Clinical trial NCT00979914: Effect of an Education Programme for Patients With Osteoarthritis in Primary Care - a Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Osteoarthritis in the Hip, Knee and Hand
Keywords: osteoarthritis
patient education
function
physio therapy
Lead sponsor: Lund University
Sponsor class: OTHER
Collaborators: name: Region Skåne, Primary health care, Sweden
First posted: 2009-09-18
Enrollment: 100
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

* Clinical diagnosis of osteoarthritis

Exclusion Criteria:

* Must be able to speak and understand swedish

Primary outcomes:
measure: EQ5D
timeFrame: At baseline and at follow-up after 6 months
measure: Arthritis self-efficacy scale
timeFrame: At baseline and at follow up after 6 months
measure: One-leg rising from sitting to standing
timeFrame: At baseline and at follow up after 6 months
measure: Grip Ability Test
timeFrame: At baseline and at follow up after 6 months
Secondary outcomes:
measure: Bipedal rising from sitting to standing
timeFrame: At baseline and at follow up after 6 months
measure: One-legged jump
timeFrame: At baseline and at follow up after 6 months
measure: Standing on one leg with eyes open and standing on one leg with eyes closed
timeFrame: At baseline and at follow up after 6 months
Other outcomes:
Locations:
city: Malmö
country: Sweden
facility: Primary Health Care
state: Skåne
Study officials:
affiliation: Lund University
name: Eva Ekvall Hansson, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.
citation: 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.