The effectiveness of a self-management program on quality of life for knee osteoarthritis (OA) patients

Arch Gerontol Geriatr. Mar-Apr 2012;54(2):317-24. doi: 10.1016/j.archger.2011.05.018. Epub 2011 Jul 2.

Abstract

Purpose: To evaluate the effectiveness of the Taipei Osteoarthritis Program (TOAP) for community elderly persons who suffer from knee OA.

Methods: A quasi-experimental study was conducted between January 2008 and December 2008. Two hundred and five community-dwelling individuals aged 67±10 years with knee OA were recruited from four districts in Taipei City and randomized. By a clustered randomization according to the districts, 114 participants were in the intervention group (IG) with a 4-week TOAP program and 91 participants were in the control group (CG) with routine care. The main outcome measures included health-related quality of life (HRQOL) and disability level, which were assessed by the Short Form-36 Taiwan Version (T-SF36) and the Western Ontario McMaster Universities Arthritis Index Taiwan Version (T-WOMAC), respectively, and were repeatedly measured at the baseline, post invention (4 weeks after baseline), and follow-up (8 weeks after baseline).

Results: Subjects in the IG increased their changes of GH scores from baseline to post-intervention and follow-up, which were significantly more than those of subjects in the CG (p=0.011 and 0.005, respectively). Significant difference of changes was also found at follow-up for the mental component scale between the groups (p=0.013). There was no change in disability level.

Conclusions: The arthritis self-management program improved the psychological outcomes among the participants, but it had no significant effect on a self-reported disability level.

Publication types

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

MeSH terms

  • Activities of Daily Living
  • Aged
  • Exercise Therapy / methods
  • Female
  • Humans
  • Male
  • Osteoarthritis, Knee / psychology
  • Osteoarthritis, Knee / therapy*
  • Patient Education as Topic / methods
  • Quality of Life / psychology*
  • Self Care / methods*
  • Self Care / psychology