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Musculoskeletal Care. 2015 Jun;13(2):67-75. doi: 10.1002/msc.1085. Epub 2014 Oct 24.

Better Management of Patients with Osteoarthritis: Development and Nationwide Implementation of an Evidence-Based Supported Osteoarthritis Self-Management Programme.

Author information

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.

KEYWORDS:

Osteoarthritis; exercise; implementation; patient education

PMID:
25345913
DOI:
10.1002/msc.1085
[Indexed for MEDLINE]

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