Wendy Lowe|Claire Ballinger|Joanne Protheroe|Jill Lueddeke|Don Nutbeam|Ray Armstrong|Louise Falzon|C. Edwards|Cynthia Russell|Kirsten McCaffery|Jo Adams
Effectiveness of Musculoskeletal Education Interventions in People With Low Literacy Levels: A Systematic Review
Keele University|Brockenhurst College|Columbia University Irving Medical Center|University of Sydney
conduct systematic review assess effectiveness patient education interventions delivered directed health professionals people musculoskeletal conditions also lower levels literacyelectronic databases searched 1946 may 2012 randomized controlled trials primary interventions designed specifically individuals musculoskeletal conditions lower levels literacy eligible inclusion quality study determined assessing method randomization allocation concealment creation maintenance comparable groups blinding patients providers control confounding validity reliability outcome measuresof 2440 studies located using search strategy 6 studies met inclusion criteria three public health community studies 3 rheumatology clinicbased studies delivered educational programs people musculoskeletal conditions also lower levels literacy three moderate quality studies suggest musculoskeletal educational interventions small shortterm effect knowledge 2 moderate quality studies suggest musculoskeletal interventions small effect selfefficacy although results selfefficacy conflicting 1 studies 1 moderate quality study showed small effect anxiety 1 selfperceived health wellbeing people lower literacyhigh quality evidence lacking effectiveness musculoskeletal education interventions people lower literacy levels research programs test effectiveness patient education interventions arthritis must recruit engage people lower levels literacy