• Shizheng Du, Changrong Yuan, Xian Xiao, Jing Chu, Yaoqin Qiu, and Huijuan Qian.
• College of Nursing, Second Military Medical University, Shanghai, China.
• Patient Educ Couns. 2011 Dec 1;85(3):e299-310.

ObjectiveTo evaluate the effectiveness of self-management programs on pain and disability for chronic musculoskeletal pain conditions by systematic review.MethodsA search of randomized controlled trials was conducted in Medline and Embase from 1970s to 2010. Two reviewers independently selected trials, conducted critical appraisal of the methodological quality, and extracted the data. Meta-analyses were performed using all time-points meta-analysis (ATM).ResultsNineteen trials met inclusion criteria. For arthritis, the findings of this study showed that self-management programs have small to moderate effects in improving pain and disability at the long-term level, but the medium-term effect for disability is not significant. For chronic back pain, there is insufficient evidence to determine the effectiveness of self-management programs.ConclusionThe encouraging evidence of this study indicates that it is recommended to provide self-management programs to adult patients with arthritis. Further research is needed on self-management for chronic back pain.Practice ImplicationsSelf-management is a safe, community-based and effective way for patients with arthritis to manage pain and disability. Core skills of self-management should be delivered using multiple approaches.Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

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