Small to moderate effect sizes were observed regardless of whether the intervention included exercise .
OBJECTIVE To evaluate studies that used arthritis self-management education alone or with exercise to improve Arthritis Self-Efficacy Scale scores of patients with knee osteoarthritis .
BACKGROUND Increasing self-efficacy may improve patient knee osteoarthritis symptom management and function .
Chronic disease management programme in people with severe knee osteoarthritis: efficacy and moderators of response
Aims : To establish ( 1 ) the efficacy of a six-week chronic disease management programme for knee osteoarthritis and ( 2 ) whether previous physiotherapy or being wait listed for surgery moderated the outcome of the programme . Design : A pretest , posttest design with multivariate statistical modelling . Participants : One hundred and twenty-one people with severe osteoarthritis who were waiting , or being considered , for surgery . Methods and measures : Western Ontario Osteoarthritis Index ( WOMAC ) scores , arthritis self-efficacy , distress and a patient-rated global indicator of response were collected at baseline , 6 and 12 weeks . History of previous physiotherapy , waiting list status , symptom duration , New Zeal and disease severity score , radiographic changes and self-perceived need for surgery were recorded at baseline . Results : There were moderate improvements in most outcomes ; WOMAC function decreased by 0.29 , WOMAC pain by 0.27 , pain self-efficacy by 4.4 , function self-efficacy by 5.6 and visual analogue scale ( VAS ) distress by 0.2 ( effect sizes ranging from 0.3 to 0.5 at 12 weeks ) . Waiting list status was a significant modifier for function , pain , distress and self-related outcomes . Participants on the waiting list for surgery experienced lesser improvements . Previous physiotherapy was associated with greater improvements in WOMAC scores at six weeks , but not at 12 weeks . Conclusion : The chronic disease management programme could be considered for people with severe knee osteoarthritis  , but should be given prior to referral and placement on the waiting list for surgery . Previous physiotherapy should not preclude people from participating in a chronic disease management programme
Small to moderate effect sizes were observed regardless of whether the intervention included exercise .
OBJECTIVE To evaluate studies that used arthritis self-management education alone or with exercise to improve Arthritis Self-Efficacy Scale scores of patients with knee osteoarthritis .
BACKGROUND Increasing self-efficacy may improve patient knee osteoarthritis symptom management and function .