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A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia

Che Hasan, Muhammad Kamil and Stanmore, Emma and Todd, Chris (2018) A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia. In: EU Falls Festival 2018, 2nd-3rd July 2018, Manchester, United Kingdom. (Unpublished)

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Background: In Malaysia, around one in ten older people are diagnosed with osteoarthritis (OA). The most common form is knee OA. This can lead to functional limitations, impaired activities of daily living, reduced quality-of-life and increased risk of falls. Our systematic review of the literature concludes that a programme integrating exercise, education and active coping strategies (Enabling Self-management and Coping with Arthritic Pain using Exercise (ESCAPE-pain)) provides the best evidence for implementation. Thus, this study aims to evaluate the feasibility of ESCAPE-pain programme among patients with knee OA in Malaysian healthcare context. Method: A pragmatic feasibility randomised controlled trial was conducted recruiting from two hospitals in Malaysia. OA knee patients were randomised to ESCAPE-pain intervention (n=36) or control (n=36) groups using an independent online randomisation service (www.sealedenvelope.com). Outcomes were measured for physical function (TUG), knee injury and osteoarthritis outcome scores (KOOS), mental wellbeing (Short-WEMWBS), exercise health beliefs (ExBeliefs) and fear of falling (Short-FES-I) at baseline, six-week and after 12-week of intervention. Results: Attendance at ≥10 out of 12 sessions was 82.4%. Retention rate at 12-week was 87.5% (63/72). Repeated measures MANOVA shows that no significant changes (p>0.05) for TUG or KOOS between intervention and control groups. However, better outcomes (p<0.05) were reported for health belief, mental wellbeing, and fear of falling efficacy among patients in intervention group. Conclusions: The findings of this study indicate that the ESCAPE-pain programme may be feasible for patients with knee OA in Malaysia. As a feasibility study this is not powered to detect significant differences on primary KOOS outcomes, nonetheless participants reported positive views towards exercise with significant improvements in belief in performing activities, and reduced fear of falling.

Item Type: Conference or Workshop Item (Slide Presentation)
Additional Information: 5711/66289
Uncontrolled Keywords: controlled trial of ESCAPE-pain, patients, knee osteoarthritis, Malaysia
Subjects: R Medicine > RC Internal medicine
R Medicine > RT Nursing > RT71 Study and Teaching
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Nursing > Department of Medical Surgical Nursing
Kulliyyah of Nursing
Depositing User: Dr Muhammad Kamil Che Hasan
Date Deposited: 03 Oct 2018 09:11
Last Modified: 03 Oct 2018 09:11
URI: http://irep.iium.edu.my/id/eprint/66289

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