Abstract
BackgroundEnhancing self-efficacy to manage symptoms and functions is an important aspect of self-management for patients with knee osteoarthritis (OA). Many reports have investigated the effects of self-management education programmes for arthritis patients. However, a study that exclusively focuses on patients with OA in the same joints is required to clarify the effects of self-management programmes because individuals with knee OA experience physical and psychological difficulties different from those experienced by individuals with other arthritis diseases. Furthermore, previous studies have reported a wide range of delivery styles of self-management education programmes. This systematic review aimed to evaluate the effects of group-based and face-to-face self-management education programmes conducted by health professionals targeting self-efficacy for knee OA exclusively.MethodsThe MEDLINE, CENTRAL, EMBASE, CINAHL, Web of Science, and PEDro databases were searched to identify quantitative measures used in randomised controlled trials (RCTs) to assess the effects of self-management education programmes targeting self-efficacy in patients with knee OA. We included studies in which medical professional-delivered self-management education programmes were conducted in a group-based and face-to-face manner in community or outpatient settings.ResultsSeven RCTs from five countries were included in this review. Our retrieved studies included various types of self-management education programmes such as cognitive behavioural counselling, pain management education, physical education, weight management education, and arthritis self-efficacy management education, and control arms. They assessed various aspects of self-efficacy, including pain, physical function, arthritis symptoms excluding pain, weight management, mobility, and self-regulation. The total score of the Arthritis Self-Efficacy Scale was also measured. Some studies have reported beneficial effects of group-based and face-to-face self-management education programmes on self-efficacy for management of pain and other symptoms and for self-regulatory, knee OA. However, the results of the included studies were varied and inconsistent.ConclusionsThe current review only included seven studies, and there was a wide range of clinical heterogeneity among these studies. Thus, the effects of group-based and face-to-face self-management education programmes conducted by health professionals on self-efficacy for knee OA exclusively are inconclusive to date. Therefore, high-quality studies are required to provide significant information on clinicians, patients, and healthcare professionals in the future.
Highlights
Enhancing self-efficacy to manage symptoms and functions is an important aspect of selfmanagement for patients with knee osteoarthritis (OA)
The effects of group-based and face-to-face self-management education programmes conducted by health professionals on self-efficacy for knee OA exclusively are inconclusive to date
This systematic review aimed to evaluate the effect of group-based and face-to-face self-management education programmes conducted by health professionals on self-efficacy in individuals with knee OA exclusively
Summary
Enhancing self-efficacy to manage symptoms and functions is an important aspect of selfmanagement for patients with knee osteoarthritis (OA). Many reports have investigated the effects of selfmanagement education programmes for arthritis patients. A study that exclusively focuses on patients with OA in the same joints is required to clarify the effects of self-management programmes because individuals with knee OA experience physical and psychological difficulties different from those experienced by individuals with other arthritis diseases. Knee osteoarthritis (OA) is a common and costly chronic condition that leads to physical symptoms and functional limitations in the elderly [1, 2] and has a negative impact on their quality of life [3]. The Osteoarthritis Research Society International (OARSI) guideline lists core treatments, including land-based exercise, weight management, strength training, water-based exercise, and self-management and education, for the management of patients with knee OA [4]. One meta-analysis demonstrated that the presence of a psychological component boosted the effectiveness of selfmanagement courses for certain outcomes [8]
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