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Better Management of Patients with Osteoarthritis: Development and Nationwide Implementation of an Evidence‐Based Supported Osteoarthritis Self‐Management Programme
Author(s) -
Thorstensson Carina A.,
Garellick Göran,
Rystedt Hans,
Dahlberg Leif E.
Publication year - 2015
Publication title -
musculoskeletal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.628
H-Index - 28
eISSN - 1557-0681
pISSN - 1478-2189
DOI - 10.1002/msc.1085
Subject(s) - medicine , osteoarthritis , physical therapy , self management , coping (psychology) , health professionals , health care , intervention (counseling) , patient satisfaction , alternative medicine , nursing , pathology , machine learning , computer science , economics , economic growth , psychiatry
Background Information and exercise are core treatments of osteoarthritis. Self‐management and coping strategies with the disease are crucial to gain benefits. We developed a supported osteoarthritis self‐management programme, delivered by trained physiotherapists, to facilitate patient and healthcare compliance. The programme combined peer‐ and healthcare professional‐delivered information, and individually adapted exercise. Methods Physiotherapists were trained to deliver and evaluate the programme. Patient‐reported compliance and satisfaction with the programme was assessed at three‐ and 12‐month follow‐ups. Results Data from 20,200 consecutive patients in 320 different care centres in Sweden showed that 97% attended the theory sessions and 83% volunteered for the optional individual exercise programme. The intervention was rated as good or very good by 94% of patients. After three months, 62% reported daily use of what they had learned during the course, and 91% reported weekly use. Corresponding numbers after 12 months were 37% and 72%. Conclusions The supported osteoarthritis self‐management programme is feasible in clinical practice, and seems useful and acceptable to patients. © 2014 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd.