Factors associated with empowerment after participating in a supported osteoarthritis self-management program: An explorative study
Objective: To explore factors associated with change in empowerment in patients that have participated in a 3-month Supported Osteoarthritis Self-Management Program (SOASP). Further, to evaluate empowerment in the longer term. Design: An explorative analysis including patients from a cohort study co...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Osteoarthritis and Cartilage Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2665913124000311 |
| _version_ | 1797233994551525376 |
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| author | Karin Sturesdotter Åkesson Eva Ekvall Hansson Teresa Pawlikowska Anne Sundén Kjerstin Stigmar Eva Ageberg |
| author_facet | Karin Sturesdotter Åkesson Eva Ekvall Hansson Teresa Pawlikowska Anne Sundén Kjerstin Stigmar Eva Ageberg |
| author_sort | Karin Sturesdotter Åkesson |
| collection | DOAJ |
| description | Objective: To explore factors associated with change in empowerment in patients that have participated in a 3-month Supported Osteoarthritis Self-Management Program (SOASP). Further, to evaluate empowerment in the longer term. Design: An explorative analysis including patients from a cohort study conducted in primary healthcare in Sweden was performed. Univariable linear regression models were performed to assess associations between demographics and patient-reported outcome measures (explanatory factors), respectively, and change in empowerment from baseline to 3-month follow-up (outcome variable). Long-term follow-up of empowerment was at 9 months. Results: Self-reported increase in enablement at the 3-month follow-up was associated with a greater improvement in empowerment (B = 0.041, 95% CI (0.011, 0.07), p = 0.008). Living alone was associated with less improvement in empowerment (B = −0.278, 95% CI (−0.469, −0.086), p = 0.005) compared to living together. Physical exercise >120 min per week at baseline was associated with less improvement in empowerment (B = −0.293, 95% CI (−0.583, −0.004), p = 0.047) compared to reporting no exercise at baseline. No other associations were observed (p > 0.05). Empowerment improved from baseline to the 3-month follow-up (mean 0.20 (SD 0.5), p < 0.001) but there was no change from baseline to the 9-month follow-up (mean 0.02 (SD 0.6), p = 0.641). Conclusions: Self-reported increased enablement may lead to greater improvement in empowerment after SOASP. Greater efforts may be needed to support those that live alone, are physically active, and to sustain empowerment in the longer term after SOASP. More research is needed on empowerment to provide personalized support for patients with OA after SOASP. |
| first_indexed | 2024-04-24T16:25:01Z |
| format | Article |
| id | doaj.art-c23f723b8fca4a1aa31031febd39b1b9 |
| institution | Directory Open Access Journal |
| issn | 2665-9131 |
| language | English |
| last_indexed | 2024-04-24T16:25:01Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Osteoarthritis and Cartilage Open |
| spelling | doaj.art-c23f723b8fca4a1aa31031febd39b1b92024-03-31T04:37:58ZengElsevierOsteoarthritis and Cartilage Open2665-91312024-06-0162100464Factors associated with empowerment after participating in a supported osteoarthritis self-management program: An explorative studyKarin Sturesdotter Åkesson0Eva Ekvall Hansson1Teresa Pawlikowska2Anne Sundén3Kjerstin Stigmar4Eva Ageberg5Department of Health Sciences, Health Science Centre, Box 157, SE-221 00, Lund, Sweden; Corresponding author.Department of Health Sciences, Health Science Centre, Box 157, SE-221 00, Lund, SwedenHealth Professions Education Centre, RCSI University of Medicine and Health Sciences, Dublin, IrelandDepartment of Health Sciences, Health Science Centre, Box 157, SE-221 00, Lund, SwedenDepartment of Health Sciences, Health Science Centre, Box 157, SE-221 00, Lund, SwedenDepartment of Health Sciences, Health Science Centre, Box 157, SE-221 00, Lund, SwedenObjective: To explore factors associated with change in empowerment in patients that have participated in a 3-month Supported Osteoarthritis Self-Management Program (SOASP). Further, to evaluate empowerment in the longer term. Design: An explorative analysis including patients from a cohort study conducted in primary healthcare in Sweden was performed. Univariable linear regression models were performed to assess associations between demographics and patient-reported outcome measures (explanatory factors), respectively, and change in empowerment from baseline to 3-month follow-up (outcome variable). Long-term follow-up of empowerment was at 9 months. Results: Self-reported increase in enablement at the 3-month follow-up was associated with a greater improvement in empowerment (B = 0.041, 95% CI (0.011, 0.07), p = 0.008). Living alone was associated with less improvement in empowerment (B = −0.278, 95% CI (−0.469, −0.086), p = 0.005) compared to living together. Physical exercise >120 min per week at baseline was associated with less improvement in empowerment (B = −0.293, 95% CI (−0.583, −0.004), p = 0.047) compared to reporting no exercise at baseline. No other associations were observed (p > 0.05). Empowerment improved from baseline to the 3-month follow-up (mean 0.20 (SD 0.5), p < 0.001) but there was no change from baseline to the 9-month follow-up (mean 0.02 (SD 0.6), p = 0.641). Conclusions: Self-reported increased enablement may lead to greater improvement in empowerment after SOASP. Greater efforts may be needed to support those that live alone, are physically active, and to sustain empowerment in the longer term after SOASP. More research is needed on empowerment to provide personalized support for patients with OA after SOASP.http://www.sciencedirect.com/science/article/pii/S2665913124000311OsteoarthritisEmpowermentPatient educationPhysical therapyExercise therapy |
| spellingShingle | Karin Sturesdotter Åkesson Eva Ekvall Hansson Teresa Pawlikowska Anne Sundén Kjerstin Stigmar Eva Ageberg Factors associated with empowerment after participating in a supported osteoarthritis self-management program: An explorative study Osteoarthritis and Cartilage Open Osteoarthritis Empowerment Patient education Physical therapy Exercise therapy |
| title | Factors associated with empowerment after participating in a supported osteoarthritis self-management program: An explorative study |
| title_full | Factors associated with empowerment after participating in a supported osteoarthritis self-management program: An explorative study |
| title_fullStr | Factors associated with empowerment after participating in a supported osteoarthritis self-management program: An explorative study |
| title_full_unstemmed | Factors associated with empowerment after participating in a supported osteoarthritis self-management program: An explorative study |
| title_short | Factors associated with empowerment after participating in a supported osteoarthritis self-management program: An explorative study |
| title_sort | factors associated with empowerment after participating in a supported osteoarthritis self management program an explorative study |
| topic | Osteoarthritis Empowerment Patient education Physical therapy Exercise therapy |
| url | http://www.sciencedirect.com/science/article/pii/S2665913124000311 |
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