Patient Enablement in Osteoarthritis - a Longitudinal Study on Patient Education Programs in Primary Health Care

NCT02974036 | Completed

• 1 other identifier: 782-14
• Study Type: observational
• Target: 143
• Locations: 1 country
• Sites: 1

Brief Summary

The overall purpose is to study quality in patient education by means of the patients' self-rated enablement. Specific aims are: To assess the validity of the patient enablement instrument in relation to self-efficacy and empowerment; To investigate if patient enablement can be effective in identifying which patients would benefit the most from patient education; To study if patient enablement has any relation to self-efficacy, function or self-rated health; To analyze if patient enablement has a causal effect on health care consumption; To evaluate whether patient education is a cost-effective intervention. The project is a longitudinal study, including patients from a patient education programme for osteoarthritis in primary health care. Data consist of patient reported outcome measures and health care consumption. Cost-effectiveness and cost-utility analysis will be used. Inclusion of patients will start August 2016. Analyses of data and manuscript writing will be performed in 2018-2019. Researchers included are from primary health care settings and researchers in the field of OA, patient education and health economy. Our increasingly older and more inactive population will raise huge demands on the health care. The importance of optimizing treatments that are available in primary health care cannot be underestimated. The project will contribute with important knowledge about the patient's own process of getting well.

Conditions

Patient Education as Topic; Osteoarthritis

Keywords

Patient education; Osteoarthritis; Primary health care

Outcome Measures

Primary Outcomes (1)

• Patient enablement

  Questionnaire

  directly after intervention

Secondary Outcomes (1)

• Arthritis Self Efficacy Scale

  before intervention, directly after intervention and at 3 and 9 month follow up

Other Outcomes (5)

• Swedish Rheumatic Empowerment Scale

  Before intervention, directly after intervention and at 3 and 9 month follow up

• EQ5D index

  Before intervention, directly after intervention and at 3 and 9 month follow up

• Health care consumption

  12 months before baseline and 12 months after baseline

Study Arms (1)

Patient education for osteoarthritis

The intervention in the education program consists of three group lessons of about 90 minutes each where information about ethiology, risk factors, treatment and coping strategies concerning OA is included. The first two lessons are held by a physiotherapist and the third by a so-called expert patient that is a person with OA who shares his or her experiences of how to live with the disease. After the intervention patients are able to choose if they want to exercise at home or in a group, supervised by a physiotherapist.

Other: Patient education for osteoarthritis

Interventions

Patient education for osteoarthritis OTHER

Group sessions and optional supervised exercise.

Patient education for osteoarthritis

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who are referred to patient education for OA in primary health care
• Speaks and write Swedish

You may not qualify if:

• Not having OA
• Not able to speak or write Swedish

Sponsors & Collaborators

• Lund University: lead

Study Sites (1)

Primary Health Care

Malmo, SE20502, Sweden

Location

Related Publications (3)

• Hansson EE, Jonsson-Lundgren M, Ronnheden AM, Sorensson E, Bjarnung A, Dahlberg LE. Effect of an education programme for patients with osteoarthritis in primary care--a randomized controlled trial. BMC Musculoskelet Disord. 2010 Oct 25;11:244. doi: 10.1186/1471-2474-11-244.

  PMID: 20969809 BACKGROUND

• Akesson KS, Sunden A, Stigmar K, Eek F, Pawlikowska T, Hansson EE. Empowerment and enablement and their associations with change in health-related quality of life after a supported osteoarthritis self-management programme - a prospective observational study. Arch Physiother. 2023 Sep 22;13(1):18. doi: 10.1186/s40945-023-00172-7.

  PMID: 37735517 DERIVED

• Akesson KS, Sunden A, Stigmar K, Fagerstrom C, Pawlikowska T, Ekvall Hansson E. Enablement and empowerment among patients participating in a supported osteoarthritis self-management programme - a prospective observational study. BMC Musculoskelet Disord. 2022 Jun 8;23(1):555. doi: 10.1186/s12891-022-05457-9.

  PMID: 35676666 DERIVED

Related Links

• BOA registry

MeSH Terms

Conditions

Osteoarthritis

Interventions

Patient Education as Topic

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Health Education; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Eva Ekvall Hansson, Ass prof

  Lund University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior lecturer, associate professor

Study Record Dates

• First Submitted: August 17, 2016
• First Posted: November 28, 2016
• Study Start: August 1, 2016
• Primary Completion: October 18, 2019
• Study Completion: December 1, 2019
• Last Updated: March 14, 2022

Record last verified: 2022-02

Locations

SE (1)