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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.
Region Skåne, Primary health care, Sweden
Information provided by (Responsible Party):
Eva Ekvall Hansson, Lund University Identifier:
First received: September 17, 2009
Last updated: March 30, 2015
Last verified: March 2015
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
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment

Resource links provided by NLM:

Further study details as provided by Eva Ekvall Hansson, Lund University:

Primary Outcome Measures:
  • 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 ]

Secondary Outcome Measures:
  • 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 ]

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

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.


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Clinical diagnosis of osteoarthritis

Exclusion Criteria:

  • Must be able to speak and understand swedish
  Contacts and Locations
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Please refer to this study by its identifier: NCT00979914

Primary Health Care
Malmö, Skåne, Sweden, 205 02
Sponsors and Collaborators
Lund University
Region Skåne, Primary health care, Sweden
Principal Investigator: Eva Ekvall Hansson, PhD Lund University
  More Information

Additional Information:
Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Eva Ekvall Hansson, Associate professor, Lund University Identifier: NCT00979914     History of Changes
Other Study ID Numbers: PEPOA
Study First Received: September 17, 2009
Last Updated: March 30, 2015

Keywords provided by Eva Ekvall Hansson, Lund University:
patient education
physio therapy

Additional relevant MeSH terms:
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases processed this record on September 20, 2017