Comparative efficacy of non-pharmacological interventions on sleep quality in people with chronic musculoskeletal pain-a systematic review and network meta-analysis.

Research output: Unpublished conference presentation (presented paper, abstract, poster)Conference presentation (not published in journal/proceeding/book)Academic researchpeer-review

Abstract

Background and purpose:
Sleep disturbance is a common problem affecting over 70%
of people with chronic musculoskeletal pain (CMP). Although prior pairwise meta-analyses have summarized the efficacy of non-pharmacological interventions for alleviating sleep disturbance in people with chronic pain, no network meta-analysis (NMA) has investigated the comparative efficacy of various non-pharmacological interventions.
Our study aimed to conduct a systematic review and NMA
to summarize the relevant evidence in people with CMP.

Methods:
Relevant publications were searched systematically from
seven electronic databases from their inception to February 2023. Two independent reviewers conducted study
selection and data extraction. A random-effects NMA in
a frequentist framework was performed to synthesize the
treatment efficacy (change in sleep quality) and acceptability (discontinuations). This study was registered with
PROSPERO (CRD42023395007).
Results:
A total of 15,641 records were identified from databases and
references of previous studies, of which 107 randomized
controlled trials with 8,121 participants were included in the
NMA. The surface under the cumulative ranking curve indicated that cognitive behavioral therapy (CBT) was ranked
the best among 14 non-pharmacological interventions for
improving sleep quality in people with CMP. There was no
significant difference in the treatment acceptability among
different interventions and true control.

Conclusion:
CBT is the most effective non-pharmacological intervention for improving sleep quality in people with CMP. These
findings could inform clinicians and people with CMP on
choosing optimal non-pharmacological interventions for
sleep improvement. Considering the limitations in current
evidence, more well-designed studies targeting sleep improvement are warranted to further validate the conclusion
of this NMA.
Original languageEnglish
Pages8
Number of pages1
Publication statusPublished - 24 Jun 2023
EventHong Kong Physiotherapy Association 60th Anniversary Conference - Tsuen Wan, Hong Kong, Hong Kong
Duration: 24 Jun 202324 Jun 2023

Competition

CompetitionHong Kong Physiotherapy Association 60th Anniversary Conference
Country/TerritoryHong Kong
CityHong Kong
Period24/06/2324/06/23

Keywords

  • Sleep
  • musculoskeletal pain
  • Network meta-analysis

Fingerprint

Dive into the research topics of 'Comparative efficacy of non-pharmacological interventions on sleep quality in people with chronic musculoskeletal pain-a systematic review and network meta-analysis.'. Together they form a unique fingerprint.

Cite this