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Title: Effects of a self-management arthritis programme with an added exercise component for osteoarthritic knee : randomized controlled trial
Authors: Yip, YB
Sit, JWH
Fung, KKY
Wong, DYS
Chong, SYC
Chung, LH
Ng, TP
Issue Date: Jul-2007
Source: Journal of advanced nursing, July 2007, v. 59, no. 1, p. 20-28
Abstract: Aim. This paper is a report of a study to assess the effect of an adapted arthritis self-management programme with an added focus on exercise practice among osteoarthritic knee sufferers.
Background. Osteoarthritis of the knee is a major source of loss of function in older people. Previous studies have found self-management programmes to be effective in increasing arthritis self-efficacy and in mastery of self-management practice.
Method. A randomized control trial was carried out from December 2002 to May 2003 and 120 participants (65·9%, including 67 in intervention group and 53 in control group) completed the 16-week postintervention assessments. Outcome measures included arthritis self-efficacy, use of self-management techniques, pain intensity and daily activity.
Findings. At 16 weeks, there was a ‘statistically’ significant improvement in the arthritis self-efficacy level (P ≤ 0·001), in most of the self-management skills, i.e. use of cold and hot compresses, in two of three joint protective practices (P ≤ 0·001; P = 0·01), an increase in the duration of light exercise practice (P ≤ 0·001), reduction of current arthritis pain (P ≤ 0·001) and in the ability to perform daily activities (P ≤ 0·001) among the intervention group but not for the control group (P-range from 0·04 to 0·95). One joint protective practice showed a statistically significant increase in both groups (P ≤ 0·001).
Conclusion. Our findings add to evidence showing short-term beneficial effects of self-efficacy theory in education programmes. Self-efficacy theory has great potential for empowering sufferers of chronic conditions to live with their illness.
Keywords: Healthcare professionals
Knee
Osteoarthritis
Pain
Randomized controlled trial
Self-efficacy
Self-management
Publisher: Wiley-Blackwell
Journal: Journal of advanced nursing 
ISSN: 0309-2402
EISSN: 1365-2648
DOI: 10.1111/j.1365-2648.2007.04292.x
Rights: © 2007 The Authors. Journal compilation © 2007 Blackwell Publishing Ltd.
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