Physical activity and health-related quality of life in men and women with hip and/or knee osteoarthritis before and after a supported self-management programme – a prospective observational study

Åkesson, Karin Sturesdotter; Beckman, Anders; Stigmar, Kjerstin; Sundén, Anne; Hansson, Eva Ekvall

doi:10.1080/09638288.2021.1900417

Cited by 11 publications

(5 citation statements)

References 52 publications

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“…Even so, HRQoL increased somewhat at three months and was still higher at nine months follow-up than at baseline. This outcome pattern of self-reporting HRQoL after participating in a SOASP is in line with previous reports [7,45] and is promising since it indicates that the aim of the SOASP to increase HRQoL is somewhat achieved. However, the effect size regarding HRQoL was small which might not be surprising given the high baseline values.…”

Section: Discussionsupporting

confidence: 91%

“…On the other hand, patients self-reporting higher values on the EQ-5D already at baseline might increase less since there is less room for improvement. Health-related quality of life (HRQoL) vary for men and women [45][46][47] and in different ages [46,48] so for that reason age and gender were entered as covariates. However, in this context, age and gender were not associated with the change in HRQoL.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, they might not be representative to the average OA patient in Sweden. The idea that the SOASP does not reach out to all OA patients has been raised [45,51].…”

Section: Discussionmentioning

confidence: 99%

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Empowerment and enablement as predictors of change in health-related quality of life among patients participating in a Supported OsteoArthritis Self-Management Programme – a prospective observational study

Åkesson

Sundén

Stigmar

et al. 2022

Preprint

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Background: Osteoarthritis is a leading cause of disability worldwide. Current treatment supports coping strategies to improve health-related quality of life (HRQoL). The need to predict response to treatment has been raised to personalise care. This study aims to examine change in HRQoL from baseline to three and nine months follow-up after participating in a Supported OsteoArthritis Self-Management Programme (SOASP) and to examine if empowerment and/or enablement could predict change in HRQoL among patients participating in a SOASP. Methods: Patients participating in a SOASP were recruited consecutively between April 2016 and June 2018. The EQ-5D was used to measure HRQoL, the SWE-RES-23 23 (score range 1–5) to measure empowerment and the PEI (score range 0–12) to measure enablement. The instruments were answered before (EQ-5D, SWE-RES-23) and after (EQ-5D, SWE-RES-23, PEI) the SOASP. A patient partner was engaged to enhance the patient perspective. Changes in outcome were examined with paired sample t-test and standardized effect sizes (Cohen´s d). Potential predictive variables were tested with multiple linear regression analysis. Results: In total, 143 patients participated in baseline measurement. The mean EQ-5D-5L index score increased significantly from baseline to three months corresponding to a standardised effect size (Cohen´s d) of d=.43, 95 % CI [.24, .63] (n=109), and from baseline to nine months d=.19, 95 % CI [.01, .37] (n=119). The average EQ VAS score increased significantly from baseline to three months corresponding to a standardised effect size of d=.26, 95 % CI [.07, .45] (n=109), and from baseline to nine months d=.18, 95 % CI [.00, .36] (n=119). Neither the SWE-RES-23 nor the PEI at three months follow-up or the change in the SWE-RES-23 score from baseline to three months follow-up predicted change in either EQ-5D-5L index (p>.05) or the EQ VAS (p>.05). Conclusions: Health-related quality of life increased after participating in a SOASP. Empowerment and enablement as measured with the SWE-RES-23 and the PEI respectively could not predict change in HRQoL among patients participating in a SOASP. Trial registration: ClinicalTrials.gov. Identification number: NCT 02974036. First registration 28/11/2016, retrospectively registered.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Empowerment and enablement as predictors of change in health-related quality of life among patients participating in a Supported OsteoArthritis Self-Management Programme – a prospective observational study

Åkesson

Sundén

Stigmar

et al. 2022

Preprint

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“…A survey among the general Swiss population in 2017 showed a prevalence of recommended self-reported PA of 76% [ 27 ]. Comparing these results with international literature, a Swedish study by Sturesdotter et al showed a prevalence of recommended self-reported PA of 79% for people with knee and hip OA at 12 months after a supported self-management programme [ 28 ]. The results of the study by Pisters et al were comparable with this study, with a prevalence of recommended self-reported PA of 87% at 15 months after a behavioural exercise and activity programme followed by booster sessions in the first year after the programme [ 29 ].…”

Section: Discussionmentioning

confidence: 76%

Facilitators, barriers and support needs to GLA:D exercise adherence – a mixed method study

Matile,

Nast,

Niedermann

2024

BMC Sports Sci Med Rehabil

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Background Knee and hip osteoarthritis (OA) are among the most common musculoskeletal joint diseases worldwide. International guidelines recommend exercise and education as first-line interventions for their management. The Good Life with osteoArthritis Denmark (GLA:D) programme aims to achieve self-management using group exercise and education sessions. It also encourages participants to stay physically active and perform GLA:D exercises (GE) twice weekly after programme end. This study investigated the participants’ self-reported level of physical activity (PA) and self-reported adherence to the GE between five and 17 months after completion of the GLA:D programme and also explored the barriers, facilitators and support needs to achieve long-term adherence to GE. Methods A mixed method study using an exploratory sequential design was performed. A qualitative phase, involving semi-structured interviews and a focus group, led to the development of a questionnaire on participants’ level of PA, as well as ratings of the barriers, facilitators and support needs for the achievement of long-term adherence to GE. In a second quantitative phase, the survey was conducted online with former GLA:D participants from Switzerland. Descriptive statistical analysis and a group comparison between adherent and non-adherent participants to the GE were performed using Fisher’s exact test, odds ratio, and confidence interval. Results Eleven former GLA:D participants attended the interviews and focus group, and former GLA:D participants (30% response rate) participated in the survey. Of these, 84% (n = 285) reported to reach the recommended level of PA and 53% (n = 178) GE adherence. The top barrier to GE adherence was no/little self-discipline to perform GE (40%, n = 112) and the top facilitator was GE are easy to perform (93%, n = 300). The top 3 items regarding support needs to enhance GE adherence were a shortened version (max. 30 min) of the GE home programme (75%, n = 255), monthly continuation of small GE groups under GLA:D physiotherapists’ supervision (65%, n = 221), and monitoring with regular testing of individual progress (65%, n = 221). Conclusions The top barriers and facilitators should be considered by those responsible for the GLA:D programme and may need to be specifically addressed during and after the programme. The development of a shortened version of the GLA:D programme, a post-GLA:D group, and monitoring with regular testing seem crucial for enhancing GE adherence. Clinical Trial Registration not applicable.

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“…It may be that participants in a SOASP might be more informed and motivated per se since they seek health care for their problems and accept to participate in an active intervention such as the SOASP. Thus, there might be a selection bias when it comes to which patients with OA participate in the SOASP in comparison to the total population with hip and/or knee OA in Sweden, which is an issue that has been raised in previous studies on patients with OA in relation to SOASP [36,37]. This perspective was supported by the PP incorporated in the study who also reflected that patients who seek health care might be more willing to change and to do something about their problems.…”

Section: Discussionmentioning

confidence: 99%

Enablement And Empowerment Among Patients Participating In A Supported Osteoarthritis Self-Management Programme - A Prospective Observational Study

Åkesson¹

2023

Osteoarthritis and Cartilage

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Physical activity and health-related quality of life in men and women with hip and/or knee osteoarthritis before and after a supported self-management programme – a prospective observational study

Cited by 11 publications

References 52 publications

Empowerment and enablement as predictors of change in health-related quality of life among patients participating in a Supported OsteoArthritis Self-Management Programme – a prospective observational study

Empowerment and enablement as predictors of change in health-related quality of life among patients participating in a Supported OsteoArthritis Self-Management Programme – a prospective observational study

Facilitators, barriers and support needs to GLA:D exercise adherence – a mixed method study

Enablement And Empowerment Among Patients Participating In A Supported Osteoarthritis Self-Management Programme - A Prospective Observational Study

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