Table 6.15Quality of life

QoL outcomeReferenceInterventionAssessment timeOutcome/effect size
Exercise vs control/other exercise
Self-efficacy pain and self-efficacy function scores (Arthritis Self- Efficacy Scale), SF-12 mental component scores1 RCT (Foley et al. 2003) (N=105)Hydrotherapy, land-based gym exercises vs attention controlStudy endpoint (6 weeks)NS
Improvement in self-efficacy satisfaction score (Arthritis Self- Efficacy Scale)1 RCT (Foley et al. 2003) (N=105)Hydrotherapy vs controlStudy endpoint (6 weeks)p=0.006
Favours exercise
Arthritis Self- Efficacy Scale dimensions of: self- efficacy pain; self- efficacy function; improvement in self- efficacy satisfaction score1 RCT (Foley et al. 2003) (N=105)Hydrotherapy vs controlStudy endpoint (6 weeks)NS
SF-12 physical component score1 RCT (Foley et al. 2003) (N=105)Hydrotherapy vs controlStudy endpoint (6 weeks),Exercise significantly better (p value not given)
SF-12 physical and mental component scores1 RCT (Foley et al. 2003) (N=105)Hydrotherapy vs controlStudy endpoint (6 weeks)NS
Improved health status (Quality of Well-Being Scale1 RCT (Belza et al. 2002) (N=249)Aquatic exercise vs usual care (no-exercise)20 weeks (end of treatment)p=0.02
Favours exercise
Improved quality of life scores (Arthritis QOL)1 RCT (Belza et al. 2002) (N=249)Aquatic exercise vs usual care (no-exercise)20 weeks (end of treatment)p=0.01
Favours exercise
AQoL1 RCT (Hinman et al. 2007) (N=71)Aquatic exercise vs no exercise (usual care)6 weeks (end of treatment)Effect size 0.17, p=0.018
Favours exercsie
SF-36 dimensions of: vitality, general health, physical function and physical role1 RCT (Cochrane et al. 2005) (N=312)Hydrotherapy vs usual care1 year (end of treatment) and at 18 months (6 months post- treatment)NS
SF-12 version 2, physical component1 RCT (Fransen et al. 2007) (N=152)Tai chi vs attention control0–12 weeks (end of treatment)Standardised response mean: 0.34,% CI 0.21 to 0.47, p<0.05.
Favours exercise
SF-36 pain1 RCT (Cochrane et al. 2005) (N=312)Hydrotherapy vs usual care1 year (end of treatment)p<0.05
Favours exercise
SF-36 pain1 RCT (Cochrane et al. 2005) (N=312)Hydrotherapy vs usual care18 months (6 months post- treatment)NS
SF-12 version 2, mental component summary and depression, Anxiety and Stress scale (DASS21) components of anxiety, stress and depression1 RCT (Fransen et al. 2007) (N=152)Tai chi vs attention control0–12 weeks (end of treatment)NS

From: 6, Non-pharmacological management of osteoarthritis

Cover of Osteoarthritis
Osteoarthritis: National Clinical Guideline for Care and Management in Adults.
NICE Clinical Guidelines, No. 59.
National Collaborating Centre for Chronic Conditions (UK).
Copyright © 2008, Royal College of Physicians of London.

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