Clinical trial NCT02974036: Patient Enablement in Osteoarthritis - a Longitudinal Study on Patient Education Programs in Primary Health Care
Official title: Patient Enablement in Osteoarthritis - a Longitudinal Study on Patient Education Programs in Primary Health Care
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Patient Education as Topic
Osteoarthritis
Keywords: Patient education
Osteoarthritis
Primary health care
Lead sponsor: Lund University
Sponsor class: OTHER
First posted: 2016-11-28
Enrollment: 143
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE

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.

Detailed description: The project is a longitudinal study, including patients who are referred to patient education for osteoarthritis in primary health care and is planned to follow the patients one year before baseline measures as well as one year after baseline measures.

Eligibility criteria: Inclusion Criteria:

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

Exclusion Criteria:

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

Primary outcomes:
measure: Patient enablement
timeFrame: directly after intervention
Secondary outcomes:
measure: Arthritis Self Efficacy Scale
timeFrame: before intervention, directly after intervention and at 3 and 9 month follow up
Other outcomes:
measure: Swedish Rheumatic Empowerment Scale
timeFrame: Before intervention, directly after intervention and at 3 and 9 month follow up
measure: EQ5D index
timeFrame: Before intervention, directly after intervention and at 3 and 9 month follow up
measure: Health care consumption
timeFrame: 12 months before baseline and 12 months after baseline
measure: Sick leave
timeFrame: 12 months before baseline and 12 months after baseline
measure: EQ5D Health barometer
timeFrame: Before intervention, directly after intervention and at 3 and 9 month follow up
Locations:
city: Malmo
country: Sweden
facility: Primary Health Care
Study officials:
affiliation: Lund University
name: Eva Ekvall Hansson, Ass prof
role: PRINCIPAL_INVESTIGATOR
References:
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.
citation: 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.