Effectiveness of Remotely Delivered Motivational Conversations on Health Outcomes in Patients Living with Musculoskeletal Conditions: A Systematic Review and Meta-Analysis

Alice MacKean*, Gareth. D. Jones, Emma Godfrey

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Objective: to evaluate the efficacy of remotely delivered motivational conversations on health outcomes in musculoskeletal populations.
Methods: four electronic databases (inception-March 2022) were searched and combined with grey literature. Randomised control trials (RCTs) evaluating the effect of remotely delivered motivational conversation-based interventions within musculoskeletal populations, using valid measures of pain, disability, quality of life (QoL), or self-efficacy were included. Overall quality was assessed using GRADE criteria. Meta-analyses were performed using random effects models with pooled effect sizes expressed as standardised mean differences (±95%CIs).
Results: twelve RCTs were included. Meta-analyses revealed very-low to moderate quality evidence that remote interventions have a positive effect on pain and disability both immediately post intervention and at long-term follow-up compared to control, and have a positive effect on self-efficacy immediately post intervention. There was no effect on QoL immediately post intervention or at long-term follow up.
Conclusion: remotely delivered motivation-based conversational interventions have a positive effect on pain, disability, and self-efficacy but not on QoL.
Practice Implications: motivational conversations, delivered remotely, may be effective in improving some health-related outcomes in MSK populations. However, higher quality evidence is needed to determine optimal intervention durations, and dosing frequencies using sufficient sample sizes and follow-up time frames.
Original languageEnglish
JournalPatient Education and Counselling
Publication statusAccepted/In press - 12 Feb 2024

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