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Randomized Controlled Trial
. 2010 Oct 25:11:244.
doi: 10.1186/1471-2474-11-244.

Effect of an education programme for patients with osteoarthritis in primary care--a randomized controlled trial

Eva Ekvall Hansson  1 , Malin Jönsson-Lundgren, Anne-Marie Ronnheden, Eva Sörensson, Asa Bjärnung, Leif E Dahlberg
Affiliations
Randomized Controlled Trial

Effect of an education programme for patients with osteoarthritis in primary care--a randomized controlled trial

Eva Ekvall Hansson et al. BMC Musculoskelet Disord. .

Abstract

Background: Osteoarthritis (OA) is a degenerative disease, considered to be one of the major public health problems. Research suggests that patient education is feasible and valuable for achieving improvements in quality of life, in function, well-being and improved coping. Since 1994, Primary Health Care in Malmö has used a patient education programme directed towards OA. The aim of this study was to evaluate the effects of this education programme for patients with OA in primary health care in terms of self-efficacy, function and self-perceived health.

Method: The study was a single-blind, randomized controlled trial (RCT) in which the EuroQol-5D and Arthritis self-efficacy scale were used to measure self-perceived health and self-efficacy and function was measured with Grip Ability Test for the upper extremity and five different functional tests for the lower extremity.

Results: We found differences between the intervention group and the control group, comparing the results at baseline and after 6 months in EuroQol-5D (p < 0.001) and in standing one leg eyes closed (p = 0.02) in favour of the intervention group. No other differences between the groups were found.

Conclusion: This study has shown that patient education for patients with osteoarthritis is feasible in a primary health care setting and can improve self-perceived health as well as function in some degree, but not self-efficacy. Further research to investigate the effect of exercise performance on function, as well as self-efficacy is warranted.

Trial registration: The trial is registered with ClinicalTrials.gov.

Registration number: NCT00979914.

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Figures

Figure 1
Figure 1
Flowchart of the study.
See this image and copyright information in PMC

References

    1. Peyron JG. Epidemiologic and etiologic approach of osteoarthritis. Semin Arthritis Rheum. 1979;8(4):288–306. doi: 10.1016/0049-0172(79)90006-4. - DOI - PubMed
    1. Hawley DJ. Psycho-educational interventions in the treatment of arthritis. Baillieres Clin Rheumatol. 1995;9(4):803–23. doi: 10.1016/S0950-3579(05)80315-2. - DOI - PubMed
    1. Andersson ML, Thorstensson CA, Roos EM, Petersson IF, Heinegard D, Saxne T. Serum levels of cartilage oligomeric matrix protein (COMP) increase temporarily after physical exercise in patients with knee osteoarthritis. BMC Musculoskelet Disord. 2006;7:98. doi: 10.1186/1471-2474-7-98. - DOI - PMC - PubMed
    1. Roos EM, Dahlberg L. Positive effects of moderate exercise on glycosaminoglycan content in knee cartilage: a four-month, randomized, controlled trial in patients at risk of osteoarthritis. Arthritis Rheum. 2005;52(11):3507–14. doi: 10.1002/art.21415. - DOI - PubMed
    1. Thorstensson CA, Roos EM, Petersson IF, Ekdahl C. Six-week high-intensity exercise program for middle-aged patients with knee osteoarthritis: a randomized controlled trial [ISRCTN20244858] BMC Musculoskelet Disord. 2005;6:27. doi: 10.1186/1471-2474-6-27. - DOI - PMC - PubMed

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