The Effects of Disease Management Training and Telephone Counseling Service for Elderly Patients With Osteoarthritis

Study Overview
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Brief Summary
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The study will be conducted to determine the difference on functional status, self-efficacy, and quality of life between groups with and without telephone counseling and training on disease management for participants.

Detailed Description
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When the literature is examined, in patients with osteoarthritis who receive face-to-face training and intermittent telephone counseling; It is observed that the level of self-efficacy, compliance with the disease and quality of life have increased. It is stated that face-to-face training and telephone counseling services provided to participants on disease management will increase the effectiveness of education and as a result; It is thought that participants may have positive outcomes such as expressing their problems more easily, feeling safer by communicating frequently, and developing methods of coping with nurse-patient cooperation. When the studies conducted in our country are examined, while there are studies examining the effect of non-pharmacological interventions such as acupressor, hot-cold application, exercise training, mud pack treatment in patients with osteoarthritis; No study was found in the elderly patient group in which education and telephone counseling were conducted. The results of the research are thought to be beneficial in managing the disease in addition to in addition to pharmacological treatment.

Official Title
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The Effect of Training on Disease Management and Phone Counseling Service for Older Patients With Osteoarthritis on Functional Status, Self-Efficacy and Quality of Life

Conditions
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Osteoarthritis

Intervention / Treatment
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* Behavioral: Online education and Phone Counseling Service


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 65 and over OA was diagnosed by the physician according to the American College of Rheumatology (ARD) criteria, Being able to answer research questions Individuals who gave their oral and written consent to participate in the study were included. Exclusion Criteria: Having a history of malignancy Those who score above 5 points from the Visual Analogue Scale With a neuro psychiatric illness Having vision and hearing problems Receiving intraarticular medication (steroid, chondramine, hyaluronic acid) in the last month Surgery applied to the knee joint in the last 3 months Having inflammation in the joints Have an open wound in the OA area Individuals with a diagnosed vascular disease will not be included.

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Education and Phone Counseling Service<br>Patients in this group will be trained online for 6 weeks. After the online training is over, a telephone consultation service will be provided once a week for 6 weeks. | Behavioral: Online education and Phone Counseling Service<br>* Online education total of 6 times for 6 weeks. Phone Counseling Service total of 6 times for 6 weeks<br>|
| No Intervention: Control<br>No application will be made to patients in this group for 12 weeks. Pre-test and post-test will be applied. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in functional status at 6 weeks and 12. weeks. | After the training and counseling, the functional status scores of the patients are checked. The Western 45 Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scale has undergone several revisions. WOMAC; It consists of three subgroups: pain during various positions and movements, severity of joint stiffness, and difficulty in performing daily life activities. A total of 24 questions (pain 5, joint stiffness 2, physical function 17) and 5-point likert. In the evaluation, the questions are scored between 0 and 4 according to the Likert scale. The first option no pain is calculated as 0 points, the last option very severe pain is calculated as 4 points. Maximum scores of subgroups; 20 for pain, 8 for joint stiffness and 68 for physical function. The total score for each subgroup is the sum of the scores given to each item. As the scores get higher, symptoms worsen, restriction increases, and general health deteriorates. | [Baseline, 6 weeks and 12 weeks] | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in self-efficacy at 6 weeks and 12. weeks. | After the interventions, the patient's self-efficacy scores are checked. Self-Efficacy Scale in Arthritis; It consists of 20 expressions evaluated on a visual scale with 10 digits, whose starting point is I'm not sure = 1 and the other end is I'm very sure = 10. It has four sub-dimensions: self-efficacy pain, self-efficacy hand and arm functions, self-efficacy foot leg functions and self-efficacy other symptoms. The first five statements are included in the self-efficacy pain sub-dimension and determine the level of pain coping in arthritis patients. The next nine statements are named self-efficacy hand-arm functions and self-efficacy foot leg functions, and are the two sub-dimensions of self-efficacy functions in the original. The minimum score of the scale is 20 and the maximum score is 200, and the higher the score is the indicator of the higher self-efficacy level. | [Baseline, 6 weeks and 12 weeks] | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Osteoarthritis, nurse, self-efficacy, quality of life, functional status