A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia
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...
| Main Authors: | , , |
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| Format: | Conference or Workshop Item |
| Language: | English English |
| Published: |
2018
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/66289/ http://irep.iium.edu.my/66289/ http://irep.iium.edu.my/66289/1/Day%202%20Workshop%20A%20Muhammad%20Kamil%20Che%20Hasan.pdf http://irep.iium.edu.my/66289/7/66289_A%20Feasibility%20Randomised%20Controlled.pdf |
| Summary: | 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. |
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