Family practice nurses supporting self-management in older patients with mild osteoarthritis: a randomized trial

<p>Abstract</p> <p>Background</p> <p>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 e...

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Bibliographic Details
Main Authors: Grol Richard, van Weel Chris, Wetzels Raymond, Wensing Michel
Format: Article
Language:English
Published: BMC 2008-01-01
Series:BMC Family Practice
Online Access:http://www.biomedcentral.com/1471-2296/9/7
Description
Summary:<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>Randomized controlled trial of patients (≥ 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).</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>A nurse-based intervention on older OA patients' self-management did not improve self-reported functioning, mobility or patients' use of health care resources.</p>
ISSN:1471-2296