Effect of an Education Programme for Patients With Osteoarthritis in Primary Care - a Randomized Controlled Trial

NCT ID: NCT00979914

Last Updated: 2015-03-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-31

Study Completion Date

2009-03-31

Brief Summary

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Osteoarthritis is a common disease. The core treatment is often patient education. The aim of this study is therefore to study the effect of a patient education programme for patients with osteoarthritis in primary health care.

Detailed Description

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Osteoarthritis (OA) is a degenerative disease, considered to be one of the major national diseases that cause suffering for affected patients and costs for society.The predominant symptoms are pain, stiffness and impaired quality of life, often together with psychological distress. Treatment often consists of medication. Later in the disease, when the joint is destroyed, joint replacement surgery commonly occurs. Physical exercises aimed to increase muscle strength, endurance, proprioception and stability have proved to influence cartilage as well as function, symptoms and quality of life positively. Physical exercise may also reduce the need for hospital care after knee joint replacement.

Research suggests that patient education is feasible and valuable in terms of improvements in quality of life, in function, in well-being and improved coping . Accordingly, guidelines recommend education as a core treatment for osteoarthritis.

Patient education programmes are often defined as a planned learning experience to influence a patient's knowledge and health behaviour \[13\]. There are various types of patient education. It can be given by a physician as part of consultation, in small groups or delivered by a multi-disciplinary team \[13, 14\] Since 1994, Primary Health Care in Malmö has used a patient education programme directed towards OA. The programme has been developed by physiotherapists and occupational therapists in primary health care and has been implemented in the ordinary work.

Conditions

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Osteoarthritis in the Hip, Knee and Hand

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Patient education programme

Patients with osteoarthritis who were referred to the patient education programme.The patients followed the patient education programme.

Group Type EXPERIMENTAL

Patient education programme

Intervention Type OTHER

The intervention consisted of five group sessions, three hours for each session. The focus was on self-efficacy. Eight to ten patients participated in the programme at the same time.

Control

Patients randomized to control group

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Patient education programme

The intervention consisted of five group sessions, three hours for each session. The focus was on self-efficacy. Eight to ten patients participated in the programme at the same time.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of osteoarthritis

Exclusion Criteria

* Must be able to speak and understand swedish
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Region Skåne, Primary health care, Sweden

UNKNOWN

Sponsor Role collaborator

Lund University

OTHER

Sponsor Role lead

Responsible Party

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Eva Ekvall Hansson

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eva Ekvall Hansson, PhD

Role: PRINCIPAL_INVESTIGATOR

Lund University

Locations

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Primary Health Care

Malmo, Skåne County, Sweden

Site Status

Countries

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Sweden

References

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Rosemann T, Joos S, Laux G, Gensichen J, Szecsenyi J. Case management of arthritis patients in primary care: a cluster-randomized controlled trial. Arthritis Rheum. 2007 Dec 15;57(8):1390-7. doi: 10.1002/art.23080.

Reference Type BACKGROUND
PMID: 18050178 (View on PubMed)

Fransen M, Edmonds J. Reliability and validity of the EuroQol in patients with osteoarthritis of the knee. Rheumatology (Oxford). 1999 Sep;38(9):807-13. doi: 10.1093/rheumatology/38.9.807.

Reference Type BACKGROUND
PMID: 10515639 (View on PubMed)

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.

Reference Type DERIVED
PMID: 20969809 (View on PubMed)

Related Links

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http://www.euroqol.org/

Description of the EQ5D

Other Identifiers

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PEPOA

Identifier Type: -

Identifier Source: org_study_id

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