Factors associated with empowerment after participating in a supported osteoarthritis self-management program : An explorative study
Åkesson, Karin Sturesdotter LU ; Hansson, Eva Ekvall LU ; Pawlikowska, Teresa ; Sundén, Anne LU ; Stigmar, Kjerstin LU and Ageberg, Eva LU
(2024)
In Osteoarthritis and Cartilage Open
6(2).
- Abstract
Objective: To explore factors associated with change in empowerment in patients that have participated in a 3-month Supported Osteoarthritis Self-Management Program (SOASP). Further, to evaluate empowerment in the longer term. Design: An explorative analysis including patients from a cohort study conducted in primary healthcare in Sweden was performed. Univariable linear regression models were performed to assess associations between demographics and patient-reported outcome measures (explanatory factors), respectively, and change in empowerment from baseline to 3-month follow-up (outcome variable). Long-term follow-up of empowerment was at 9 months. Results: Self-reported increase in enablement at the 3-month follow-up was associated... (More)
Objective: To explore factors associated with change in empowerment in patients that have participated in a 3-month Supported Osteoarthritis Self-Management Program (SOASP). Further, to evaluate empowerment in the longer term. Design: An explorative analysis including patients from a cohort study conducted in primary healthcare in Sweden was performed. Univariable linear regression models were performed to assess associations between demographics and patient-reported outcome measures (explanatory factors), respectively, and change in empowerment from baseline to 3-month follow-up (outcome variable). Long-term follow-up of empowerment was at 9 months. Results: Self-reported increase in enablement at the 3-month follow-up was associated with a greater improvement in empowerment (B = 0.041, 95% CI (0.011, 0.07), p = 0.008). Living alone was associated with less improvement in empowerment (B = −0.278, 95% CI (−0.469, −0.086), p = 0.005) compared to living together. Physical exercise >120 min per week at baseline was associated with less improvement in empowerment (B = −0.293, 95% CI (−0.583, −0.004), p = 0.047) compared to reporting no exercise at baseline. No other associations were observed (p > 0.05). Empowerment improved from baseline to the 3-month follow-up (mean 0.20 (SD 0.5), p < 0.001) but there was no change from baseline to the 9-month follow-up (mean 0.02 (SD 0.6), p = 0.641). Conclusions: Self-reported increased enablement may lead to greater improvement in empowerment after SOASP. Greater efforts may be needed to support those that live alone, are physically active, and to sustain empowerment in the longer term after SOASP. More research is needed on empowerment to provide personalized support for patients with OA after SOASP.
(Less)
- author
- Åkesson, Karin Sturesdotter
LU
; Hansson, Eva Ekvall
LU
; Pawlikowska, Teresa
; Sundén, Anne
LU
; Stigmar, Kjerstin
LU
and Ageberg, Eva
LU
- organization
- publishing date
- 2024-06
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Empowerment, Exercise therapy, Osteoarthritis, Patient education, Physical therapy
- in
- Osteoarthritis and Cartilage Open
- volume
- 6
- issue
- 2
- article number
- 100464
- publisher
- Elsevier
- external identifiers
-
- scopus:85189481500
- pmid:38584596
- ISSN
- 2665-9131
- DOI
- 10.1016/j.ocarto.2024.100464
- language
- English
- LU publication?
- yes
- id
- faeda6b2-a2c2-40fe-bdac-2230f6ed27ac
- date added to LUP
- 2024-04-25 12:23:35
- date last changed
- 2024-06-20 17:34:04
@article{faeda6b2-a2c2-40fe-bdac-2230f6ed27ac,
abstract = {{<p>Objective: To explore factors associated with change in empowerment in patients that have participated in a 3-month Supported Osteoarthritis Self-Management Program (SOASP). Further, to evaluate empowerment in the longer term. Design: An explorative analysis including patients from a cohort study conducted in primary healthcare in Sweden was performed. Univariable linear regression models were performed to assess associations between demographics and patient-reported outcome measures (explanatory factors), respectively, and change in empowerment from baseline to 3-month follow-up (outcome variable). Long-term follow-up of empowerment was at 9 months. Results: Self-reported increase in enablement at the 3-month follow-up was associated with a greater improvement in empowerment (B = 0.041, 95% CI (0.011, 0.07), p = 0.008). Living alone was associated with less improvement in empowerment (B = −0.278, 95% CI (−0.469, −0.086), p = 0.005) compared to living together. Physical exercise >120 min per week at baseline was associated with less improvement in empowerment (B = −0.293, 95% CI (−0.583, −0.004), p = 0.047) compared to reporting no exercise at baseline. No other associations were observed (p > 0.05). Empowerment improved from baseline to the 3-month follow-up (mean 0.20 (SD 0.5), p < 0.001) but there was no change from baseline to the 9-month follow-up (mean 0.02 (SD 0.6), p = 0.641). Conclusions: Self-reported increased enablement may lead to greater improvement in empowerment after SOASP. Greater efforts may be needed to support those that live alone, are physically active, and to sustain empowerment in the longer term after SOASP. More research is needed on empowerment to provide personalized support for patients with OA after SOASP.</p>}},
author = {{Åkesson, Karin Sturesdotter and Hansson, Eva Ekvall and Pawlikowska, Teresa and Sundén, Anne and Stigmar, Kjerstin and Ageberg, Eva}},
issn = {{2665-9131}},
keywords = {{Empowerment; Exercise therapy; Osteoarthritis; Patient education; Physical therapy}},
language = {{eng}},
number = {{2}},
publisher = {{Elsevier}},
series = {{Osteoarthritis and Cartilage Open}},
title = {{Factors associated with empowerment after participating in a supported osteoarthritis self-management program : An explorative study}},
url = {{http://dx.doi.org/10.1016/j.ocarto.2024.100464}},
doi = {{10.1016/j.ocarto.2024.100464}},
volume = {{6}},
year = {{2024}},
}