Michele P Dyson, Kathryn Dong, William Sevcik, Samir Z Graham, Sabrina Saba, Lisa Hartling, Samina Ali
Quantifying unused opioids following emergency and ambulatory care: A systematic review and meta-analysis
Journal of the American College of Emergency Physicians open
adherence physiotherapeutic treatment recommendations crucial achieving planned goals desired health outcomes overview systematic reviews synthesises wide range additional interventions behaviour change techniques used physiotherapy exercise therapy physical therapy promote adherence summarises evidence efficacy seven databases pedro pubmed cochrane library web science scopus psycinfo cinahl systematically searched terms related physiotherapy motivation behaviour change adherence efficacy last searched january 31 2023 systematic reviews randomised control trials adults included screening process quality assessment amstar2 conducted independently two authors extracted data synthesised narratively addition four metaanalyses pooled panoramic metaanalysis 187 reviews identified search 19 included comprising 205 unique trials four metaanalyses effects booster sessions behaviour change techniques goal setting motivational interventions showed significantly small overall effect smd 024 95 ci 013 034 statistical heterogeneity i2 0 panoramic metaanalysis narrative synthesis revealed substantial clinical methodological diversity total certainty evidence low regarding efficacy investigated interventions techniques adherence due various methodological flaws rcts included reviews analysed cognitive behavioural interventions patients musculoskeletal diseases indicating moderate evidence efficacy techniques particularly booster sessions supervision graded exercise reviews provided less evidence efficacy educational psychosocial interventions partly inconsistent findings available evidence refers short mediumterm efficacy combination higher number behaviour change techniques efficacious overview reviews synthesised various potentially efficacious techniques may combined holistic patientcentred approach may support tailoring complex interventions patients needs dispositions also identifies various research gaps calls holistic approach define measure adherence physiotherapy prospero crd42021267355