The social and organisational factors shaping acceptability of a self-management education and exercise intervention for people with hip or knee osteoarthritis in Greenland

Int J Circumpolar Health. 2024 Dec;83(1):2350120. doi: 10.1080/22423982.2024.2350120. Epub 2024 May 5.

Abstract

This study aimed to explore the experiences and perspectives of people with osteoarthritis attending the "Osteoarthritis School" (OA School) in Nuuk, Greenland to generate insights and lessons that can inform the development of self-management education and exercise interventions for people with other lifestyle conditions in a Greenland context. We conducted a qualitative interpretive description (ID) study based on ten semi-structured interviews with people with hip or knee osteoarthritis. Interviews were audio-recorded, transcribed, and coded. Using ID, we identified three themes: 1) perceptions and experiences of how the OA School intervention was organised (time and place); 2) perspectives and experiences of the education and exercise components (social factors, motivation, and education); and 3) significant change stories (physical and mental improvements and increased knowledge of OA). Social and organisational factors, such as working out with peers and the time and place of the intervention, influenced the participants' acceptance of the OA School intervention. Knowledge from this study will help us gain insight into what to address when developing future self-management education and exercise interventions in the Greenlandic healthcare system.

Keywords: Greenland; Qualitative research; cultural adaptation; cultural safety; group-based exercise; osteoarthritis; self-management education and exercise intervention.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Exercise Therapy / methods
  • Female
  • Greenland
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Motivation
  • Osteoarthritis, Hip* / therapy
  • Osteoarthritis, Knee* / therapy
  • Patient Acceptance of Health Care / psychology
  • Patient Education as Topic / organization & administration
  • Qualitative Research*
  • Self-Management*

Grants and funding

MTN and MHN were affiliated at Steno Diabetes Center Greenland at the time this study was conducted. Steno Diabetes Center Greenland is partly funded by the Novo Nordisk Foundation (NNF20SA0064190).