Family practice nurses supporting self-management in older patients with mild osteoarthritis: a randomized trial.
SourceBMC Family Practice, 9, (2008), article 7
Article / Letter to editor
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Primary and Community Care
Centre for Quality of Care Research
BMC Family Practice
SubjectEBP 3: Effective Primary Care and Public Health; EBP 4: Quality of Care; NCEBP 14: Cardiovascular diseases; NCEBP 3: Implementation Science; NCEBP 4: Quality of hospital and integrated care; NCEBP 7: Effective primary care and public health; NCEBP 9: Mental health
BACKGROUND: Supporting self-management intends to improve life-style, which is beneficial for patients with mild osteoarthritis (OA). We evaluated a nurse-based intervention on older OA patients' self-management with the aim to assess its effects on mobility and functioning. METHODS: Randomized controlled trial of patients (> or = 65 years) with mild hip or knee OA from nine family practices in the Netherlands. Intervention consisted of supporting patients' self-management of OA symptoms using a practice-based nurse. Outcome measures were patients' mobility, using the Timed Up and Go test (TUG), and patient reported functioning, using an arthritis specific scale (Dutch AIMS2 SF). RESULTS: Fifty-one patients were randomized to the intervention group and 53 to the control group. Patient-reported functioning improved on four scales in the intervention group compared to one scale in the control group. However, this result was not significant. Mobility improved in both groups, without a significant difference between the two groups. There were no differences between the groups regarding consultations with family physicians or physiotherapists, or medication use. CONCLUSION: A nurse-based intervention on older OA patients' self-management did not improve self-reported functioning, mobility or patients' use of health care resources.
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