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How can clinicians enhance self-efficacy beliefs in osteoarthritis? An overview of systematic reviews with meta-analysis

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Abstract

This overview of reviews aimed to synthesize the effectiveness of non-pharmacological approaches to enhance self-efficacy in people with osteoarthritis. The CINAHL, Embase, PsycINFO, PubMed, SPORTDiscus, and the Cochrane Library databases were searched from inception to December 2023. We considered systematic reviews with meta-analysis of randomized clinical trials evaluating any non-pharmacological intervention. We used AMSTAR 2 to assess the methodological quality of reviews. The overlap between reviews was calculated. We included eight systematic reviews with meta-analysis evaluating 30 different clinical trials. Overall, mind–body exercises, psychological interventions, and self-management strategies may improve arthritis self-efficacy. Specifically, the meta-analyses showed tai chi exercises, coping skills training, and the arthritis self-management program are more effective than controls to enhance arthritis self-efficacy in people with hip and/or knee osteoarthritis. In addition, inconsistent results were detected across meta-analyses regarding the effectiveness of multidisciplinary interventions. Finally, the degree of overlap between all reviews was moderate (CCA = 6%) and many included reviews reported most of the items of AMSTAR 2. Tai chi exercises, coping skills training, and the arthritis self-management program may be beneficial for enhancing arthritis self-efficacy. Open Science Framework Registration: https://doi.org/10.17605/OSF.IO/VX2T6.

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Authors and Affiliations

  1. Departamento de Fisioterapia, Instituto de Biomedicina de Sevilla (IBiS), Universidad de Sevilla, Seville, Spain

    Javier Martinez-Calderon

  2. CTS 1110: Understanding Movement and Self in Health From Science (UMSS) Research Group, Andalusia, Spain

    Javier Martinez-Calderon, Cristina García-Muñoz, Javier Matias-Soto & Marta Infante-Cano

  3. Departamento de Personalidad Evaluación y Tratamiento Psicológicos, Universidad de Sevilla, 41018, Seville, Spain

    Francisco Javier Cano-García & Carmen Rufo-Barbero

  4. Departamento de Ciencias de La Salud y Biomédicas, Universidad Loyola de Andalucía, Seville, Spain

    Cristina García-Muñoz

  5. Department of Physical Therapy, Faculty of Health Sciences, Universidad de Malaga, Malaga, Spain

    Javier Matias-Soto

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Contributions

Conceptualization: JMC; data curation: JMC, JMS, and MIC; formal analysis: JMC, JMS, CGM, and MIC; funding acquisition: not applicable; investigation: not applicable; methodology: JMC, JMS, CGM, and MIC; project administration: JMC; resources: not applicable; software: CGM; supervision: JMC; validation: not applicable; visualization: not applicable; writing—original draft: FJCG, CRB, and JMC; writing—review and editing: all authors.

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Correspondence to Javier Matias-Soto.

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Martinez-Calderon, J., Cano-García, F.J., García-Muñoz, C. et al. How can clinicians enhance self-efficacy beliefs in osteoarthritis? An overview of systematic reviews with meta-analysis. Clin Rheumatol 43, 1435–1446 (2024). https://doi.org/10.1007/s10067-024-06943-2

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