背景:骨关节炎的美好生活:丹麦(GLA:D™),基于证据的教育和运动计划,旨在保守治疗膝关节和髋关节骨关节炎(OA),已被证明可以通过减轻疼痛使参与者受益,改善功能,和生活质量。GLA:D数据库中的标准化报告可以衡量自我报告和基于绩效的结果。关于参与者对这个项目的看法的定性研究很少,重要的是要了解参与者对该计划的益处的看法是否与报告的定量结果一致。
方法:我们对2017年1月至2018年12月在艾伯塔省参加GLA:D计划的个人进行了半结构化电话采访,加拿大。使用解释性描述方法和主题分析对数据进行了分析,以确定与参与者感知到的GLA:D计划收益相关的紧急主题和子主题。我们使用NVivoPro软件分析数据。使用成员检查和括号来确保分析的严谨性。
结果:30名参与者接受了采访(70%为女性,57%的农村,73%的膝关节OA)。大多数参与者认为该计划对他们有利。分析中出现了两个主题:健康和自我效能感。参与者认为该计划有益于他们的健康,特别是在缓解疼痛方面,以及机动性的改善,力量,和整体福祉。参与者认为该计划通过提高进行锻炼和日常活动的信心来促进自我效能感,从而使他们受益。以及意识,以及控制他们OA症状的动机。20%的参与者认为该计划没有任何好处,因为他们的疼痛增加,感觉他们的OA太严重而无法参与。
结论:GLA:D项目被认为对大多数参与者有益,这项研究还确定了因素(例如,严重OA,极度痛苦),为什么一些参与者没有经历有意义的改善。在经历严重OA的个体之前进行GLA:D计划的早期干预可以帮助增加从参与中受益的参与者数量。
结论:随着GLA:D计划在各个司法管辖区扩展,该计划的提供者可能会考虑在疾病进展的早期招募,并针对轻度和中度OA患者.
BACKGROUND: The Good Life with osteoArthritis: Denmark (GLA:D™), an evidence-based education and exercise program designed for conservative management of knee and hip osteoarthritis (OA), has been shown to benefit participants by reducing pain, improving function, and quality of life. Standardized reporting in the GLA:D databases enabled the measurement of self-reported and performance-based outcomes. There is a paucity of qualitative research on the participants\' perceptions of this program, and it is important to understand whether participants\' perceptions of the benefits of the program align with reported quantitative findings.
METHODS: We conducted semi-structured telephone interviews with individuals who participated in the GLA:D program from January 2017 to December 2018 in Alberta, Canada. Data were analyzed using an interpretive description approach and thematic analysis to identify emergent themes and sub-themes associated with participants perceived benefits of the GLA:D program. We analyzed the data using NVivo Pro software. Member checking and bracketing were used to ensure the rigour of the analysis.
RESULTS: 30 participants were interviewed (70% female, 57% rural, 73% knee OA). Most participants felt the program positively benefited them. Two themes emerged from the analysis: wellness and self-efficacy. Participants felt the program benefited their wellness, particularly with regard to pain relief, and improvements in mobility, strength, and overall well-being. Participants felt the program benefited them by promoting a sense of self-efficacy through improving the confidence to perform exercise and routine activities, as well as awareness, and motivation to manage their OA symptoms. Twenty percent of participants felt no benefits from the program due to experiencing increased pain and feeling their OA was too severe to participate.
CONCLUSIONS: The GLA:D program was viewed as beneficial to most participants, this study also identified factors (e.g., severe OA, extreme pain) as to why some participants did not experience meaningful improvements. Early intervention with the GLA:D program prior to individuals experiencing severe OA could help increase the number of participants who experience benefits from their participation.
CONCLUSIONS: As the GLA:D program expands across jurisdictions, providers of the program may consider recruitment earlier in disease progression and targeting those with mild and moderate OA.