Impact of a tailored self-management education programme for older adults with knee osteoarthritis in a multi-ethnic country

Kamsan, Siti Salwana and Singh, Devinder Kaur Ajit and Tan, Maw Pin and Kumar, Saravana (2024) Impact of a tailored self-management education programme for older adults with knee osteoarthritis in a multi-ethnic country. Jurnal Sains Kesihatan Malaysia, 22 (1). pp. 97-106. ISSN 1675-8161 E-ISSN 2289-4535

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Abstract

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.

Item Type:	Article (Journal)
Uncontrolled Keywords:	Knee osteoarthritis, older adults, self-management education.
Subjects:	R Medicine > RM Therapeutics. Pharmacology > RM695 Physical medicine. Physical therapy
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Allied Health Sciences Kulliyyah of Allied Health Sciences > Department of Physical Rehabilitation Sciences
Depositing User:	Dr Siti Salwana Kamsan
Date Deposited:	21 Mar 2024 10:11
Last Modified:	06 Aug 2024 09:47
URI:	http://irep.iium.edu.my/id/eprint/111439

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