Participation in a digital self-management intervention for osteoarthritis and socioeconomic inequalities in patient-related outcomes
(2024) In Scandinavian Journal of Rheumatology p.1-8- Abstract
OBJECTIVE: To investigate changes in socioeconomic inequalities in patient-related outcomes and pain medication use, following participation in a digital self-management intervention for osteoarthritis (OA) in Sweden.
METHOD: Participants with hip/knee OA enrolled in the digital intervention were included. Self-reported outcomes collected were the numerical rating scale (NRS) pain, activity impairment, general health, Knee/Hip injury and Osteoarthritis Outcome Score (KOOS-12, HOOS-12) Pain, Function, and Quality of Life subscales, 5-level EuroQol 5 Dimensions (EQ-5D-5L), Patient Acceptable Symptom State (PASS) for function, walking difficulties, fear of movement, wish for surgery, pain medication use, physical function measured by... (More)
OBJECTIVE: To investigate changes in socioeconomic inequalities in patient-related outcomes and pain medication use, following participation in a digital self-management intervention for osteoarthritis (OA) in Sweden.
METHOD: Participants with hip/knee OA enrolled in the digital intervention were included. Self-reported outcomes collected were the numerical rating scale (NRS) pain, activity impairment, general health, Knee/Hip injury and Osteoarthritis Outcome Score (KOOS-12, HOOS-12) Pain, Function, and Quality of Life subscales, 5-level EuroQol 5 Dimensions (EQ-5D-5L), Patient Acceptable Symptom State (PASS) for function, walking difficulties, fear of movement, wish for surgery, pain medication use, physical function measured by the 30s chair-stand test, and level of physical activity. Educational attainment was used as a socioeconomic measure and the concentration index was used to assess the magnitude of inequalities at baseline and 3 month follow-up.
RESULTS: The study included 21,688 participants (mean ± sd age 64.1 ± 9.1 years, 74.4% females). All outcomes except for PASS demonstrated inequalities in favour of highly educated participants at both time-points, with highly educated participants reporting better outcomes. At 3 month follow-up, the magnitude of inequality widened for activity impairment, but narrowed for NRS pain, EQ-5D-5L, KOOS-12/HOOS-12 Pain and Function, physical function, and wish for surgery. There were no statistically conclusive changes in the magnitude of inequalities for the remaining outcomes.
CONCLUSIONS: There were inequalities in patient-related outcomes in favour of those with higher education among participants of a digital self-management intervention for OA, although the magnitude of these pre-existing inequalities generally narrowed after the 3 month intervention.
(Less)
- author
- Mahmoudian, A
LU
; Lohmander, L S
LU
; Dahlberg, L E LU and Kiadaliri, A LU
- organization
-
- Lund OsteoArthritis Division - Clinical Epidemiology Unit (research group)
- EpiHealth: Epidemiology for Health
- Lund OsteoArthritis Division - Molecular marker research group (research group)
- Lund OsteoArthritis Division - From molecule to clinical implementation (research group)
- LU Profile Area: Proactive Ageing
- publishing date
- 2024-06-20
- type
- Contribution to journal
- publication status
- epub
- subject
- in
- Scandinavian Journal of Rheumatology
- pages
- 1 - 8
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:85196502983
- pmid:38899452
- ISSN
- 1502-7732
- DOI
- 10.1080/03009742.2024.2361542
- language
- English
- LU publication?
- yes
- id
- 21c0b69b-2430-4276-8226-7a9ac224ebfe
- date added to LUP
- 2024-06-20 14:08:03
- date last changed
- 2024-07-08 04:01:33
@article{21c0b69b-2430-4276-8226-7a9ac224ebfe, abstract = {{<p>OBJECTIVE: To investigate changes in socioeconomic inequalities in patient-related outcomes and pain medication use, following participation in a digital self-management intervention for osteoarthritis (OA) in Sweden.</p><p>METHOD: Participants with hip/knee OA enrolled in the digital intervention were included. Self-reported outcomes collected were the numerical rating scale (NRS) pain, activity impairment, general health, Knee/Hip injury and Osteoarthritis Outcome Score (KOOS-12, HOOS-12) Pain, Function, and Quality of Life subscales, 5-level EuroQol 5 Dimensions (EQ-5D-5L), Patient Acceptable Symptom State (PASS) for function, walking difficulties, fear of movement, wish for surgery, pain medication use, physical function measured by the 30s chair-stand test, and level of physical activity. Educational attainment was used as a socioeconomic measure and the concentration index was used to assess the magnitude of inequalities at baseline and 3 month follow-up.</p><p>RESULTS: The study included 21,688 participants (mean ± sd age 64.1 ± 9.1 years, 74.4% females). All outcomes except for PASS demonstrated inequalities in favour of highly educated participants at both time-points, with highly educated participants reporting better outcomes. At 3 month follow-up, the magnitude of inequality widened for activity impairment, but narrowed for NRS pain, EQ-5D-5L, KOOS-12/HOOS-12 Pain and Function, physical function, and wish for surgery. There were no statistically conclusive changes in the magnitude of inequalities for the remaining outcomes.</p><p>CONCLUSIONS: There were inequalities in patient-related outcomes in favour of those with higher education among participants of a digital self-management intervention for OA, although the magnitude of these pre-existing inequalities generally narrowed after the 3 month intervention.</p>}}, author = {{Mahmoudian, A and Lohmander, L S and Dahlberg, L E and Kiadaliri, A}}, issn = {{1502-7732}}, language = {{eng}}, month = {{06}}, pages = {{1--8}}, publisher = {{Taylor & Francis}}, series = {{Scandinavian Journal of Rheumatology}}, title = {{Participation in a digital self-management intervention for osteoarthritis and socioeconomic inequalities in patient-related outcomes}}, url = {{http://dx.doi.org/10.1080/03009742.2024.2361542}}, doi = {{10.1080/03009742.2024.2361542}}, year = {{2024}}, }