Patient Education Program for Osteoarthritis With Exercise Included (PEPOA-E)

The Effect of Including Exercise in an Education Program for Patients With Osteoarthritis in Primary Health Care

The purpose of this study is to investigate if inclusion of exercise in an education program for patients with osteoarthritis can improve self efficacy, self-perceived health and function.

Study Overview

• Status: Withdrawn
• Conditions: Osteoarthritis
• Intervention / Treatment: Other: Home exercise; Other: Exercise in a group

Detailed Description

Osteoarthritis (OA) is a degenerative disease, considered to be one of the major national diseases that cause suffering for affected patients and costs for society.The predominant symptoms are pain, stiffness and impaired quality of life, often together with psychological distress. Treatment often consists of medication. Later in the disease, when the joint is destroyed, joint replacement surgery commonly occurs. Physical exercises aimed to increase muscle strength, endurance, proprioception and stability have proved to influence cartilage as well as function, symptoms and quality of life positively. Physical exercise may also reduce the need for hospital care after knee joint replacement.Research suggests that patient education is feasible and valuable in terms of improvements in quality of life, in function, in well-being and improved coping . Accordingly, guidelines recommend education and exercise as a core treatment for osteoarthritis.

Since 1994, Primary Health Care in Malmö has used a patient education programme directed towards OA.The program does not include exercise. In 2007-09 a study was made to investigate this education program.The study showed improvements in self-perceived health and in a few functional tests but not in self-efficacy.

• Study Type: Interventional
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Sweden
  • Skåne
    • Malmö, Skåne, Sweden, 205 02
      • Primary Health Care

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Clinical diagnosis of osteoarthritis

Exclusion Criteria:

• Must be able to speak and understand swedish

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Home exercise; The patients is training at home during 6 v. with an individual exercise program.	Other: Home exercise; The patient exercise their individual program at home during 6 v.
Experimental: Exercise in group; The patients is doing their individual exercise program in a group.	Other: Exercise in a group; The patient do their individual exercise program in a group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Arthritis self-efficacy scale	Measure the patients self-efficacy	at baseline
One-leg rising from sitting to standing	measure the strength	at baseline
Grip Ability Test	Measure function of the hand	at baseline
QuickDash	Measure self-percieved function of the arm/hand	at baseline
Arthritis self-efficacy scale	Measure the patients self-efficacy	after 4 month
One leg rising from sitting to standing	measure the strength	after 4 month
Grip Ability Test	Measure function of the hand	after 4 month
QuickDash	Measure self-percieved function of the arm/hand	after 4 month

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Bipedal rising from sitting to standing	Measure the strength	at baseline
One-legged jump	measure strength and balance	at baseline
Standing on one leg with eyes open and standing on one leg with eyes closed	Measure the balance	at baseline
Jamar	Measure the handstrength	at baseline
PinchGauge	Measure the fingers strength	at baseline
EQ5D	Measure self-percieved health	at baseline
Bipedal rising from sitting to standing	measure the strength	after 4 month
One-legged jump	measure strength and balance	after 4 month
Standing on one leg with eyes open and standing on one leg with eyes closed	measure the balance	after 4 month
Jamar	Measure the handstrength	after 4 month
PinchGauge	Measure the fingers strength	after 4 month
EQ5D	Measure self-percieved health	after 4 month

Collaborators and Investigators

• Sponsor: Lund University
• Investigators: Principal Investigator: Malin Jönsson Lundgren, RPT, Lund University

Study record dates

Study Major Dates

• Study Start: September 1, 2010
• Primary Completion (Anticipated): September 1, 2012
• Study Completion (Anticipated): September 1, 2012

Study Registration Dates

• First Submitted: April 29, 2010
• First Submitted That Met QC Criteria: May 6, 2010
• First Posted (Estimate): May 7, 2010

Study Record Updates

• Last Update Posted (Actual): November 21, 2018
• Last Update Submitted That Met QC Criteria: November 19, 2018
• Last Verified: April 1, 2010

More Information

Terms related to this study

• Keywords: Arthritis; Osteoarthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases
• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis; Osteoarthritis
• Other Study ID Numbers: PEPOA-E