A Theoretical Model for Preventing Osteoarthritis-Related Disability


  • Tsae-Jyy Wang MSN RN,

    Assistant Professor, Corresponding author
      e-mail to tsaejvy@mail1.ntcn.edu.tw
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    • Tsae-Jyy Wang is an assistant professor at the Department of Nursing, National Taipei College of Nursing in Taiwan, ROC.

  • Horng-Lin Chern MC,

    PhysicianSearch for more papers by this author
    • Horng-Lin Chern is a physician at the Department of Family Medicine, Cardinal-Tien Hospital in Taiwan, ROC.

  • Yueh-Er Chiou MS RN

    LecturerSearch for more papers by this author
    • Yueh-Er Chiou is a lecturer at the Department of Nursing, Fu Jen Catholic University in Taiwan, ROC.

e-mail to tsaejvy@mail1.ntcn.edu.tw


Osteoarthritis (OA) affects many aspects of life for affected individuals. Effective interventions to prevent and restore function must be based upon an understanding of what contributes to OA and its associated disabilities. A hypothetical OA disability model built upon the previous work of Nagi (1991), Verbrugge and Jette (1994), the International Classification of Functioning of World Health Organization (World Health Organization, 2001), and other scientific findings is proposed. The model includes a main disease pathway, which describes the sequence of events from OA-associated impairments to disabilities. Contextual factors influencing the process include individual characteristics, psychological state, coping style, comorbidities, social support, and physical environment. The model provides a useful conceptual framework for understanding the OA disability process from a biopsychosocial perspective and for guiding rehabilitation nursing interventions in OA care.