Pat Schofield, Blair H Smith

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03356886 (Additional Effect of Pain Neuroscience Education to Spinal Manipulative Therapy on Pain And Disability in Chronic Low Back Pain), which is not on this map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

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.

2 · The registry

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.

NCT03356886 nacompletednot on this mapstarted 2017, after this paper: background citation

Additional Effect of Pain Neuroscience Education to Spinal Manipulative Therapy on Pain And Disability in Chronic Low Back Pain: A Randomized Clinical Trial

TypeinterventionalSponsorUniversity of Sao PauloRan2017 to 2020Enrolled104ConditionsLow Back PainArmsSpinal Manipulative Technique, Pain Neuroscience Education
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 133 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Louise J GeneenDivision of Population Health Sciences, University of Dundee, Dundee, UK. l.geneen@dundee.ac.uk.
Denis J MartinInstitute of Health and Social Care, Teesside University, Middlesbrough, UK. d.martin@tees.ac.uk.
Nicola AdamsDepartment of Sport, Exercise and Rehabilitation, University of Northumbria, Northumbria, UK. Nicola.adams@northumbria.ac.uk.
Clare ClarkeDivision of Cardiovascular and Diabetes Medicine, University of Dundee, Dundee, UK. c.z.clarke@dundee.ac.uk.
Martin DunbarNHS GG&C/University of Glasgow, Glasgow, UK. martin.dunbar@ggc.scot.nhs.uk.
Derek JonesDipCOT, Independent Researcher, Edinburgh, UK. derek.jones45@yahoo.co.uk.
Paul McNameeInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK. p.mcnamee@abdn.ac.uk.
Pat SchofieldCentre for Positive Ageing, School of Health and Social Care, University of Greenwich, Greenwich, UK. p.a.schofield@greenwich.ac.uk.
Blair H SmithDivision of Population Health Sciences, University of Dundee, Dundee, UK. b.h.smith@dundee.ac.uk.
University of Dundee · GBNHS Greater Glasgow and Clyde · GBNorthumbria University · GBTeesside University · GBUniversity of Aberdeen · GBUniversity of Greenwich · GB

Funding

Chief Scientist Office HERU1Medical Research Council G0900684
6 · The paper itself

Abstract

backgroundChronic pain can contribute to disability, depression, anxiety, sleep disturbances, poor quality of life and increased health care costs, with close to 20 % of the adult population in Europe reporting chronic pain. To empower the person to self-manage, it is advocated that education and training about the nature of pain and its effects and how to live with pain is provided. The objective of this review is to determine the level of evidence for education to facilitate knowledge about chronic pain, delivered as a stand-alone intervention for adults, to reduce pain and disability.

methodsWe identified randomised controlled trials of educational intervention for chronic pain by searching CENTRAL, MEDLINE, EMBASE and ongoing trials registries (inception to December 2013). Main inclusion criteria were (1) pain >3 months; (2) study design that allowed isolation of effects of education and (3) measures of pain or disability. Two reviewers independently screened and appraised each study.

resultsNine studies were analysed. Pooled data from five studies, where the comparator group was usual care, showed no improvement in pain or disability. In the other four studies, comparing different types of education, there was no evidence for an improvement in pain; although, there was evidence (from one study) of a decrease in disability with a particular form of education-pain neurophysiology education (PNE). Post-hoc analysis of psychosocial outcomes reported in the studies showed evidence of a reduction in catastrophising and an increase of knowledge about pain following PNE.

conclusionsThe evidence base is limited by the small numbers of studies, their relatively small sample sizes, and the diversity in types of education studied. From that limited evidence, the only support for this type of education is for PNE, though it is insufficiently strong to recommend conclusively that PNE should be delivered as a stand-alone intervention. It therefore remains sensible to recommend that education be delivered in conjunction with other pain management approaches as we cannot confidently conclude that education alone is effective in reducing pain intensity or related disability in chronic pain in adults.

Indexed as

Patient Education as TopicSelf CareAdultCatastrophizationChronic PainDisability EvaluationHealth Knowledge, Attitudes, PracticeHumansPain ManagementTreatment Outcome

Identifiers

PMID26428467
PMCPMC4591560
OpenAlexW2113885172

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.