Abstract：
OBJECTIVE: To explore the effects of minimal intervention of patient education (MIPE) for reducing disability and pain intensity in patients with low back pain (LBP). DESIGN: Intervention systematic review with meta-analysis of randomized controlled trials. LITERATURE SEARCH: We searched the MEDLINE, Embase, CENTRAL, CINAHL, and PsycINFO databases from inception to May 2023. STUDY SELECTION CRITERIA: Trials comparing MIPE, consisting of a single session of patient education, to no or other interventions in patients with LBP. DATA SYNTHESIS: Random effects meta-analysis was conducted where possible. A noninferiority margin of 5 points (0-100 scale) was considered for noninferiority hypotheses. We assessed risk of bias using the revised Cochrane risk-of-bias tool (RoB 2), and certainty of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework. RESULTS: A total of 21 trials were included. There were no differences between MIPE and no intervention for effects on disability and pain intensity. There was low-certainty evidence that MIPE had inferior effects on short-term disability (mean difference = 3.62; 95% CI: 0.85, 6.38; 15 trials; n = 3066; I2 = 75%) and pain intensity (mean difference = 9.43; 95% CI: 1.31, 17.56; 10 trials; n = 1394; I2 = 90%) than other interventions. No differences were found for subsequent time points. CONCLUSION: As an intervention delivered in isolation, and without tailoring (ie, one-size-fits-all intervention), MIPE on average did not provide benefits for reducing disability and pain intensity over no or other interventions. We encourage clinicians to consider using additional/other or more tailored treatments when helping people manage LBP. J Orthop Sports Phys Ther 2024;54(2):1-13. Epub 16 November 2023. doi:10.2519/jospt.2023.11865.
摘要：
目的：探讨最低限度的患者教育干预（MIPE）对降低下腰痛（LBP）患者残疾和疼痛强度的影响。设计：随机对照试验的干预系统评价和荟萃分析。文学搜索:我们搜索了梅德林，Embase,中部,CINAHL,和PsycINFO数据库从成立到2023年5月。研究选择标准：比较MIPE的试验，包括一次病人教育，对LBP患者没有或没有其他干预措施。资料综合：尽可能进行随机效应荟萃分析。非劣效性假设考虑5分（0-100量表）的非劣效性。我们使用修订后的Cochrane偏差风险工具(RoB2)评估偏差风险，和使用建议分级的证据的确定性，评估,发展,和评估（等级）框架。结果：共纳入21项试验。MIPE和无干预对残疾和疼痛强度的影响没有差异。有低确定性证据表明，MIPE对短期残疾的影响较差（平均差异=3.62；95％CI：0.85，6.38；15项试验；n=3066；I2=75％）和疼痛强度（平均差异=9.43；95％CI：1.31，17.56；10项试验；n=1394；I2=90％）。对于随后的时间点没有发现差异。结论：作为一种孤立的干预措施，并且没有剪裁(即，一刀切的干预)，平均而言，MIPE在减少残疾和疼痛强度方面没有提供益处。我们鼓励临床医生在帮助人们管理LBP时考虑使用额外/其他或更量身定制的治疗方法。J正交运动物理学号2024；54(2)：1-13。Epub2023年11月16日。doi：10.2519/jospt.2023.11865。
