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dc.contributor.authorHolm, Inger
dc.contributor.authorPripp, Are Hugo
dc.contributor.authorRisberg, May Arna
dc.date.accessioned2021-06-04T17:01:55Z
dc.date.available2021-06-04T17:01:55Z
dc.date.created2021-03-16T13:13:22Z
dc.date.issued2020
dc.identifier.citationJournal of Clinical Medicine. 2020, 9(10), Artikkel 3112.en_US
dc.identifier.issn2077-0383
dc.identifier.urihttps://hdl.handle.net/11250/2758004
dc.descriptionThis 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.abstractBackground: 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.isoengen_US
dc.subjectexercise therapyen_US
dc.subjectimplementation of guidelinesen_US
dc.subjectosteoarthritisen_US
dc.subjectpatient educationen_US
dc.subjectpatient-reported outcomesen_US
dc.subjectphysical activityen_US
dc.subjectphysiotherapyen_US
dc.titleThe 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-upen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© 2020 by the authorsen_US
dc.source.pagenumber14en_US
dc.source.volume9en_US
dc.source.journalJournal of Clinical Medicineen_US
dc.source.issue10en_US
dc.identifier.doi10.3390/jcm9103112
dc.identifier.cristin1898343
dc.description.localcodeInstitutt for idrettsmedisinske fag / Department of Sports Medicineen_US
dc.source.articlenumber3112en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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