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

Osteoarthritis in the Hip, Knee and Hand Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00979914
• Other study ID #: PEPOA
• Status: Completed
• Phase: N/A
• First received: September 17, 2009
• Last updated: March 30, 2015
• Start date: March 2008
• Est. completion date: March 2009

Study information

• Verified date: March 2015
• Source: Lund University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Sweden: Regional Ethical Review Board
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 100
• Est. completion date: March 2009
• Est. primary completion date: March 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Clinical diagnosis of osteoarthritis

Exclusion Criteria:

• Must be able to speak and understand swedish

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Osteoarthritis
• Osteoarthritis in the Hip, Knee and Hand

Intervention

Other:
• 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.

Locations

Country	Name	City	State
Sweden	Primary Health Care	Malmö	Skåne

Sponsors (2)

Lead Sponsor	Collaborator
Lund University	Region Skåne, Primary health care, Sweden

Country where clinical trial is conducted

Sweden, 

References & Publications (2)

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. — View 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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	EQ5D		At baseline and at follow-up after 6 months	No
Primary	Arthritis self-efficacy scale		At baseline and at follow up after 6 months	No
Primary	One-leg rising from sitting to standing		At baseline and at follow up after 6 months	No
Primary	Grip Ability Test		At baseline and at follow up after 6 months	No
Secondary	Bipedal rising from sitting to standing		At baseline and at follow up after 6 months	No
Secondary	One-legged jump		At baseline and at follow up after 6 months	No
Secondary	Standing on one leg with eyes open and standing on one leg with eyes closed		At baseline and at follow up after 6 months	No

External Links

•   Description of the EQ5D