Carina A Thorstensson1,2, Göran Garellick3,4, Hans Rystedt5, Leif E Dahlberg6. 1. Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. 2. BOA Registry, Registercentrum Västra Götaland, Gothenburg, Sweden. 3. Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. 4. Swedish Hip Arthroplasty Register, Registercentrum Västra Götaland, Gothenburg, Sweden. 5. Department of Education, Communication and Learning, University of Gothenburg, Gothenburg, Sweden. 6. Department of Orthopaedics, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden.
Abstract
BACKGROUND: Information and exercise are core treatments of osteoarthritis. Self-management and coping strategies with the disease are crucial to gain benefits. We developed a supported osteoarthritis self-management programme, delivered by trained physiotherapists, to facilitate patient and healthcare compliance. The programme combined peer- and healthcare professional-delivered information, and individually adapted exercise. METHODS: Physiotherapists were trained to deliver and evaluate the programme. Patient-reported compliance and satisfaction with the programme was assessed at three- and 12-month follow-ups. RESULTS: Data from 20,200 consecutive patients in 320 different care centres in Sweden showed that 97% attended the theory sessions and 83% volunteered for the optional individual exercise programme. The intervention was rated as good or very good by 94% of patients. After three months, 62% reported daily use of what they had learned during the course, and 91% reported weekly use. Corresponding numbers after 12 months were 37% and 72%. CONCLUSIONS: The supported osteoarthritis self-management programme is feasible in clinical practice, and seems useful and acceptable to patients.
BACKGROUND: Information and exercise are core treatments of osteoarthritis. Self-management and coping strategies with the disease are crucial to gain benefits. We developed a supported osteoarthritis self-management programme, delivered by trained physiotherapists, to facilitate patient and healthcare compliance. The programme combined peer- and healthcare professional-delivered information, and individually adapted exercise. METHODS: Physiotherapists were trained to deliver and evaluate the programme. Patient-reported compliance and satisfaction with the programme was assessed at three- and 12-month follow-ups. RESULTS: Data from 20,200 consecutive patients in 320 different care centres in Sweden showed that 97% attended the theory sessions and 83% volunteered for the optional individual exercise programme. The intervention was rated as good or very good by 94% of patients. After three months, 62% reported daily use of what they had learned during the course, and 91% reported weekly use. Corresponding numbers after 12 months were 37% and 72%. CONCLUSIONS: The supported osteoarthritis self-management programme is feasible in clinical practice, and seems useful and acceptable to patients.
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