Effect of an Education Programme for Patients With Osteoarthritis in Primary Care - a Randomized Controlled Trial
研究概览
详细说明
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 as a core treatment for osteoarthritis.
Patient education programmes are often defined as a planned learning experience to influence a patient's knowledge and health behaviour [13]. There are various types of patient education. It can be given by a physician as part of consultation, in small groups or delivered by a multi-disciplinary team [13, 14] Since 1994, Primary Health Care in Malmö has used a patient education programme directed towards OA. The programme has been developed by physiotherapists and occupational therapists in primary health care and has been implemented in the ordinary work.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Skåne
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Malmö、Skåne、瑞典、205 02
- Primary Health Care
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参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Clinical diagnosis of osteoarthritis
Exclusion Criteria:
- Must be able to speak and understand swedish
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:Patient education programme
Patients with osteoarthritis who were referred to the patient education programme.The patients followed the patient education programme.
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The intervention consisted of five group sessions, three hours for each session.
The focus was on self-efficacy.
Eight to ten patients participated in the programme at the same time.
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无干预:Control
Patients randomized to control group
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
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EQ5D
大体时间:At baseline and at follow-up after 6 months
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At baseline and at follow-up after 6 months
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Arthritis self-efficacy scale
大体时间:At baseline and at follow up after 6 months
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At baseline and at follow up after 6 months
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One-leg rising from sitting to standing
大体时间:At baseline and at follow up after 6 months
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At baseline and at follow up after 6 months
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Grip Ability Test
大体时间:At baseline and at follow up after 6 months
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At baseline and at follow up after 6 months
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次要结果测量
结果测量 |
大体时间 |
---|---|
Bipedal rising from sitting to standing
大体时间:At baseline and at follow up after 6 months
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At baseline and at follow up after 6 months
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One-legged jump
大体时间:At baseline and at follow up after 6 months
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At baseline and at follow up after 6 months
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Standing on one leg with eyes open and standing on one leg with eyes closed
大体时间:At baseline and at follow up after 6 months
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At baseline and at follow up after 6 months
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合作者和调查者
出版物和有用的链接
一般刊物
- Fransen M, Edmonds J. Reliability and validity of the EuroQol in patients with osteoarthritis of the knee. Rheumatology (Oxford). 1999 Sep;38(9):807-13. doi: 10.1093/rheumatology/38.9.807.
- Rosemann T, Joos S, Laux G, Gensichen J, Szecsenyi J. Case management of arthritis patients in primary care: a cluster-randomized controlled trial. Arthritis Rheum. 2007 Dec 15;57(8):1390-7. doi: 10.1002/art.23080.
- Hansson EE, Jonsson-Lundgren M, Ronnheden AM, Sorensson E, Bjarnung A, Dahlberg LE. Effect of an education programme for patients with osteoarthritis in primary care--a randomized controlled trial. BMC Musculoskelet Disord. 2010 Oct 25;11:244. doi: 10.1186/1471-2474-11-244.
有用的网址
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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