Impact of an Arthritis Self-Management Programme with an added exercise component for osteoarthritic knee sufferers on improving pain, functional outcomes, and use of health care services: An experimental study

Patient Educ Couns. 2007 Jan;65(1):113-21. doi: 10.1016/j.pec.2006.06.019. Epub 2006 Sep 27.


Objective: The aim of this study was to assess the effect of an adopted Arthritis Self-Management Programme (ASMP) with an added exercise component among osteoarthritic knee sufferers in Hong Kong.

Methods: An experimental study with 88 participants assigned to an intervention group and 94 participants to a control group. One hundred and forty-nine participants (81.9%) completed the 1 week and 120 participants (65.6%) the 16 week post-intervention assessments. Participants in the intervention group received a 6-week ASMP with an added exercise component. Outcome measures included arthritic pain and fatigue rating, practice of light exercise routines, functional status, and number of unplanned arthritis-related medical consultations. To assess the programme's effect on outcome measures, the between-groups and within-group mean changes were compared using Mann-Whitney U-test and Friedman test.

Results: At 16 weeks, there were significant mean changes between groups in four outcome measures: reduction in arthritis pain (p=0.0001) and fatigue (p=0.008), and increased duration of weekly light exercise practice (p=0.0001) and knee flexion (p=0.004). The ability to perform daily activities and the number of unplanned arthritis-related medical consultations show statistically significant improvements between three time-points within the intervention group only (p=0.0001 and p=0.005, respectively), but not between-groups (p=0.14 and p=0.86, respectively). Both groups apparently had no changes in muscle strength.

Conclusion: Our findings suggest that the intervention had a positive effect in reducing pain, fatigue, knee range of motion, the practice of exercise routines, the number of medical consultations and in improving functional status and over a 16-week period.

Practice implications: The self-management programme we applied took into account the local context and the ethnicity of the group. This process is worth further exploration and testing in different groups.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Aged
  • Chi-Square Distribution
  • Disease Management
  • Exercise Therapy / organization & administration*
  • Fatigue / etiology
  • Fatigue / prevention & control
  • Female
  • Health Services / statistics & numerical data
  • Hong Kong
  • Humans
  • Male
  • Middle Aged
  • Muscle Weakness / etiology
  • Muscle Weakness / prevention & control
  • Osteoarthritis, Knee / complications
  • Osteoarthritis, Knee / prevention & control*
  • Osteoarthritis, Knee / psychology
  • Outcome Assessment, Health Care
  • Pain / diagnosis
  • Pain / etiology
  • Pain / prevention & control
  • Pain Measurement
  • Patient Education as Topic / organization & administration*
  • Program Evaluation
  • Range of Motion, Articular
  • Self Care / methods*
  • Self Care / psychology
  • Self-Help Groups / organization & administration*
  • Surveys and Questionnaires