Evidence map›Paper›PMID 37735517›Full record

ArticleArchives of physiotherapy2023

Empowerment and enablement and their associations with change in health-related quality of life after a supported osteoarthritis self-management programme - a prospective observational study.

Karin Sturesdotter Åkesson, Anne Sundén, Kjerstin Stigmar, Frida Eek, Teresa Pawlikowska, Eva Ekvall Hansson

Registry-linked trialAbstract read
In one paragraph

Article in Archives of physiotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02974036 (Patient Enablement in Osteoarthritis - a Longitudinal Study on Patient Education Programs in Primary Health Care), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02974036 completednot on this map

Patient Enablement in Osteoarthritis - a Longitudinal Study on Patient Education Programs in Primary Health Care

TypeobservationalSponsorLund UniversityRan2016 to 2019Enrolled143ConditionsPatient Education as Topic, OsteoarthritisArmsPatient education for osteoarthritis
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Karin Sturesdotter ÅkessonDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden. Karin.sturesdotter_akesson@med.lu.se.ORCID http://orcid.org/0000-0002-0192-3101
Anne SundénDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Kjerstin StigmarDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Frida EekDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Teresa PawlikowskaHealth Professions Education Centre, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Eva Ekvall HanssonDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.

Funding

Greta och Johan Kocks stiftelser Greta och Johan Kocks stiftelserReumatikerförbundet R-658001Reumatikerförbundet R-750091Reumatikerförbundet R-843831Stig Thune´s Fund ST-201908
6 · The paper itself

Abstract

backgroundOsteoarthritis is a leading cause of disability worldwide. Current treatment supports coping strategies to improve health-related quality of life (HRQoL). The need to predict response to treatment has been raised to personalise care. This study aims to examine change in HRQoL from baseline to three and nine months follow-up after participating in a Supported Osteoarthritis Self-Management Programme (SOASP) and to examine if empowerment and/or enablement were associated with change in HRQoL after a SOASP.

methodsPatients participating in a SOASP were recruited consecutively between April 2016 and June 2018. The EQ-5D was used to measure HRQoL, the Swedish Rheumatic Disease Empowerment Scale (SWE-RES-23) (score range 1-5) to measure empowerment and the Patient Enablement Instrument (PEI) (score range 0-12) to measure enablement. The instruments were answered before (EQ-5D, SWE-RES-23) and after (EQ-5D, SWE-RES-23, PEI) the SOASP. A patient partner was involved in the research process to enhance the patient perspective. Changes in outcome were examined with paired sample t-test and standardized effect sizes (Cohen´s d). Multiple linear regression analysis was performed to assess potential associations.

resultsOne hundred forty-three patients participated in baseline measurement. Mean EQ-5D-5 L index score increased significantly from baseline to three months corresponding to a standardised effect size (Cohen´s d) of d = 0.43, 95% CI [0.24, 0.63] (n = 109), and from baseline to nine months d = 0.19, 95% CI [0.01, 0.37] (n = 119). The average EQ VAS score increased significantly from baseline to three months corresponding to a standardised effect size of d = 0.26, 95% CI [0.07, 0.45] (n = 109), and from baseline to nine months d = 0.18, 95% CI [0.00, 0.36] (n = 119). Neither SWE-RES-23 nor PEI at three months follow-up nor the change in the SWE-RES-23 score from baseline to three months follow-up were associated with change in either EQ-5D-5 L index (p > 0.05) or the EQ VAS (p > 0.05).

conclusionsHealth-related quality of life increased after participating in a SOASP. Empowerment and enablement as measured with the SWE-RES-23 and the PEI were not associated with change in HRQoL among patients participating in a SOASP.

trial registrationClinicalTrials.gov. Identification number: NCT02974036. First registration 28/11/2016, retrospectively registered.

Indexed as

EmpowermentOsteoarthritisPatient educationPhysiotherapistPrimary health careQuality of life

Identifiers

PMID37735517
PMCPMC10514979

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.