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Group exercise and self-management for older adults with osteoarthritis : a feasibility study
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Patel, Shilpa, Heine, Peter J., Ellard, David R. and Underwood, Martin (2016) Group exercise and self-management for older adults with osteoarthritis : a feasibility study. Primary Health Care Research & Development, 17 (3). pp. 252-264. doi:10.1017/S1463423615000389 ISSN 1463-4236.
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Official URL: http://dx.doi.org/10.1017/S1463423615000389
Abstract
Background Osteoarthritis (OA) is a common condition expected to be the fourth leading cause of disability by the year 2020. Treatment with non-steroidal anti-inflammatory drugs is problematic in older adults (>75 years) where the presence of comorbidities is more prevalent. Exercise has been recommended irrespective of age and comorbidity. The purpose of this project was to develop a combined exercise and self-management intervention to help older adults with OA to manage their comorbidities.
Methods Literature reviews were conducted to inform the development of an intervention followed by a pilot study to assess feasibility and test outcome measures. Participant interviews and session observation were used to evaluate the pilot study.
Results Evidence from the literature reviews suggested that a combined intervention consisting of behavioural change/self-management education and exercise was the most appropriate. Each component was developed and then tested as a combined package in a pilot study which comprised 12 sessions delivered over six weeks. Four males and six females aged between 75 and 92 years took part. The average attendance was 89%. Most participants reported some benefit and satisfaction with the programme along with changes in physical ability. The majority of participants continued with some form of exercise at three months.
Conclusion The intervention was well received and has encouraged 80% of participants to continue exercising after the programme. The small but positive changes seen in comorbidities, benefit of the intervention, satisfaction and general health are promising. Randomised controlled trial evidence of effectiveness and cost effectiveness is needed before such interventions can be recommended.
| Item Type: | Journal Article | ||||||||||||
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| Subjects: | R Medicine > RC Internal medicine | ||||||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Osteoarthritis -- Treatment, Osteoarthritis -- Exercise therapy | ||||||||||||
| Journal or Publication Title: | Primary Health Care Research & Development | ||||||||||||
| Publisher: | Cambridge University Press | ||||||||||||
| ISSN: | 1463-4236 | ||||||||||||
| Official Date: | May 2016 | ||||||||||||
| Dates: |
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| Volume: | 17 | ||||||||||||
| Number: | 3 | ||||||||||||
| Page Range: | pp. 252-264 | ||||||||||||
| DOI: | 10.1017/S1463423615000389 | ||||||||||||
| Status: | Peer Reviewed | ||||||||||||
| Publication Status: | Published | ||||||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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