Impact of a tailored self-management education programme for older adults with knee osteoarthritis in a multi-ethnic country
Self-management education program (SMEP) is essential in the knee osteoarthritis (OA) management. While the benefits of tailored SMEP have been highlighted in the literature, evidence on the effects of tailored knee OA SMEP for multi ethnic populations, such as in Malaysia, remains limited. There...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Penerbit Universiti Kebangsaan Malaysia
2024
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| Online Access: | http://journalarticle.ukm.my/23381/1/JSKM_22_1_11.pdf http://journalarticle.ukm.my/23381/ https://ejournals.ukm.my/jskm/issue/view/1607 |
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| Summary: | Self-management education program (SMEP) is essential in the knee osteoarthritis (OA) management. While the benefits
of tailored SMEP have been highlighted in the literature, evidence on the effects of tailored knee OA SMEP for multi
ethnic populations, such as in Malaysia, remains limited. Therefore, the aim of this study was to conduct an intervention
study on a tailored SMEP among Malaysian older adults who aged 60 years and above with knee OA. Participants aged
60 years and over with a diagnosis of knee OA were recruited. The intervention comprised four weekly structured group
SMEP which was developed specifically for the multicultural population in Malaysia. Symptom’s severity and functional
performance were assessed at baseline and six-week follow-up using the Knee Injury and Osteoarthritis Outcome Score
questionnaire (KOOS), 30 seconds sit to stand (30sST), time up and go (TUG), chair sit and reach (CSR), back stretch
(BS), handgrip strength (HGS) and two-minute walk (2MW) tests. Of the 32 individuals recruited, 30 participants, mean
age of 66.77 (±6.42) years, completed the post-intervention assessment. Improvements in mean KOOS domains scores
were observed by between 1.3% - 8.6% from baseline to follow-up. Significant differences between baseline and follow
up scores were identified for 30sST (p < 0.05), TUG ( p < 0.001) and 2MW (p < 0.001) tests. A 4-week tailored SMEP
delivered face to face by a physiotherapist, improved lower limb muscle strength, mobility, balance and endurance.
Larger randomized controlled trials regarding the long-term effects of SMEP for older adults with OA is warranted. |
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