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Effects of a self‐management arthritis programme with an added exercise component for osteoarthritic knee: randomized controlled trial
Author(s) -
Yip Y. B.,
Sit Janet W. H.,
Fung Karin K. Y.,
Wong Doris Y. S.,
Chong Samantha Y. C.,
Chung L. H.,
Ng T. P.
Publication year - 2007
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/j.1365-2648.2007.04292.x
Subject(s) - medicine , osteoarthritis , physical therapy , randomized controlled trial , arthritis , self management , knee arthritis , intervention (counseling) , knee joint , self efficacy , alternative medicine , surgery , nursing , psychology , pathology , machine learning , computer science , psychotherapist
Title. Effects of a self‐management arthritis programme with an added exercise component for osteoarthritic knee: randomized controlled trial.Aim. This paper is a report of a study to assess the effect of an adapted arthritis self‐management programme with an added focus on exercise practice among osteoarthritic knee sufferers. Background. Osteoarthritis of the knee is a major source of loss of function in older people. Previous studies have found self‐management programmes to be effective in increasing arthritis self‐efficacy and in mastery of self‐management practice. Method. A randomized control trial was carried out from December 2002 to May 2003 and 120 participants (65·9%, including 67 in intervention group and 53 in control group) completed the 16‐week postintervention assessments. Outcome measures included arthritis self‐efficacy, use of self‐management techniques, pain intensity and daily activity. Findings. At 16 weeks, there was a ‘statistically’ significant improvement in the arthritis self‐efficacy level ( P ≤ 0·001), in most of the self‐management skills, i.e. use of cold and hot compresses, in two of three joint protective practices ( P ≤ 0·001; P = 0·01), an increase in the duration of light exercise practice ( P ≤ 0·001), reduction of current arthritis pain ( P ≤ 0·001) and in the ability to perform daily activities ( P ≤ 0·001) among the intervention group but not for the control group ( P ‐range from 0·04 to 0·95). One joint protective practice showed a statistically significant increase in both groups ( P ≤ 0·001). Conclusion. Our findings add to evidence showing short‐term beneficial effects of self‐efficacy theory in education programmes. Self‐efficacy theory has great potential for empowering sufferers of chronic conditions to live with their illness.