Volume 1, Issue 2 (2016)
IJMPP 2016, 1(2): 47-54 |
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Tavafian S S, Jamshidi A R, Jamshidi F. Multidisciplinary Lifestyle Behavioral management in Patients with Knee Osteoarthritis: a randomized controlled study from Iran. IJMPP 2016; 1 (2) :47-54
URL: http://ijmpp.modares.ac.ir/article-32-8187-en.html
URL: http://ijmpp.modares.ac.ir/article-32-8187-en.html
1- Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2- Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
2- Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Abstract: (6519 Views)
Background: Knee osteoarthritis (OA) is a major public health problem leading to chronic pain and increased years lived with disability This study aimed to assess lifestyle behavioral management in patients with Knee osteoarthritis among Iranian patients up to 6 months.
Methods and Materials: This study conducted at the Rheumatology Research Center of Tehran University of Medical Sciences (TUMS) in Tehran, Iran. In this educational controlled trial study, 130 eligible participants took part in control group (n = 66) and received just prescribed medications, or intervention group (n = 64) who received the lifestyle behavioral management plus medication. The program involved three two-hour and two one-hour group sessions over a one-week period. Data based on demographic characteristics and risky behaviors questionnaire as well as Functional Knee Assessment Test (FKAT) were collected at initial, 3-, and 6-month follow ups and analyzed by using SPSS18.
Results: Of 130 participants, five individuals from intervention and eight individuals from control group were excluded over 6 months. Totally, 117 eligible participants in two groups of intervention (n = 59), and control (n = 58) completed the study. The mean age of participants in intervention and control group at base line was 59. 03 ± 6. 13 and 57. 85 ± 9. 31 years respectively. Despite being the same at initial time (P > 0. 05), Repeated Measure ANOVA test showed Significantly better improved disability in intervention group over time (P < 0. 001). Compared with control group, preventive behaviors were improved significantly in intervention group (P < 0. 05)
Conclusions: This study revealed that the multidisciplinary program could significantly reduce risky behaviors and disability up to six months in intervention group. Thus, due to lack of lifestyle behavioral management in health care system of Iran, to embedding this program into clinical practice for managing knee OA pain is recommended.
Methods and Materials: This study conducted at the Rheumatology Research Center of Tehran University of Medical Sciences (TUMS) in Tehran, Iran. In this educational controlled trial study, 130 eligible participants took part in control group (n = 66) and received just prescribed medications, or intervention group (n = 64) who received the lifestyle behavioral management plus medication. The program involved three two-hour and two one-hour group sessions over a one-week period. Data based on demographic characteristics and risky behaviors questionnaire as well as Functional Knee Assessment Test (FKAT) were collected at initial, 3-, and 6-month follow ups and analyzed by using SPSS18.
Results: Of 130 participants, five individuals from intervention and eight individuals from control group were excluded over 6 months. Totally, 117 eligible participants in two groups of intervention (n = 59), and control (n = 58) completed the study. The mean age of participants in intervention and control group at base line was 59. 03 ± 6. 13 and 57. 85 ± 9. 31 years respectively. Despite being the same at initial time (P > 0. 05), Repeated Measure ANOVA test showed Significantly better improved disability in intervention group over time (P < 0. 001). Compared with control group, preventive behaviors were improved significantly in intervention group (P < 0. 05)
Conclusions: This study revealed that the multidisciplinary program could significantly reduce risky behaviors and disability up to six months in intervention group. Thus, due to lack of lifestyle behavioral management in health care system of Iran, to embedding this program into clinical practice for managing knee OA pain is recommended.
Subject:
Musculoskeletal Pain Prevention
Received: 2016/03/7 | Accepted: 2016/06/19 | Published: 2016/06/19
Received: 2016/03/7 | Accepted: 2016/06/19 | Published: 2016/06/19
References
1. Barlow, J. (2001) How to use education as an intervention in osteoarthritis. Best Practice & Research Clinical Rheumatology. 15 (4), 545-558. [DOI:10.1053/berh.2001.0172]
2. Bijlsma, J. W. & Knahr, K. (2007) Strategies for the prevention and management of osteoarthritis of the hip and knee. Best Practice & Research Clinical Rheumatology. 21 (1), 59-76. [DOI:10.1016/j.berh.2006.08.013]
3. Dahaghin, S., Tehrani-Banihashemi, S. A., Faezi, S. T., Jamshidi, A. R. & Davatchi, F. (2009) Squatting, sitting on the floor, or cycling: Are life-long daily activities risk factors for clinical knee osteoarthritis? Stage III results of a community-based study. Arthritis Care & Research. 61 (10), 1337-1342. [DOI:10.1002/art.24737]
4. Davatchi, f., Jamshidi, A. R., Banihashemi, A. T., Gholami, J., Forouzanfar, M. H., Akhlaghi, M., Barghamdi, M., et al. (2008) WHO-ILAR COPCORD study (stage 1, urban study) in Iran. The Journal of Rheumatology. 35 (7), 1384-1390.
5. Fontaine, K. R., Bartlett, S. J. & Heo. (2005) Are health care professionals advising adults with arthritis to become more physically active? Arthritis Care & Research. 53 (2), 279-283. [DOI:10.1002/art.21073]
6. Grindrod, K. A., Marra, C. A., Colley, L., Cibere, J., Tsuyuki, R. T., Esdaile, J. M., et al. (2010) After patients are diagnosed with knee osteoarthritis, what do they do? Arthritis Care & Research. 62 (4), 510-515. [DOI:10.1002/acr.20170]
7. Haq, S. A. & Davatchi, F. (2011) Osteoarthritis of the knees in the COPCORD world. International Journal of Rheumatic Diseases. 14 (2), 122-129. [DOI:10.1111/j.1756-185X.2011.01615.x]
8. Farr, J., Miller, L. E. & Block, J. E. (2013) Quality of life in patients with knee osteoarthritis: a commentary on nonsurgical and surgical treatments. The Open Orthopaedics Journal. 7, 619-623. [DOI:10.2174/1874325001307010619]
9. Keefe, F. J. & Somers, T. J. (2010) Psychological approaches to understanding and treating arthritis pain. Nature Reviews Rheumatology. 6 (4), 210-216. [DOI:10.1038/nrrheum.2010.22]
10. Moher, d., Schulz, K. F. & Altman, D. G. (2001) The CONSORT statement: revised recommendations for improving the quality of reports of parallel group randomized trials. Lancet. 357 (9263), 1191-1194. [DOI:10.1016/S0140-6736(00)04337-3]
11. Núñez, M., Núñez, E., del Val, J. L., Ortega, R., Segur, J. M., Hernández, M. V., et al. (2007) Health-related quality of life in patients with osteoarthritis after total knee replacement: factors influencing outcomes at 36 months of follow-up. Osteoarthritis and Cartilage, 15 (9), 1001-1100. [DOI:10.1016/j.joca.2007.02.019]
12. Thorstensson, C. A., Roos, E. M., Petersson, I. F., Arvidsson B. (2006) How do middle-aged patients conceive exercise as a form of treatment for knee osteoarthritis? Disability and Rehabilitation. 28 (1), 51-59. [DOI:10.1080/09638280500163927]
13. Sinikallio, S. H., Helminen, E. E., Valjakka, A. L., VäisänenRouvali, R. H., Arokoski, J. P. (2014) Multiple psychological factors are associated with poorer functioning in a sample of community-dwelling knee osteoarthritis patients. JCR: Journal of Clinical Rheumatology. 20 (5), 261-267. [DOI:10.1097/RHU.0000000000000123]
14. Somers, T. J., Blumenthal, J. A., Guilak, F., Kraus V. B., Schmitt, D. O., Babyak, M. A., et al. (2012) Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: a randomized controlled study. Pain. 153 (6), 1199-1209. [DOI:10.1016/j.pain.2012.02.023]
15. Vong, S. K., Cheing, G. L., Chan, F., SoE. M. & Chan, C. C. (2011) Motivational enhancement therapy in addition to physical therapy improves motivational factors and treatment outcomes in people with low back pain: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation. 92 (2), 176-183. [DOI:10.1016/j.apmr.2010.10.016]
16. Wise, B. L, Niu, J., Zhang, Y., Wang, N., Jordan, J. M., Choy, E. & Hunter, D. J. (2010) Psychological factors and their relation to osteoarthritis pain. Osteoarthritis and Cartilage. 18 (7), 883-887. [DOI:10.1016/j.joca.2009.11.016]
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