Feasibility of enabling self-management and coping with arthritic pain using exercise (ESCAPE-Pain) programme for knee osteoarthritis in Malaysia

Background/Purpose: In Malaysia around one in ten older people are diagnosed with osteoarthritis (OA), with the knee being one of the most commonly affected areas. This can lead to functional limitations, impaired activities of daily living and reduced quality-of-life. Our systematic review of the l...

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Main Authors:	Che Hasan, Muhammad Kamil, Stanmore, Emma, Todd, Chris
Format:	Article
Language:	English English
Published:	Wiley Online Library 2018
Subjects:	R Medicine (General) RT Nursing RT71 Study and Teaching
Online Access:	http://irep.iium.edu.my/67452/ http://irep.iium.edu.my/67452/ http://irep.iium.edu.my/67452/ http://irep.iium.edu.my/67452/1/67452_Feasibility%20of%20Enabling%20Self-Management.pdf http://irep.iium.edu.my/67452/7/67542_Feasibility%20of%20enabling%20self-management_WOS.pdf

id	iium-67452
recordtype	eprints
spelling	iium-674522019-01-30T03:53:51Z http://irep.iium.edu.my/67452/ Feasibility of enabling self-management and coping with arthritic pain using exercise (ESCAPE-Pain) programme for knee osteoarthritis in Malaysia Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris R Medicine (General) RT Nursing RT71 Study and Teaching Background/Purpose: In Malaysia around one in ten older people are diagnosed with osteoarthritis (OA), with the knee being one of the most commonly affected areas. This can lead to functional limitations, impaired activities of daily living and reduced quality-of-life. Our systematic review of the literature concludes that a programme integrating exercise, education and active coping strategies, known as 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 the ESCAPE-pain programme among patients with knee OA in the Malaysian healthcare context. Methods: A pragmatic, feasibility randomised controlled trial (RCT) was conducted recruiting patients with knee osteoarthritis from two hospitals in Malaysia. Participants were randomised to receive ESCAPE-pain intervention plus usual care (n=36) (intervention group) or usual care only (n=36) (control group). Outcomes were measured for physical function (TUG), knee injury and osteoarthritis outcome scores (KOOS), mental wellbeing (Short-WEMWBS), exercise health beliefs and self-efficacy (ExBeliefs) and fear of falling (Short-FES-I) at baseline, six-week and after 12-week of intervention. Results: There were no significant differences in baseline characteristics between the groups (p>0.05). Recruitment rate showed 90.5% (72/105) and retention rate at 12-week was 87.5% (63/72). Attendance to intervention programme at ≥10 of 12 sessions was high (82.4%). Using modified intention-to-treat analysis, repeated measures ANOVA showed no significant changes (p>0.05) for TUG or KOOS between intervention and control groups. However, better outcomes (p<0.05) were reported after 12 weeks for health beliefs, mental wellbeing, and fear of falling among patients in intervention group. Satisfaction survey among participants revealed that the ESCAPE-pain programme is easy to follow, straightforward and tolerable for future implementation. Conclusion: The findings of this study indicate that the ESCAPE-pain programme is 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, mental wellbeing and reduced fear of falling. Wiley Online Library 2018-09 Article PeerReviewed application/pdf en http://irep.iium.edu.my/67452/1/67452_Feasibility%20of%20Enabling%20Self-Management.pdf application/pdf en http://irep.iium.edu.my/67452/7/67542_Feasibility%20of%20enabling%20self-management_WOS.pdf Che Hasan, Muhammad Kamil and Stanmore, Emma and Todd, Chris (2018) Feasibility of enabling self-management and coping with arthritic pain using exercise (ESCAPE-Pain) programme for knee osteoarthritis in Malaysia. Arthritis & Rheumatology, 70 (S9). pp. 429-430. ISSN 2326-5205 https://onlinelibrary.wiley.com/doi/epdf/10.1002/art.40700 10.1002/art.40700
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	R Medicine (General) RT Nursing RT71 Study and Teaching
spellingShingle	R Medicine (General) RT Nursing RT71 Study and Teaching Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris Feasibility of enabling self-management and coping with arthritic pain using exercise (ESCAPE-Pain) programme for knee osteoarthritis in Malaysia
description	Background/Purpose: In Malaysia around one in ten older people are diagnosed with osteoarthritis (OA), with the knee being one of the most commonly affected areas. This can lead to functional limitations, impaired activities of daily living and reduced quality-of-life. Our systematic review of the literature concludes that a programme integrating exercise, education and active coping strategies, known as 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 the ESCAPE-pain programme among patients with knee OA in the Malaysian healthcare context. Methods: A pragmatic, feasibility randomised controlled trial (RCT) was conducted recruiting patients with knee osteoarthritis from two hospitals in Malaysia. Participants were randomised to receive ESCAPE-pain intervention plus usual care (n=36) (intervention group) or usual care only (n=36) (control group). Outcomes were measured for physical function (TUG), knee injury and osteoarthritis outcome scores (KOOS), mental wellbeing (Short-WEMWBS), exercise health beliefs and self-efficacy (ExBeliefs) and fear of falling (Short-FES-I) at baseline, six-week and after 12-week of intervention. Results: There were no significant differences in baseline characteristics between the groups (p>0.05). Recruitment rate showed 90.5% (72/105) and retention rate at 12-week was 87.5% (63/72). Attendance to intervention programme at ≥10 of 12 sessions was high (82.4%). Using modified intention-to-treat analysis, repeated measures ANOVA showed no significant changes (p>0.05) for TUG or KOOS between intervention and control groups. However, better outcomes (p<0.05) were reported after 12 weeks for health beliefs, mental wellbeing, and fear of falling among patients in intervention group. Satisfaction survey among participants revealed that the ESCAPE-pain programme is easy to follow, straightforward and tolerable for future implementation. Conclusion: The findings of this study indicate that the ESCAPE-pain programme is 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, mental wellbeing and reduced fear of falling.
format	Article
author	Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris
author_facet	Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris
author_sort	Che Hasan, Muhammad Kamil
title	Feasibility of enabling self-management and coping with arthritic pain using exercise (ESCAPE-Pain) programme for knee osteoarthritis in Malaysia
title_short	Feasibility of enabling self-management and coping with arthritic pain using exercise (ESCAPE-Pain) programme for knee osteoarthritis in Malaysia
title_full	Feasibility of enabling self-management and coping with arthritic pain using exercise (ESCAPE-Pain) programme for knee osteoarthritis in Malaysia
title_fullStr	Feasibility of enabling self-management and coping with arthritic pain using exercise (ESCAPE-Pain) programme for knee osteoarthritis in Malaysia
title_full_unstemmed	Feasibility of enabling self-management and coping with arthritic pain using exercise (ESCAPE-Pain) programme for knee osteoarthritis in Malaysia
title_sort	feasibility of enabling self-management and coping with arthritic pain using exercise (escape-pain) programme for knee osteoarthritis in malaysia
publisher	Wiley Online Library
publishDate	2018
url	http://irep.iium.edu.my/67452/ http://irep.iium.edu.my/67452/ http://irep.iium.edu.my/67452/ http://irep.iium.edu.my/67452/1/67452_Feasibility%20of%20Enabling%20Self-Management.pdf http://irep.iium.edu.my/67452/7/67542_Feasibility%20of%20enabling%20self-management_WOS.pdf
first_indexed	2023-09-18T21:35:45Z
last_indexed	2023-09-18T21:35:45Z
_version_	1777412809091448832

Feasibility of enabling self-management and coping with arthritic pain using exercise (ESCAPE-Pain) programme for knee osteoarthritis in Malaysia

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