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Effects of a self-management arthritis programme with an added exercise component for osteoarthritic knee: randomized controlled trial

  1. Y. B. Yip1,
  2. Janet W. H. Sit2,
  3. Karin K. Y. Fung3,
  4. Doris Y. S. Wong4,
  5. Samantha Y. C. Chong5,
  6. L. H. Chung6,
  7. T. P. Ng7

Article first published online: 6 JUN 2007

DOI: 10.1111/j.1365-2648.2007.04292.x

Issue

Journal of Advanced Nursing

Journal of Advanced Nursing

Volume 59, Issue 1, pages 20–28, July 2007

Additional Information

How to Cite

Yip, Y. B., Sit, J. W. H., Fung, K. K. Y., Wong, D. Y. S., Chong, S. Y. C., Chung, L. H. and Ng, T. P. (2007), Effects of a self-management arthritis programme with an added exercise component for osteoarthritic knee: randomized controlled trial. Journal of Advanced Nursing, 59: 20–28. doi: 10.1111/j.1365-2648.2007.04292.x

Author Information

  1. 1

    Y. B. Yip PhD RN Associate Professor School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China

  2. 2

    Janet W. H. Sit PhD RN Assistant Professor School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China

  3. 3

    Karin K. Y. Fung MSN RN Registered Nurse Queen Mary Hospital, Hong Kong, China

  4. 4

    Doris Y. S. Wong MHA RN Lecturer School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China

  5. 5

    Samantha Y. C. Chong MHA RN Nursing Officer Kwong Wah Hospital, Hong Kong, China

  6. 6

    L. H. Chung MSci Nur RN Nursing Officer Kwong Wah Hospital, Hong Kong, China

  7. 7

    T. P. Ng MBChB FHKAM Medical Officer Orthopedics Surgical Department, Queen Mary Hospital, Hong Kong, China

*Vera Y. B. Yip: e-mail: yipvera@gmail.com

Publication History

  1. Issue published online: 6 JUN 2007
  2. Article first published online: 6 JUN 2007
  3. Accepted for publication 26 February 2007

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Keywords:

  • healthcare professionals;
  • knee;
  • osteoarthritis;
  • pain;
  • randomized controlled trial;
  • self-efficacy;
  • self-management

Abstract

Title. Effects of a self-management arthritis programme with an added exercise component for osteoarthritic knee: randomized controlled trial.

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.

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