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Article: Impact of an arthritis self-management programme with an added exercise component for osteoarthritic knee sufferers on improving pain, functional outcomes, and use of health care services: An experimental study

TitleImpact of an arthritis self-management programme with an added exercise component for osteoarthritic knee sufferers on improving pain, functional outcomes, and use of health care services: An experimental study
Authors
KeywordsExperimental study
Arthritis pain
Functional status
Self-management and exercise component
Osteoarthritic knee
Issue Date2007
Citation
Patient Education and Counseling, 2007, v. 65, n. 1, p. 113-121 How to Cite?
AbstractObjective: The aim of this study was to assess the effect of an adopted Arthritis Self-Management Programme (ASMP) with an added exercise component among osteoarthritic knee sufferers in Hong Kong. Methods: An experimental study with 88 participants assigned to an intervention group and 94 participants to a control group. One hundred and forty-nine participants (81.9%) completed the 1 week and 120 participants (65.6%) the 16 week post-intervention assessments. Participants in the intervention group received a 6-week ASMP with an added exercise component. Outcome measures included arthritic pain and fatigue rating, practice of light exercise routines, functional status, and number of unplanned arthritis-related medical consultations. To assess the programme's effect on outcome measures, the between-groups and within-group mean changes were compared using Mann-Whitney U-test and Friedman test. Results: At 16 weeks, there were significant mean changes between groups in four outcome measures: reduction in arthritis pain (p = 0.0001) and fatigue (p = 0.008), and increased duration of weekly light exercise practice (p = 0.0001) and knee flexion (p = 0.004). The ability to perform daily activities and the number of unplanned arthritis-related medical consultations show statistically significant improvements between three time-points within the intervention group only (p = 0.0001 and p = 0.005, respectively), but not between-groups (p = 0.14 and p = 0.86, respectively). Both groups apparently had no changes in muscle strength. Conclusion: Our findings suggest that the intervention had a positive effect in reducing pain, fatigue, knee range of motion, the practice of exercise routines, the number of medical consultations and in improving functional status and over a 16-week period. Practice implications: The self-management programme we applied took into account the local context and the ethnicity of the group. This process is worth further exploration and testing in different groups. © 2006 Elsevier Ireland Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/230770
ISSN
2015 Impact Factor: 2.232
2015 SCImago Journal Rankings: 1.279

 

DC FieldValueLanguage
dc.contributor.authorYip, Y. B.-
dc.contributor.authorSit, Janet W.-
dc.contributor.authorFung, Karin K Y-
dc.contributor.authorWong, Doris Y S-
dc.contributor.authorChong, Samantha Y C-
dc.contributor.authorChung, L. H.-
dc.contributor.authorNg, T. P.-
dc.date.accessioned2016-09-01T06:06:45Z-
dc.date.available2016-09-01T06:06:45Z-
dc.date.issued2007-
dc.identifier.citationPatient Education and Counseling, 2007, v. 65, n. 1, p. 113-121-
dc.identifier.issn0738-3991-
dc.identifier.urihttp://hdl.handle.net/10722/230770-
dc.description.abstractObjective: The aim of this study was to assess the effect of an adopted Arthritis Self-Management Programme (ASMP) with an added exercise component among osteoarthritic knee sufferers in Hong Kong. Methods: An experimental study with 88 participants assigned to an intervention group and 94 participants to a control group. One hundred and forty-nine participants (81.9%) completed the 1 week and 120 participants (65.6%) the 16 week post-intervention assessments. Participants in the intervention group received a 6-week ASMP with an added exercise component. Outcome measures included arthritic pain and fatigue rating, practice of light exercise routines, functional status, and number of unplanned arthritis-related medical consultations. To assess the programme's effect on outcome measures, the between-groups and within-group mean changes were compared using Mann-Whitney U-test and Friedman test. Results: At 16 weeks, there were significant mean changes between groups in four outcome measures: reduction in arthritis pain (p = 0.0001) and fatigue (p = 0.008), and increased duration of weekly light exercise practice (p = 0.0001) and knee flexion (p = 0.004). The ability to perform daily activities and the number of unplanned arthritis-related medical consultations show statistically significant improvements between three time-points within the intervention group only (p = 0.0001 and p = 0.005, respectively), but not between-groups (p = 0.14 and p = 0.86, respectively). Both groups apparently had no changes in muscle strength. Conclusion: Our findings suggest that the intervention had a positive effect in reducing pain, fatigue, knee range of motion, the practice of exercise routines, the number of medical consultations and in improving functional status and over a 16-week period. Practice implications: The self-management programme we applied took into account the local context and the ethnicity of the group. This process is worth further exploration and testing in different groups. © 2006 Elsevier Ireland Ltd. All rights reserved.-
dc.languageeng-
dc.relation.ispartofPatient Education and Counseling-
dc.subjectExperimental study-
dc.subjectArthritis pain-
dc.subjectFunctional status-
dc.subjectSelf-management and exercise component-
dc.subjectOsteoarthritic knee-
dc.titleImpact of an arthritis self-management programme with an added exercise component for osteoarthritic knee sufferers on improving pain, functional outcomes, and use of health care services: An experimental study-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.pec.2006.06.019-
dc.identifier.pmid17010554-
dc.identifier.scopuseid_2-s2.0-33751412375-
dc.identifier.volume65-
dc.identifier.issue1-
dc.identifier.spage113-
dc.identifier.epage121-

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