One-Year Results of an Educational Program on Osteoarthritis: A Prospective Randomized Controlled Trial in Brazil

Carregando...
Imagem de Miniatura
Citações na Scopus
Tipo de produção
article
Data de publicação
2016
Editora
SAGE PUBLICATIONS INC
Indexadores
Título da Revista
ISSN da Revista
Título do Volume
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
GERIATRIC ORTHOPAEDIC SURGERY & REHABILITATION, v.7, n.2, p.86-94, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Introduction: Knee osteoarthritis (KOA) is the most prevalent form of osteoarthritis. Low socioeconomic level, age, and obesity are directly correlated with the incidence of the disease. Education, exercise, and diet are the core recommendations of all KOA treatment guidelines. Objective: To evaluate the impact of a multiprofessional educational program on patients with KOA. Methods: Of a total of 198 participants, 150 patients with KOA attended 2 days of lectures (at 1- to 3-month intervals) and received educational material on osteoarthritis, and a control group (48 patients) received educational materials only. Body mass index (BMI), frequency, and intensity of physical activity, pain, function, and quality-of-life scores were assessed at baseline and at 4 and 12 months after the educational program. Bimonthly telephone calls were made to half of the participants. Correlations between BMI, level of education, coping skills, functional, and pain results was procured. Results: The groups were similar in terms of race, gender, affected side, and osteoarthritis severity. The results were not affected by the telephone calls or the patients' level of education. At baseline, 25 performed physical activity, whereas 123 performed at 1 year. Seventy-two (36.36%) patients decreased BMI (45 by 1 point and 27 by more than 2 points). There were some weak correlations such as BMI reduction with pain and functional improvements and with coping results. Significant improvements in function and quality of life were found at 4 months. Quality of life remained improved at 1 year. Conclusion: The effect of this educational program in function and quality of life of patients with KOA is very subtle. Interval between classes (1, 2, or 3 months) is not an important issue.
Palavras-chave
osteoarthritis, knee, education, quality of life, treatment outcome
Referências
  1. ALTMAN R, 1986, ARTHRITIS RHEUM, V29, P1039, DOI 10.1002/art.1780290816
  2. Blagojevic M, 2010, OSTEOARTHR CARTILAGE, V18, P24, DOI 10.1016/j.joca.2009.08.010
  3. Brasil. Instituto Brasileiro de Geografia e Estatistica, POF 2008 2009 DESN C
  4. Brasil. Instituto Brasileiro de Geografia e Estatistica, 2010, CENS DEM 2010 RES GE
  5. Brasil. Instituto Brasileiro de Geografia e Estatistica, DAD PREL CENS 2010 J
  6. Bruyere O, 2014, SEMIN ARTHRITIS RHEU, V44, P253, DOI 10.1016/j.semarthrit.2014.05.014
  7. Buszewicz M, 2006, BRIT MED J, V333, P879, DOI 10.1136/bmj.38965.375718.80
  8. Campos Gustavo Constantino De, 2014, Acta Ortop Bras, V22, P256, DOI 10.1590/1413-78522014220500980
  9. Christensen R, 2007, ANN RHEUM DIS, V66, P433, DOI 10.1136/ard.2006.065904
  10. Dixon T, 2004, ANN RHEUM DIS, V63, P825, DOI 10.1136/ard.2003.012724
  11. Fernandes MI, 2003, TRADUCAO VALIDACAO Q
  12. Jorgensen KT, 2011, OSTEOARTHR CARTILAGE, V19, P1176, DOI 10.1016/j.joca.2011.07.009
  13. KELLGREN JH, 1957, ANN RHEUM DIS, V16, P485, DOI 10.1136/ard.16.4.485
  14. Kreuter MW, 2003, HEALTH EDUC BEHAV, V30, P133, DOI 10.1177/1090198102251021
  15. Lequesne MG, 1997, J RHEUMATOL, V24, P779
  16. Mahomed NN, 2005, J BONE JOINT SURG AM, V87A, P1222, DOI 10.2106/JBJS.D.02546
  17. MCHORNEY CA, 1993, MED CARE, V31, P247, DOI 10.1097/00005650-199303000-00006
  18. Moher D, 2012, INT J SURG, V10, P28, DOI 10.1016/j.ijsu.2011.10.001
  19. Pereira D, 2011, OSTEOARTHR CARTILAGE, V19, P1270, DOI 10.1016/j.joca.2011.08.009
  20. Plapler PG, 2014, J OSTEOPOR PHYS ACT, V2, P2
  21. Ravaud P, 2009, BMJ-BRIT MED J, V338, P421
  22. Rezende MU, 2013, J ARTHRITIS, V2, P113
  23. Rothman AJ, 2006, J COMMUN, V56, pS202, DOI 10.1111/j.1460-2466.2006.00290.x
  24. Seidl EMF, 2001, PSICOL-TEOR PESQUI, V17, P225, DOI 10.1590/S0102-37722001000300004
  25. U.S. Department of Health and Human Service, 1999, PROM PHYS ACT
  26. Zhang W, 2010, OSTEOARTHR CARTILAGE, V18, P476, DOI 10.1016/j.joca.2010.01.013