Short and medium-term effects of an education self-management program for individuals with osteoarthritis of the knee, designed and delivered by health professionals: A quality assurance study
Autor: | Prince Richard; Conroy Heather; Briffa Kathryn; Coleman Sophie; Carroll Graeme; McQuade Jean |
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Sprache: | Englisch |
Veröffentlicht: |
2008 |
Quelle: | Directory of Open Access Journals: DOAJ Articles |
Online Zugang: |
http://www.biomedcentral.com/1471-2474/9/117 https://doaj.org/toc/1471-2474 doi:10.1186/1471-2474-9-117 1471-2474 https://doaj.org/article/82af750cb264427a8242a2241d8f53ac https://doi.org/10.1186/1471-2474-9-117 https://doaj.org/article/82af750cb264427a8242a2241d8f53ac |
Erfassungsnummer: | ftdoajarticles:oai:doaj.org/article:82af750cb264427a8242a2241d8f53ac |
Zusammenfassung
Abstract Background Self-management (SM) programs are effective for some chronic conditions, however the evidence for arthritis SM is inconclusive. The aim of this case series project was to determine whether a newly developed specific self-management program for people with osteoarthritis of the knee (OAK), implemented by health professionals could achieve and maintain clinically meaningful improvements. Methods Participants: 79 participants enrolled; mean age 66, with established osteoarthritis of the knee. People with coexisting inflammatory joint disease or serious co-morbidities were excluded. Intervention: 6-week disease (OA) and site (knee) specific self-management education program that included disease education, exercise advice, information on healthy lifestyle and relevant information within the constructs of self-management. This program was conducted in a community health care setting and was delivered by health professionals thereby utilising their knowledge and expertise. Measurements: Pain, physical function and mental health scales were assessed at baseline, 8 weeks, 6 and 12 months using WOMAC and SF-36 questionnaires. Changes in pain during the 8-week intervention phase were monitored with VAS. Results Pain improved during the intervention phase: mean (95% CI) change 15 (8 to 22) mm. Improvements (0.3 to 0.5 standard deviation units) in indices of pain, mental health and physical functioning, assessed by SF-36 and WOMAC questionnaires were demonstrated from baseline to 12 months. Conclusion This disease and site-specific self-management education program improved health status of people with osteoarthritis of the knee in the short and medium term.