Show simple item record

dc.contributor.authorColeman, Sophie
dc.contributor.authorMcQuade, J.
dc.contributor.authorRose, J.
dc.contributor.authorInderjeeth, C.
dc.contributor.authorCarroll, G.
dc.contributor.authorBriffa, Kathy
dc.date.accessioned2017-01-30T12:55:29Z
dc.date.available2017-01-30T12:55:29Z
dc.date.created2015-03-03T20:14:30Z
dc.date.issued2010
dc.identifier.citationColeman, S. and McQuade, J. and Rose, J. and Inderjeeth, C. and Carroll, G. and Briffa, K. 2010. Self-management for osteoarthritis of the knee : Does mode of delivery influence outcome? BMC Musculoskeletal Disorders. 11 (56).
dc.identifier.urihttp://hdl.handle.net/20.500.11937/26834
dc.identifier.doi10.1186/1471-2474-11-56
dc.description.abstract

Background: Self-management has become increasingly popular in the management of chronic diseases. There are many different self-management models. Meta analyses of arthritis self-management have concluded that it is difficult to recommend any one program in preference to another due to inconsistencies in the study designs used to evaluate different programs. The Stanford Arthritis Self-Management Program (ASMP), most commonly delivered by trained lay leaders, is a generic program widely used for people with rheumatological disorders. We have developed a more specific program expressly for people with osteoarthritis of the knee (OAKP). It includes information designed to be delivered by health professionals and results in improvements in pain, function and quality of life. Aim: To determine whether, for people with osteoarthritis (OA) of the knee, the OAKP implemented in a primary health care setting can achieve and maintain clinically meaningful improvements in more participants than ASMP delivered in the same environment.Methods/Design: The effectiveness of the programs will be compared in a single-blind randomized study. Participants: 146 participants with established OA knee will be recruited. Volunteers with coexistent inflammatory joint disease or serious co-morbidities will be excluded. Interventions: Participants will be randomised into either OAKP or ASMP groups and followed for 6 months. Measurements: Assessments will be immediately before and after the intervention and at 6 months. Primary outcome measures will be WOMAC and SF-36 questionnaires and a VAS for pain. Secondary outcomes will include balance, tested using a timed single leg balance test and a timed step test and self-efficacy. Data will be analysed using repeated measures ANOVA. Discussion: With an aging population the health care costs for people with arthritis are ever increasing. Although cost analysis is beyond the scope of this study, it is reasonable to expect that costs will be greater when health professionals deliver self-management programs as opposed to lay leaders. Consequently it is critical to examine the relative effectiveness of the primary care management strategies available for OA.

dc.publisherBiomed Central Ltd
dc.titleSelf-management for osteoarthritis of the knee : Does mode of delivery influence outcome?
dc.typeJournal Article
dcterms.source.volume11
dcterms.source.issn1471-2474
dcterms.source.titleBMC Musculoskeletal Disorders
curtin.departmentSchool of Physiotherapy and Exercise Science
curtin.accessStatusOpen access via publisher


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record