Perspectives of ESCAPE-Pain Programme for Older People With Knee Osteoarthritis in the Community Setting

Abstract

Background: Functional limitationscommonly affect patients with knee osteoarthritis (OA) which reduces quality of life. The Enabling Self-management and Coping with Arthritic Pain using Exercise (ESCAPE-pain) is an evidence-based programme identified to be suitable for adaptation for the Malaysian health care system. It is important to understand the acceptance from a sociocultural context of the ESCAPE-pain programme from the perspectives of patients with knee OA and healthcare professionals. This qualitative study aims to explore the perspectives of stakeholders to inform the adaptation of the ESCAPE-pain programme into the Malaysian health care system.Method: Semi-structured interviews using interview guides were conducted with 18 patients with knee OA and 14 healthcare professionals including nurses, physiotherapists, occupational therapists, medical doctors, and orthopedic surgeons. The data were transcribed and analyzed using framework analysis.Results: The findings show that patients and healthcare professionals positively accept the programme into their daily living activities and recommend some modifications related to the Malaysian context. This study also highlights strategies to adopt when providing ESCAPE-pain to patients with knee OA.Conclusion: The findings reveal how sociocultural considerations could facilitate uptake and engagement with the ESCAPE-pain programme for home exercise among patients with knee osteoarthritis. These findings may benefit t patients with knee OA in the Malaysian healthcare system, although future research is recommended.

Applications of Digital Health Technologies in Knee Osteoarthritis: Narrative Review

“…Overall, patients with KOA had positive experiences with digital health technologies. Some of the key benefits noted by patients included anonymity, accessibility, convenience, tailored interventions, reduced travel costs, feedback and self-monitoring, progress reports, and enhanced patient-provider relationships [ 95 - 105 ]. Phone-based interventions were found to be acceptable and were valued for the undivided focus and communication from physical therapists [ 96 - 98 ].…”

Patient perception of group consultations for knee osteoarthritis and influence of area‐level deprivation: A service evaluation in a physiotherapy musculoskeletal setting

“…Additionally, the general impressions reported were generally positive with only a few individual mentioning privacy concerns, which is reasonable considering the nature of group consultation. The lack of advice and resources about exercise and symptom modification approaches were also reported; however, this may need to be re‐evaluated after patients transition to ESCAPE‐pain (Appendix ), a group rehabilitation programme part of the knee OA pathway integrating self‐management and coping strategies (Che Hasan et al., 2021).…”

“…consultation. The lack of advice and resources about exercise and symptom modification approaches were also reported; however, this may need to be re-evaluated after patients transition to ESCAPEpain (Appendix 1), a group rehabilitation programme part of the knee OA pathway integrating self-management and coping strategies (CheHasan et al, 2021).F I G U R E 2 Comfort index during group consultation in both opt-in groups. FTF, Face to Face.…”

Applications of Digital Health Technologies in Knee Osteoarthritis: Narrative Review (Preprint)

“…Overall, patients with KOA had positive experiences with digital health technologies. Some of the key benefits noted by patients included anonymity, accessibility, convenience, tailored interventions, reduced travel costs, feedback and self-monitoring, progress reports, and enhanced patient-provider relationships [95][96][97][98][99][100][101][102][103][104][105]. Phone-based interventions were found to be acceptable and were valued for the undivided focus and communication from physical therapists [96][97][98].…”