dc.contributor.author | Holm, Inger | |
dc.contributor.author | Pripp, Are Hugo | |
dc.contributor.author | Risberg, May Arna | |
dc.date.accessioned | 2021-06-04T17:01:55Z | |
dc.date.available | 2021-06-04T17:01:55Z | |
dc.date.created | 2021-03-16T13:13:22Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | Journal of Clinical Medicine. 2020, 9(10), Artikkel 3112. | en_US |
dc.identifier.issn | 2077-0383 | |
dc.identifier.uri | https://hdl.handle.net/11250/2758004 | |
dc.description | This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). | en_US |
dc.description.abstract | Background: Recent systematic reviews and international guidelines recommend patient education, exercises, and weight control (if overweight) as first-line treatment for patients with hip or knee osteoarthritis (OA). The Active with osteoArthritis (AktivA) program is a physiotherapy model for the implementation of these guidelines into clinical primary care practice. The purpose of the present study was to evaluate the long-term effects of and adherence to the AktivA program for patients with mild to moderate knee or hip OA. Methods: The AktivA program includes three modules: a physiotherapy certification course, a patient education and exercise program and an electronic quality register. An electronic questionnaire including questions about, pain, quality of life, physical activity, self-efficacy and satisfaction with the AktivA program are sent to the participants at inclusion and after 3, 12 and 24 months. A linear mixed model for repeated measurements was used to assess the difference between the follow-up times. Results: Until January 2020, 6245 patients were included in the register. The response rates were 98%, 86% and 63% at 3, 12 and 24 months, respectively. After participating in the AktivA program, the patients reported decreased pain and increased health-related and disease-specific quality of life at three months and the positive effect was maintained up to two years after inclusion. The proportion of patients reporting to be inactive or having a low physical activity level was reduced from 43% to 22%. After two years, more than 80% of the participants reported to use what they have learned from the AktivA program at least once a week. Conclusions: Two years after inclusion in the AktivA physiotherapy program, the patients still report reduced pain, increased quality of life and higher activity levels. | en_US |
dc.language.iso | eng | en_US |
dc.subject | exercise therapy | en_US |
dc.subject | implementation of guidelines | en_US |
dc.subject | osteoarthritis | en_US |
dc.subject | patient education | en_US |
dc.subject | patient-reported outcomes | en_US |
dc.subject | physical activity | en_US |
dc.subject | physiotherapy | en_US |
dc.title | The active with osteoarthritis (AktivA) physiotherapy implementation model: A patient education, supervised exercise and self-management program for patients with mild to moderate osteoarthritis of the knee or hip joint. A national register study with a two-year follow-up | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © 2020 by the authors | en_US |
dc.source.pagenumber | 14 | en_US |
dc.source.volume | 9 | en_US |
dc.source.journal | Journal of Clinical Medicine | en_US |
dc.source.issue | 10 | en_US |
dc.identifier.doi | 10.3390/jcm9103112 | |
dc.identifier.cristin | 1898343 | |
dc.description.localcode | Institutt for idrettsmedisinske fag / Department of Sports Medicine | en_US |
dc.source.articlenumber | 3112 | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |