Effect of an Education Programme for Patients With Osteoarthritis in Primary Care - a Randomized Controlled Trial
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
- EQ5D [ Time Frame: At baseline and at follow-up after 6 months ]
- Arthritis self-efficacy scale [ Time Frame: At baseline and at follow up after 6 months ]
- One-leg rising from sitting to standing [ Time Frame: At baseline and at follow up after 6 months ]
- Grip Ability Test [ Time Frame: At baseline and at follow up after 6 months ]
- Bipedal rising from sitting to standing [ Time Frame: At baseline and at follow up after 6 months ]
- One-legged jump [ Time Frame: At baseline and at follow up after 6 months ]
- 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 ]
|Study Start Date:||March 2008|
|Study Completion Date:||March 2009|
|Primary Completion Date:||March 2009 (Final data collection date for primary outcome measure)|
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
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 . 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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00979914
|Primary Health Care|
|Malmö, Skåne, Sweden, 205 02|
|Principal Investigator:||Eva Ekvall Hansson, PhD||Lund University|