The effect of the Arthritis Self-Management Program (ASMP) for clients with osteoarthritis on improving arthritis self-efficacy, self-management skillsand health status : a randomized control trial

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The effect of the Arthritis Self-Management Program (ASMP) for clients with osteoarthritis on improving arthritis self-efficacy, self-management skillsand health status : a randomized control trial

 

Author: Fung, Ka-yun Karin
Title: The effect of the Arthritis Self-Management Program (ASMP) for clients with osteoarthritis on improving arthritis self-efficacy, self-management skillsand health status : a randomized control trial
Degree: M.Sc.
Year: 2005
Subject: Hong Kong Polytechnic University -- Dissertations
Arthritis -- Patients -- Rehabilitation
Self-care, Health
Department: School of Nursing
Pages: 124 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1813835
URI: http://theses.lib.polyu.edu.hk/handle/200/4579
Abstract: Osteoarthritis is a chronic disease causing pain and restricted movement to million people. The purposes of the study were to determine the effect of the Arthritis Self-Management Program (ASMP) for adults with osteoarthritis on enhancing arthritis self-efficacy, the use of non-pharmacological management and health status. The study design was a randomized control trial study. Participants were allocated to ASMP (Intervention Group) or without ASMP (Control Group) randomly in the specialist out-patient clinic. The data collection was set at baseline, post 1-month and post 4-month follow-up. Main outcome measures included: arthritis self-efficacy, use of non-pharmacological management (joint protection, the use of hot and cold compress, and the practice of exercise); and health status (emotional status, joint pain level, daily activities levels, selected joints ranged of movement and muscle strength). The repeated measure analyses (F-statistics) were used to compare the mean of the outcome measures between the intervention and control group. In total, 86 participants with osteoarthritis were recruited- 43 in the intervention group and 43 in the control group at baseline. Four months after the end of treatment, the ASMP participants (n=38) had a significant improvement on arthritis self-efficacy (P = 0.0001), the practice of light exercise (P=0.004), pain (P= 0.0001) and fatigue level (P= 0.001), and right / left knee flexions (P= 0.07 & 0.001) than control group (n=39). However, there was no improvement in emotional status, disability level and other symptom management at post 4-month follow-up. In conclusion, the form of ASMP health education program is applicable and effective to client with osteoarthritis in Hong Kong.

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