Enablement and empowerment among patients participating in a supported osteoarthritis self-management programme – a prospective observational study
Abstract Background In Sweden, core treatment for osteoarthritis is offered through a Supported Osteoarthritis Self-Management Programme (SOASP), combining education and exercise to provide patients with coping strategies in self-managing the disease. The aim was to study enablement and empowerment...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-05457-9 |
| _version_ | 1811251437027459072 |
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| author | Karin Sturesdotter Åkesson Anne Sundén Kjerstin Stigmar Cecilia Fagerström Teresa Pawlikowska Eva Ekvall Hansson |
| author_facet | Karin Sturesdotter Åkesson Anne Sundén Kjerstin Stigmar Cecilia Fagerström Teresa Pawlikowska Eva Ekvall Hansson |
| author_sort | Karin Sturesdotter Åkesson |
| collection | DOAJ |
| description | Abstract Background In Sweden, core treatment for osteoarthritis is offered through a Supported Osteoarthritis Self-Management Programme (SOASP), combining education and exercise to provide patients with coping strategies in self-managing the disease. The aim was to study enablement and empowerment among patients with osteoarthritis in the hip and/or knee participating in a SOASP. An additional aim was to study the relation between the Swedish version of the Patient Enablement Instrument (PEI) and the Swedish Rheumatic Disease Empowerment Scale (SWE-RES-23). Methods Patients with osteoarthritis participating in a SOASP in primary health care were recruited consecutively from 2016 to 2018. The PEI (score range 0–12) was used to measure enablement and the SWE-RES-23 (score range 1–5) to measure empowerment. The instruments were answered before (SWE-RES-23) and after the SOASP (PEI, SWE-RES-23). A patient partner was incorporated in the study. Descriptive statistics, the Wilcoxon’s signed rank test, effect size (r), and the Spearman’s rho (rs) were used in the analysis. Results In total, 143 patients were included in the study, 111 (78%) were women (mean age 66, SD 9.3 years). At baseline the reported median value for the SWE-RES-23 (n = 142) was 3.6 (IQR 3.3–4.0). After the educational part of the SOASP, the reported median value was 6 (IQR 3–6.5) for the PEI (n = 109) and 3.8 (IQR 3.6–4.1) for the SWE-RES-23 (n = 108). At three months follow-up (n = 116), the reported median value was 6 (IQR 4–7) for the PEI and 3.9 (IQR 3.6–4.2) for the SWE-RES-23. The SWE-RES-23 score increased between baseline and three months (p ≤ 0.000). The analysis showed a positive correlation between PEI and SWE-RES-23 after the educational part of the SOASP (r s = 0.493, p < 0.00, n = 108) and at follow-up at three months (r s = 0.507, p < 0.00, n = 116). Conclusions Patients reported moderate to high enablement and empowerment and an increase in empowerment after participating in a SOASP, which might indicate that the SOASP is useful to enable and empower patients at least in the short term. Since our results showed that the PEI and the SWE-RES-23 are only partly related both instruments can be of use in evaluating interventions such as the SOASP. Trial registration ClinicalTrials.gov. NCT02974036 . First registration 28/11/2016, retrospectively registered. |
| first_indexed | 2024-04-12T16:19:31Z |
| format | Article |
| id | doaj.art-e539e79e557747b3995c1c8f16ed5226 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-12T16:19:31Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-e539e79e557747b3995c1c8f16ed52262022-12-22T03:25:36ZengBMCBMC Musculoskeletal Disorders1471-24742022-06-0123111010.1186/s12891-022-05457-9Enablement and empowerment among patients participating in a supported osteoarthritis self-management programme – a prospective observational studyKarin Sturesdotter Åkesson0Anne Sundén1Kjerstin Stigmar2Cecilia Fagerström3Teresa Pawlikowska4Eva Ekvall Hansson5Department of Health Sciences, Lund UniversityDepartment of Health Sciences, Lund UniversityDepartment of Health Sciences, Lund UniversityDepartment of Health and Caring Sciences, Linnæus UniversityHealth Professions Education Centre, RCSI University of Medicine and Health SciencesDepartment of Health Sciences, Lund UniversityAbstract Background In Sweden, core treatment for osteoarthritis is offered through a Supported Osteoarthritis Self-Management Programme (SOASP), combining education and exercise to provide patients with coping strategies in self-managing the disease. The aim was to study enablement and empowerment among patients with osteoarthritis in the hip and/or knee participating in a SOASP. An additional aim was to study the relation between the Swedish version of the Patient Enablement Instrument (PEI) and the Swedish Rheumatic Disease Empowerment Scale (SWE-RES-23). Methods Patients with osteoarthritis participating in a SOASP in primary health care were recruited consecutively from 2016 to 2018. The PEI (score range 0–12) was used to measure enablement and the SWE-RES-23 (score range 1–5) to measure empowerment. The instruments were answered before (SWE-RES-23) and after the SOASP (PEI, SWE-RES-23). A patient partner was incorporated in the study. Descriptive statistics, the Wilcoxon’s signed rank test, effect size (r), and the Spearman’s rho (rs) were used in the analysis. Results In total, 143 patients were included in the study, 111 (78%) were women (mean age 66, SD 9.3 years). At baseline the reported median value for the SWE-RES-23 (n = 142) was 3.6 (IQR 3.3–4.0). After the educational part of the SOASP, the reported median value was 6 (IQR 3–6.5) for the PEI (n = 109) and 3.8 (IQR 3.6–4.1) for the SWE-RES-23 (n = 108). At three months follow-up (n = 116), the reported median value was 6 (IQR 4–7) for the PEI and 3.9 (IQR 3.6–4.2) for the SWE-RES-23. The SWE-RES-23 score increased between baseline and three months (p ≤ 0.000). The analysis showed a positive correlation between PEI and SWE-RES-23 after the educational part of the SOASP (r s = 0.493, p < 0.00, n = 108) and at follow-up at three months (r s = 0.507, p < 0.00, n = 116). Conclusions Patients reported moderate to high enablement and empowerment and an increase in empowerment after participating in a SOASP, which might indicate that the SOASP is useful to enable and empower patients at least in the short term. Since our results showed that the PEI and the SWE-RES-23 are only partly related both instruments can be of use in evaluating interventions such as the SOASP. Trial registration ClinicalTrials.gov. NCT02974036 . First registration 28/11/2016, retrospectively registered.https://doi.org/10.1186/s12891-022-05457-9PhysiotherapistPatient educationOsteoarthritisPatient partnerEnablementEmpowerment |
| spellingShingle | Karin Sturesdotter Åkesson Anne Sundén Kjerstin Stigmar Cecilia Fagerström Teresa Pawlikowska Eva Ekvall Hansson Enablement and empowerment among patients participating in a supported osteoarthritis self-management programme – a prospective observational study BMC Musculoskeletal Disorders Physiotherapist Patient education Osteoarthritis Patient partner Enablement Empowerment |
| title | Enablement and empowerment among patients participating in a supported osteoarthritis self-management programme – a prospective observational study |
| title_full | Enablement and empowerment among patients participating in a supported osteoarthritis self-management programme – a prospective observational study |
| title_fullStr | Enablement and empowerment among patients participating in a supported osteoarthritis self-management programme – a prospective observational study |
| title_full_unstemmed | Enablement and empowerment among patients participating in a supported osteoarthritis self-management programme – a prospective observational study |
| title_short | Enablement and empowerment among patients participating in a supported osteoarthritis self-management programme – a prospective observational study |
| title_sort | enablement and empowerment among patients participating in a supported osteoarthritis self management programme a prospective observational study |
| topic | Physiotherapist Patient education Osteoarthritis Patient partner Enablement Empowerment |
| url | https://doi.org/10.1186/s12891-022-05457-9 |
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