title: Better Management of Patients with Osteoarthritis: Development and Nationwide Implementation of an Evidence-Based Supported Osteoarthritis Self-Management Programme.
abstract: BACKGROUND
  Information and exercise are core treatments of osteoarthritis. Self-management and coping strategies with the disease are crucial to gain benefits. We developed a supported osteoarthritis self-management programme, delivered by trained physiotherapists, to facilitate patient and healthcare compliance. The programme combined peer- and healthcare professional-delivered information, and individually adapted exercise.
  
  
  METHODS
  Physiotherapists were trained to deliver and evaluate the programme. Patient-reported compliance and satisfaction with the programme was assessed at three- and 12-month follow-ups.
  
  
  RESULTS
  Data from 20,200 consecutive patients in 320 different care centres in Sweden showed that 97% attended the theory sessions and 83% volunteered for the optional individual exercise programme. The intervention was rated as good or very good by 94% of patients. After three months, 62% reported daily use of what they had learned during the course, and 91% reported weekly use. Corresponding numbers after 12 months were 37% and 72%.
  
  
  CONCLUSIONS
  The supported osteoarthritis self-management programme is feasible in clinical practice, and seems useful and acceptable to patients.
authors.affiliation: Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.|BOA Registry, Registercentrum Västra Götaland, Gothenburg, Sweden.
authors.forename: Carina A
authors.initials: CA
authors.lastname: Thorstensson
authors.affiliation: Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.|Swedish Hip Arthroplasty Register, Registercentrum Västra Götaland, Gothenburg, Sweden.
authors.forename: Göran
authors.initials: G
authors.lastname: Garellick
authors.affiliation: Department of Education, Communication and Learning, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Hans
authors.initials: H
authors.lastname: Rystedt
authors.affiliation: Department of Orthopaedics, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden.
authors.forename: Leif E
authors.initials: LE
authors.lastname: Dahlberg
mesh_terms: D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D015207:Osteoarthritis, Hip / Q000523:psychology / Q000628:therapy*; D020370:Osteoarthritis, Knee / Q000523:psychology / Q000628:therapy*; D010349:Patient Compliance; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities; D012648:Self Care; D013548:Sweden; D016896:Treatment Outcome
keywords: Osteoarthritis; exercise; implementation; patient education