Browse > Article
http://dx.doi.org/10.5762/KAIS.2020.21.2.94

The Effect of Self-Management Intervention for Reducing Depression and Anxiety in Osteoarthritis Patients : A Meta-analysis  

Lee, Chun-Hee (Department of Nursing, Sunlin University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.2, 2020 , pp. 94-102 More about this Journal
Abstract
This study conducted a meta-analysis of the effects of self-management intervention for reducing the depression and anxiety of osteoarthritis patients. The research sources were PubMed, EMBASE, CINAHL, Ovid-MEDLINE and Korean databases from the Korean and foreign literature published until September 30, 2019. The R version 3.5.1 program was used to identify the effectiveness of self-management intervention. As a result, 11 studies from a total of 1,877 articles in the relevant literature were analyzed, and the total number of participants was 2,751. The results showed that the overall effect size for reducing depression and anxiety was -0.44 (95% CI: -0.66, -0.22) in osteoarthritis patients (p <.001). On the sub-analysis, depression was -0.37 (95% CI: -0.66, -0.08), and anxiety was -0.56 (95% CI: -0.92, -0.20). To explain the heterogeneity, the meta-ANOVA was the setting, duration, and provider of intervention. Analysis of the publication bias was performed by a Funnel plot, which was visually relatively symmetrical and was not asymmetric according to Egger's Regression test (bias=0.19, p=.928). The results of this study established clinical evidence by identifying the effects of self-management intervention for reducing the depression and anxiety of osteoarthritis patients.
Keywords
Osteoarthritis; Self-management intervention; Depression; Anxiety; Meta-analysis;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Centers for Disease Control (CDC). (2019). Osteoarthritis [Internet]. CDC, 2019 [cited 2019 Jan]. Available from: https://www.cdc.gov
2 A. Sharma, P. Kudesia, Q. Shi, R. Gandhi, "Anxiety and depression in patients with osteoarthritis: impact and management challenges", Open Access Rheumatology, Vol.8, pp.103-113, 2016. DOI: https://doi.org/10.2147/oarrr.s93516
3 D. Guglielmo, J. M. Hootman, M. A. Boring, L. B. Murphy, K. A. Theis, "Symptoms of anxiety and depression among adults with arthritis-United States, 2015-2017", Morbidity and Mortality Weekly Report, Vol.67, No.39, pp.1081-1087, 2018. DOI: https://doi.org/10.15585/mmwr.mm6739a2
4 F. P. Kroon, L. R. van der Burg, R. Buchbinder, R. H. Osborne, R. V. Johnston, "Self-management education programmes for osteoarthritis", Cochrane Database of Systematic Reviews, Vol.1, No.CD00896 3, pp.1-238, 2014. DOI: https://doi.org/10.1002/14651858.cd008963.pub2
5 N. Walsh, V. Salmon, J. Pearson, "A systematic identification and assessment of self-management apps for osteoarthritis", Osteoarthritis & Cartilage, Vol.24, pp.S491-S491j, 2016. DOI: https://doi.org/10.1016/j.joca.2016.01.900
6 C. Y. Lee, Y. H. Cho, "Evaluation of a community health practitioner self-care program for rural Korean patients with osteoarthritis", Journal of Korean Academy of Nurssing, Vol.42, No.7, pp.965-973, 2012. DOI: https://doi.org/10.4040/jkan.2012.42.7.965
7 G. Foster, S. J. Taylor, S. E. Eldridge, J. Ramsay, C. J. Griffiths, "Self-management education program- mes by lay leaders for people with chronic conditions", Cochrane Database of Systematic Reviews, No.Cd005108, 2007. DOI: https://doi.org/10.1002/14651858.cd005108.pub2
8 J. Cohen. Statistical power analysis for the behavioral sciences, 2nd ed. Hillsdale, Lawrence Erlbaum Associates, 1998.
9 S. O. Nolte, R. H. Osborne, "A systematic review of outcomes of chronic disease self-management interventions", Quality of Life Research, Vol.22, No.7, pp.1805-1816, 2013. DOI: https://doi.org/10.1007/s11136-012-0302-8   DOI
10 S. Y. Kim, J. E. Park, Y. J. Seo, B. H. Jang, H. J. Son, H. S. Suh. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. p.65-78, National Evidence-based Healthcare Collaborating Agency, 2011.
11 J. H. Barlow, A. P. Turner, C. C. Wright, "A randomized controlled study of the arthritis self- management programme in the UK", Health Education Research, Vol.15, No.6, pp.665-680, 2000. DOI: https://doi.org/10.1093/her/15.6.665   DOI
12 K. L. Bennell, R. K. Nelligan, C. Rini, F. J. Keefe, J. Kasza, "Effects of internet-based pain coping skills training before home exercise for individuals with hip osteoarthritis (HOPE trial): a randomised controlled trial", Pain, Vol.159, No.9, pp.1833-1842, 2018. DOI: https://doi.org/10.1097/j.pain.0000000000001281
13 C. E. Blixen, K. A. Bramstedt, J. P. Hammel, B. C. Tilley, "A pilot study of health education via a nurse-run telephone self-management programme for elderly people with osteoarthritis", Journal of Telemedicine and Telecare, Vol.10, No.1, pp.44-49, 2004. DOI: https://doi.org/10.1258/135763304322764194   DOI
14 Y. I. Kim, J. S. Park, "Development and evaluation of a joint health self-management program for the elderly with knee osteoarthritis in communities: applying the IMB model", Journal of Korean Academy of Community Health Nursing, Vol.28, No.1, pp.55-68, 2017. DOI: https://doi.org/10.12799/jkachn.2017.28.1.55
15 D. Bossen, C. Veenhof, K. E. Van Beek, P. M. Spreeuwenberg, J. Dekker, "Effectiveness of a webbased physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial", Journal of Medical Internet Research, Vol.15, No.11, pp.e257, 2013. DOI: https://doi.org/10.2196/jmir.2662   DOI
16 M. Crotty, J. Prendergast, M. W. Battersby, D. Rowett, S. E. Graves, "Self-management and peer support among people with arthritis on a hospital joint replacement waiting list: a randomised controlled trial", Osteoarthritis Cartilage, Vol.17, No.11, pp.1428-1433, 2009. DOI: https://doi.org/10.1016/j.joca.2009.05.010   DOI
17 M. V. Hurley, N. E. Walsh, H. Mitchell, J. Nicholas, A. Patel, "Long-term outcomes and costs of an integrated rehabilitation program for chronic knee pain: a pragmatic, cluster randomized, controlled trial", Arthritis Care Research, Vol.64, No.2, pp. 238-247, 2012. DOI: https://doi.org/10.1002/acr.20642   DOI
18 M. V. Hurley, N. E. Walsh, H. L. Mitchell, T. J. Pimm, E. Williamson, "Economic evaluation of a re- habilitation program integrating exercise, self-manage- ment, and active coping strategies for chronic knee pain", Arthritis Care Research, Vol.57, No.7, pp.1220 -1229, 2007. DOI: https://doi.org/10.1002/art.23011
19 S. A. Jessep, N. E. Walsh, J. Ratcliffe, M. V. Hurley, "Long-term clinical benefits and costs of an integrated rehabilitation programme compared with outpatient physiotherapy for chronic knee pain", Physiotherapy, Vol.95, No.2, pp.94-102, 2009. DOI: https://doi.org/10.1016/j.physio.2009.01.005   DOI
20 N. Y. Lim, E. Y. Lee, "Effects of short term selp-help education of pain, depression, self-efficacy, and quality of life in patients having chronic arthritis", Journal of Muscle and Joint Health, Vol.4, No.2, pp.249-261, 1997.
21 K. Lorig, M. Seleznick, D. Lubeck, E. Ung, R. L. Chastain, "The beneficial outcomes of the arthritis self-management course are not adequately explained by behavior change", Arthritis Rheumatism, Vol.32, No.1, pp.91-95, 1989. DOI: https://doi.org/10.1002/anr.1780320116
22 K. L. Whiteman, M. C. Lohman, S. J. Bartels, "A peer and technology-supported self-management intervention", Psychiatric Services, Vol.68, No.4, pp.420, 2017. DOI: https://doi.org/10.1176/appi.ps.68404
23 E. G. Mann, S. LeFort, E. G. Van Den Kerkhof, "Self-management interventions for chronic pain", Pain Management, Vol.3, No.3, pp.211-222, 2013. DOI: https://doi.org/10.2217/pmt.13.9
24 S. Du, L. Hu, J. Dong, G. Xu, X. Chen, "Self-management program for chronic low back pain: a systematic review and meta-analysis", Patient Education Counseling, Vol.100, No.1, pp.37-49, 2017. DOI: https://doi.org/10.1016/j.pec.2016.07.029   DOI
25 N. H. Jonkman, H. Westland, R. H. Groenwold, S. Agren, M. Anguita, "What are effective program characteristics of self-management interventions in patients with heart failure? an individual patient data meta-analysis", Journal of Cardiac Failure, Vol.22, No.11, pp.861-871, 2016. DOI: https://doi.org/10.1016/j.cardfail.2016.06.422   DOI