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Effect of an Education Programme for Patients With Osteoarthritis in Primary Care - a Randomized Controlled Trial

This study has been completed.
Sponsor:
Collaborator:
Primary Health Care RD-Unit of region Skåne
Information provided by:
Lund University
ClinicalTrials.gov Identifier:
NCT00979914
First received: September 17, 2009
Last updated: December 23, 2009
Last verified: September 2009
  Purpose

Osteoarthritis is a common disease. The core treatment is often patient education. The aim of this study is therefore to study the effect of a patient education programme for patients with osteoarthritis in primary health care.


Condition Intervention
Osteoarthritis in the Hip, Knee and Hand
Other: Patient education programme

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment

Resource links provided by NLM:


Further study details as provided by Lund University:

Primary Outcome Measures:
  • EQ5D [ Time Frame: At baseline and at follow-up after 6 months ] [ Designated as safety issue: No ]
  • Arthritis self-efficacy scale [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]
  • One-leg rising from sitting to standing [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]
  • Grip Ability Test [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Bipedal rising from sitting to standing [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]
  • One-legged jump [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]
  • Standing on one leg with eyes open and standing on one leg with eyes closed [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]

Enrollment: 100
Study Start Date: March 2008
Study Completion Date: March 2009
Primary Completion Date: March 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Patient education programme
Patients with osteoarthritis who were referred to the patient education programme.The patients followed the patient education programme.
Other: Patient education programme
The intervention consisted of five group sessions, three hours for each session. The focus was on self-efficacy. Eight to ten patients participated in the programme at the same time.
No Intervention: Control
Patients randomized to control group
Other: Patient education programme
The intervention consisted of five group sessions, three hours for each session. The focus was on self-efficacy. Eight to ten patients participated in the programme at the same time.

Detailed Description:

Osteoarthritis (OA) is a degenerative disease, considered to be one of the major national diseases that cause suffering for affected patients and costs for society.The predominant symptoms are pain, stiffness and impaired quality of life, often together with psychological distress. Treatment often consists of medication. Later in the disease, when the joint is destroyed, joint replacement surgery commonly occurs. Physical exercises aimed to increase muscle strength, endurance, proprioception and stability have proved to influence cartilage as well as function, symptoms and quality of life positively. Physical exercise may also reduce the need for hospital care after knee joint replacement.

Research suggests that patient education is feasible and valuable in terms of improvements in quality of life, in function, in well-being and improved coping . Accordingly, guidelines recommend education as a core treatment for osteoarthritis.

Patient education programmes are often defined as a planned learning experience to influence a patient's knowledge and health behaviour [13]. There are various types of patient education. It can be given by a physician as part of consultation, in small groups or delivered by a multi-disciplinary team [13, 14] Since 1994, Primary Health Care in Malmö has used a patient education programme directed towards OA. The programme has been developed by physiotherapists and occupational therapists in primary health care and has been implemented in the ordinary work.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinical diagnosis of osteoarthritis

Exclusion Criteria:

  • Must be able to speak and understand swedish
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00979914

Locations
Sweden
Primary Health Care
Malmö, Skåne, Sweden, 205 02
Sponsors and Collaborators
Lund University
Primary Health Care RD-Unit of region Skåne
Investigators
Principal Investigator: Eva Ekvall Hansson, PhD Lund University
  More Information

Additional Information:
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: PhD, RPT Eva Ekvall Hansson, Lund University
ClinicalTrials.gov Identifier: NCT00979914     History of Changes
Other Study ID Numbers: PEPOA
Study First Received: September 17, 2009
Last Updated: December 23, 2009
Health Authority: Sweden: Regional Ethical Review Board

Keywords provided by Lund University:
osteoarthritis
patient education
function
physio therapy

Additional relevant MeSH terms:
Osteoarthritis
Arthritis
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases

ClinicalTrials.gov processed this record on November 25, 2014