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. 2022 Nov 4:10:958614.
doi: 10.3389/fpubh.2022.958614. eCollection 2022.

Self-care behaviors in older adults suffering from knee osteoarthritis: Application of theory of planned behavior

Hanieh Jormand  1 , Nasim Mohammadi  2 , Ali Khani Jeihooni  3 , Pooyan Afzali Harsini  4
Affiliations

Self-care behaviors in older adults suffering from knee osteoarthritis: Application of theory of planned behavior

Hanieh Jormand et al. Front Public Health. .

Abstract

Background: Osteoarthritis is one of the main reasons causing disablement. Educational intervention for self-care behaviors of patients suffering from knee osteoarthritis is important because its effect on quality of patient life decreases the economic burden of disorder on society and family. This study aimed to investigate the effect of educational intervention based on the theory of planned behavior (TPB) on promoting self-care behaviors in elderly patients suffering from knee osteoarthritis.

Methods: This quasi-experimental study was performed on 200 elderlies suffering from knee osteoarthritis in the rheumatology clinics of Shiraz, Iran, in 2019. The subjects were divided into two groups (100 experimental and 100 control). Before and after 4 months, both experimental and control groups filled a questionnaire. After administering a pre-test to both groups, only the experimental group was trained based on the TPB constructs on self-care behaviors in elderly people suffering from knee osteoarthritis in eight sessions by presenting educational films and images, power points, and group discussions for solving problems.

Results: The mean age of the experimental group was 67.25 ± 3.64, and the mean age of the control group was 66.12 ± 3.50. The average scores of attitudes, subjective norms, perceived behavioral control, intention, and behavior before the educational intervention did not have significant differences in experimental and control groups, however, 4 months after the educational intervention, the paired t-test indicated significant enhancement in every construct in the experimental group, but no significant changes in the control group.

Conclusion: According to the results, the educational intervention increased the self-care behaviors of patients suffering from knee osteoarthritis based on the theory of planned behavior. Therefore, the results of this study can be used in theory-based intervention strategies for self-care behaviors of patients suffering from knee osteoarthritis.

Keywords: educational intervention; knee osteoarthritis; patients; self-care behaviors; theory of planned behavior.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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References

    1. March LM, Bachmeier CJ. 10 Economics of osteoarthritis: a global perspective. Bailliere's Clin Rheumatol. (1997) 11:817–34. 10.1016/S0950-3579(97)80011-8 - DOI - PubMed
    1. Ma VY, Chan L, Carruthers KJ. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Archiv Phys Med Rehabil. (2014) 95:986–95.e1. 10.1016/j.apmr.2013.10.032 - DOI - PMC - PubMed
    1. Spitaels D, Mamouris P, Vaes B, Smeets M, Luyten F, Hermens R, et al. . Epidemiology of knee osteoarthritis in general practice: a registry-based study. BMJ Open. (2020) 10:e031734. 10.1136/bmjopen-2019-031734 - DOI - PMC - PubMed
    1. Jaiswal A, Goswami K, Haldar P, Salve HR, Singh U. Prevalence of knee osteoarthritis, its determinants, and impact on the quality of life in elderly persons in rural Ballabgarh, Haryana. J Fam Med Prim Care. (2021) 10:354. 10.4103/jfmpc.jfmpc_1477_20 - DOI - PMC - PubMed
    1. Tschon M, Contartese D, Pagani S, Borsari V, Fini M. Gender and sex are key determinants in osteoarthritis not only confounding variables. a systematic review of clinical data. J Clin Med. (2021) 10:143178. 10.3390/jcm10143178 - DOI - PMC - PubMed

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