A Lifestyle Management for Arthritis Group education intervention for people with inflammatory and degenerative arthritis: An observational study.
arthritis
in-patient
joint protection
occupational therapy
self-management education
Journal
Musculoskeletal care
ISSN: 1557-0681
Titre abrégé: Musculoskeletal Care
Pays: England
ID NLM: 101181344
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
received:
20
11
2021
accepted:
25
11
2021
pubmed:
12
12
2021
medline:
14
9
2022
entrez:
11
12
2021
Statut:
ppublish
Résumé
Occupational therapy self-management groups aim to assist individuals to incorporate health-promoting behaviours and management strategies into their daily routines to promote wellbeing. The Lifestyle Management for Arthritis Group (LMAG) is a 2-h-long, occupational therapy educational-behavioural group intervention adapted from the evidence-based Lifestyle Management for Arthritis Programme (Hammond & Rayner, 2013) and was delivered to inpatients with inflammatory and degenerative arthritis separately. The aim of this study was to evaluate the effectiveness of this intervention in an inpatient Rheumatology Rehabilitation setting. This was an observational study with a pretest-posttest design using multiple methods. A knowledge of joint protection survey was gathered at three intervals. In-depth semi-structured phone interviews were undertaken 6 weeks post intervention. The quantitative data was analysed using IBM SPSS version 25, whilst thematic analysis was used to analyse the interviews. The results confirmed that the 36 participants who completed the study had increased joint protection knowledge immediately after LMAG and continued to retain that knowledge 6 weeks post intervention. The majority of participants evaluated the intervention as excellent whilst empowerment emerged as the core concept from the qualitative analysis. These study findings suggest that the LMAG intervention can have a beneficial effect inimproving the self-management skills and confidence levels of patients with inflammatory and degenerative arthritis.
Sections du résumé
BACKGROUND
Occupational therapy self-management groups aim to assist individuals to incorporate health-promoting behaviours and management strategies into their daily routines to promote wellbeing. The Lifestyle Management for Arthritis Group (LMAG) is a 2-h-long, occupational therapy educational-behavioural group intervention adapted from the evidence-based Lifestyle Management for Arthritis Programme (Hammond & Rayner, 2013) and was delivered to inpatients with inflammatory and degenerative arthritis separately.
AIM
The aim of this study was to evaluate the effectiveness of this intervention in an inpatient Rheumatology Rehabilitation setting.
METHOD
This was an observational study with a pretest-posttest design using multiple methods. A knowledge of joint protection survey was gathered at three intervals. In-depth semi-structured phone interviews were undertaken 6 weeks post intervention. The quantitative data was analysed using IBM SPSS version 25, whilst thematic analysis was used to analyse the interviews.
RESULTS
The results confirmed that the 36 participants who completed the study had increased joint protection knowledge immediately after LMAG and continued to retain that knowledge 6 weeks post intervention. The majority of participants evaluated the intervention as excellent whilst empowerment emerged as the core concept from the qualitative analysis.
CONCLUSION
These study findings suggest that the LMAG intervention can have a beneficial effect inimproving the self-management skills and confidence levels of patients with inflammatory and degenerative arthritis.
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
547-556Informations de copyright
© 2021 John Wiley & Sons Ltd.
Références
Ackerman, I. N., Buchbinder, R., & Osborne, R. H. (2012). Factors limiting participation in arthritis self-management programmes: An exploration of barriers and patient preferences within a randomized controlled trial. Rheumatology, 52(3), 472-479. https://doi.org/10.1093/rheumatology/kes295
Allegrante, J., Wells, M. T., & Peterson, J. C. (2019). Interventions to support behavioral self-management of chronic diseases. Annual Review of Public Health, 40(1), 127-146. https://doi.org/10.1146/annurev-publhealth-040218-044008
Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143-164. https://doi.org/10.1177/1090198104263660
Bech, B., Primdahl, J., van Tubergen, A., Voshaar, M., Zangi, H. A., Barbosa, L., Boström, C., van Eijk-Hustings, Y., Carubbi, F., Fayet, F., Ferreira, R. J. O., Hoeper, K., Kocher, A., Kukkurainen, M. L., Lion, V., Minnock, P., Moretti, A., Ndosi, M., Pavic Nikolic, M., … van Eijk-Hustings, Y. (2019). 2018 update of the EULAR recommendations for the role of the nurse in the management of chronic inflammatory arthritis. Annals of the Rheumatic Diseases, 79, 61-68. https://doi.org/10.1136/annrheumdis-2019-215458
Bryman, A. (2008). Social research methods (3rd ed.). Oxford University Press.
Buszewicz, M., Rait, G., Griffin, M., Nazareth, I., Patel, A., Atkinson, A., Barlow, J., & Haines, A. (2006). Self management of arthritis in primary care: Randomised controlled trial. BMJ, 333(7574), 879. https://doi.org/10.1136/bmj.38965.375718.80
Crotty, M., Prendergast, J., Battersby, M. W., Rowett, D., Graves, S. E., Leach, G., & Giles, L. C. (2009). Self-management and peer support among people with arthritis on a hospital joint replacement waiting list: A randomised controlled trial. Osteoarthritis and Cartilage, 17(11), 1428-1433. https://doi.org/10.1016/j.joca.2009.05.010
Dures, E., Kitchen, K., Almeida, C., Ambler, N., Cliss, A., Hammond, A., Knops, B., Hewlett, S., Swinkels, A., & Hewlett, S. (2012). “They didn't tell us, they made us work it out ourselves”: Patient perspectives of a cognitive-behavioral program for rheumatoid arthritis fatigue. Arthritis Care & Research, 64(4), 494-501. https://doi.org/10.1002/acr.21562
Egerton, T., Diamond, L. E., Buchbinder, R., Bennell, K. L., & Slade, S. C. (2017). A systematic review and evidence synthesis of qualitative studies to identify primary care clinicians' barriers and enablers to the management of osteoarthritis. Osteoarthritis and Cartilage, 25(5), 625-638. https://doi.org/10.1016/j.joca.2016.12.002
French, H. P., Galvin, R., Horgan, N. F., & Kenny, R. A. (2016). Prevalence and burden of osteoarthritis amongst older people in Ireland: Findings from the Irish LongituDinal study on ageing (TILDA). European Journal of Public Health, 26(1), 192-198. https://doi.org/10.1093/eurpub/ckv109
Gronning, K., Lim, S., & Bratas, O. (2020). Health status and self-management in patients with inflammatory arthritis-A five-year follow-up study after nurse-led patient education. Nursing Open, 7(1), 326-333. https://doi.org/10.1002/nop2.394
Hammond, A. (1997). Joint protection education: What are we doing? British Journal of Occupational Therapy, 60(9), 401-406.
Hammond, A., Bryan, J., & Hardy, A. (2008). Effects of a modular behavioural arthritis education programme: A pragmatic parallel-group randomized controlled trial. Rheumatology, 47(11), 1712-1718. https://doi.org/10.1093/rheumatology/ken380
Hammond, A., & Lincoln, N. (1999). Development of the joint protection behavior assessment. Arthritis Care & Research, 12(3), 200-207.
Hammond, A., & Rayner, J. (2011). The Lifestyle Management for Arthritis Programme: Past participants’ perspectives. Annals of the Rheumatic Diseases, 70(3), 762.
Hammond, A., & Rayner, J. (2013). The Lifestyle Management for Arthritis Programme in practice: Results of an observational study. Rheumatology, 52, i109.
Health Service Executive (HSE). (2016). Framework for improving quality in our health service. Author.
Health Service Executive (HSE). (2019). Model of care for rheumatology in Ireland. National Clinical Programme for Rheumatology.
Iversen, M. D., Hammond, A., & Betteridge, N. (2010). Self-management of rheumatic diseases: State of the art and future perspectives. Annals of the Rheumatic Diseases, 69(6), 955-963. https://doi.org/10.1136/ard.2010.129270
Janke, M. C., Jones, J. J., Payne, L. L., & Son, J. S. (2012). Living with arthritis: Using self-management of valued activities to promote health. Qualitative Health Research, 22(3), 360-372. https://doi.org/10.1177/1049732311421179
Kroon, F. P. B., van der Burg, L. R. A., Buchbinder, R., Osborne, R. H., Johnston, R. V., & Pitt, V. (2014). Self-management education programmes for osteoarthritis. Cochrane Database of Systematic Reviews, 1, CD008963. https://doi.org/10.1002/14651858.CD008963.pub2
Lincoln, Y., & Guba, E. (1985). Naturalistic inquiry. SAGE.
Lorig, K. (2003). Self-management education: More than a nice extra. Medical Care, 41(6), 699-701. https://doi.org/10.1097/01.MLR.0000072811.54551.38
National Institute for Health and Clinical Excellence. (2018). Rheumatoid arthritis in adults: Management. Author.
Nikiphorou, E., Santos, E. J. F., Marques, A., Böhm, P., Bijlsma, J. W., Daien, C. I., Esbensen, B. A., Bosworth, A., Fragoulis, G. E., Holmes, P., McBain, H., Metsios, G. S., Moe, R. H., Stamm, T. A., de Thurah, A., Zabalan, C., Carmona, L., & Bosworth, A. (2021). 2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis. Annals of the Rheumatic Diseases, 80(10), 1278-1285. https://doi.org/10.1136/annrheumdis-2021-220249
Nolte, S., & Osborne, R. H. (2013). A systematic review of outcomes of chronic disease self-management interventions. Quality of Life Research, 22(7), 1805-1816. https://doi.org/10.1007/s11136-012-0302-8
Richard, A. A., & Shea, K. (2011). Delineation of self-care and associated concepts. Journal of Nursing Scholarship, 43(3), 255. https://doi.org/10.1111/j.1547-5069.2011.01404.x
Ritchie J., Lewis, J., McNaughton Nicholls, C., & Ormston, R. (Eds.). (2014). Qualitative research practice: A guide for social Science Students and researchers (2nd ed.). SAGE.
Rolfe, G. (2006). Validity, trustworthiness and rigour: Quality and the idea of qualitative research. Journal of Advanced Nursing, 53(3), 304-310.
Roodenrijs, N. M. T., Hamar, A., Kedves, M., Nagy, G., van Laar, J. M., van der Heijde, D., & Welsing, P. M. J. (2021). Pharmacological and non-pharmacological therapeutic strategies in difficult-to-treat rheumatoid arthritis: A systematic literature review informing the EULAR recommendations for the management of difficult-to-treat rheumatoid arthritis. RMD Open, 7(1), e001512. https://doi.org/10.1136/rmdopen-2020-001512
Siegel, P., Tencza, M., Apodaca, B., & Poole, J. L. (2017). Effectiveness of occupational therapy interventions for adults with rheumatoid arthritis: A systematic review. American Journal of Occupational Therapy, 71(1), 7101180050p1-7101180050p11. https://doi.org/10.5014/ajot.2017.023176
Thomas, E., & Magilvy, J. K. (2011). Qualitative rigor or research validity in qualitative research. Journal for Specialists in Pediatric Nursing, 16(2), 151-155.
Woolf, A. D., & Pfleger, B. (2003). Burden of major musculoskeletal conditions. Bulletin of the World Health Organization, 81(9), 646-656.
Zangi, H. A., Ndosi, M., Adams, J., Andersen, L., Bode, C., Boström, C., van Eijk-Hustings, Y., van Tubergen, A., Korandová, J., Mendes, G., Niedermann, K., Primdahl, J., Stoffer, M., Voshaar, M., & van Tubergen, A. (2015). EULAR recommendations for patient education for people with inflammatory arthritis. Annals of the Rhematic Diseases, 74(6), 954-962. https://doi.org/10.1136/annrheumdis-2014-206807