SELF-MANAGEMENT EDUCATION FOR OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS: A SYSTEMATIC REVIEW OF EFFECTS ON PAIN AND FUNCTION
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Keywords
Self-management education, osteoarthritis, rheumatoid arthritis, pain, physical function, systematic review, meta-analysis
Abstract
Osteoarthritis (OA) and rheumatoid arthritis (RA) cause chronic pain and functional limitations. This systematic review evaluates self-management education (SME) effects on pain and function in adults with OA or RA. Following PRISMA, we searched PubMed, EMBASE, Cochrane, and Web of Science up to December 2024, including 18 RCTs (n=4,500 participants). Meta-analysis showed moderate pain reduction (SMD = -0.42, 95% CI [-0.58, -0.26]) and function improvement (SMD = -0.35, 95% CI [-0.51, -0.19]) with SME versus usual care, with larger effects in combined exercise programs (pain SMD = -0.55). Heterogeneity was high (I² > 75%), and evidence quality was moderate (GRADE). SME benefits pain and function, especially digitally or with exercise, but high-quality trials are needed.
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References
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