J Korean Acad Community Health Nurs.  2017 Mar;28(1):55-68. 10.12799/jkachn.2017.28.1.55.

Development and Evaluation of a Joint Health Self-management Program for the Elderly with Knee Osteoarthritis in Communities: Applying the IMB Model

• Kim YI
• Park JS

• KMID: 2376712
• DOI: http://doi.org/10.12799/jkachn.2017.28.1.55

Abstract

PURPOSE
The purpose of this study is to develop and evaluate a joint health self-management program for knee osteoarthritis elders in communities.
METHODS
This program was developed based on the IMB (information-motivationbehavioral skills) model. The program methods include education, setting and achieving goals, sharing experiences, telephone counseling, and self-monitoring. The topics of the program include joint assessment, exercise, massage, joint protection, medication, depression management, diet, and healthcare approach. The research was conducted following the principles of the nonequivalent control group pretest-posttest design. Participants were 26 subjects in the experimental group, and 27 subjects in the control group. The experimental group participated in the self-management program, and the control group received general education.
RESULTS
Both post-test scores of personal motivation, social motivation, behavior skill, self-management behavior, joint pain, joint stiffness, physical function disability, right knee extension, left knee extension, and depression were significantly different between the experimental group and the control group.
CONCLUSION
The results of the study can be used to develop and standardize a systematic joint health self-management program. Further research is highly recommended to develop a strategy to continuously facilitate self-management of osteoarthritis patients' procedures.

Keyword

Osteoarthritis; Self-management; Knowledge; Motivation; Behavior

MeSH Terms

Aged*
Arthralgia
Counseling
Delivery of Health Care
Depression
Diet
Education
Humans
Joints*
Knee*
Massage
Motivation
Osteoarthritis
Osteoarthritis, Knee*
Self Care*
Telephone

Figure

• 

  Figure 1. Conceptual framework of research.

Reference

References

1. Ministry of Health and Welfare. Korea health statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANESV-3). Seoul: Ministry of Health and Welfare;2013. December. Report No.: 11-13851159-000027-10.

2. Kim SY, Jeon EY. Influencing factors on osteoarthritis in Korean. The Korean Journal of Rehabilitation Nursing. 2011; 14(2):111–117.

3. Jeon EY. Health behaviors of the elderly with osteoarthritis across gender groups. Journal of The Korean Data & Information Science Society. 2015; 26(6):1453–1463. http://dx.doi.org/10.7465/jkdi.2015.26.6.1453.

4. Alves JC, Bassitt DP. Quality of life and functional capacity of elderly women with knee osteoarthritis. Einstein (Sao Paulo). 2013; 11(2):209–215. http://dx.doi.org/10.1590/s1679-45082013000200013.

5. Yoon CH. Current clinical practice: Osteoarthritis update. The Korean Journal of Medicine. 2012; 82(2):170–174. http://dx.doi.org/10.3904/kjm.2012.82.2.170.

6. Lorig K, Holman HR. Self-management education: History, definition, outcomes, and mechanism. Annals of Behavioral Medicine. 2003; 26(1):1–7. http://dx.doi.org/10.1207/s15324796abm2601_01.

7. Lee EO, Kim SY, Seo MJ, Han JS, Kim MJ, Kang HS, et al. Arthritis, self-management of patients. Seoul: Shinguang;1999. p. 451.

8. Brown GA. AAOS clinical practice guideline: Treatment of osteoarthritis of the knee: Evidence-based guideline. Journal of American Academy of Orthopaedic Surgeons. 2013; 21(9):577–579. http://dx.doi.org/10.5435/jaaos-21-09-577.

9. Sim KH, Hwang MS. Effect of self-monitoring of blood glucose based diabetes self-management education on glycemic control in type 2 diabetes. Journal of Korean Academic Society of Nursing Education. 2013; 19(2):127–136. http://dx.doi.org/10.5977/jkasne.2013.19.2.127.

10. Lee EN, Lee KS, Lee I, Bak WS, Choi HK, Cho KS, et al. Effects of the new version of the arthritis self-management program in patients with osteoarthritis. Journal of Muscle and Joint Health. 2015; 22(2):105–113. http://dx.doi.org/10.5953/jmjh.2015.22.2.105.

11. Atkins DV, Eichler DA. The effects of self-massage on osteoarthritis of the knee: A randomized, controlled trial. International Journal of Therapeutic Massage and Bodywork. 2013; 6(1):4–14. http://dx.doi.org/10.3822/ijtmb.v6i1.119.

12. Lee MS, Lim HJ, Kim JS. The effect of health promotion program in vulnerable women with osteoarthritis. Journal of Korean Academy of Community Health Nursing. 2011; 22(3):241–251. http://dx.doi.org/10.12799/jkachn.2011.22.3.241.

13. Kim J, Hyun H. Effect of program promoting intention to exercise performance based theory of planned behavior in the elderly. Journal of Korean Biological Nursing Science. 2015; 17(1):1–10. http://dx.doi.org/10.7586/jkbns.2015.17.1.1.

14. Fisher JD, Fisher WA, Amico KR, Harman JJ. An information-motivation-behavioral skills model of adherence to antiretro-viral therapy. Health Psychology. 2006; 25(4):462–473. http://dx.doi.org/10.1037/0278-6133.25.4.462.

15. Cho SJ. The effect of a self-efficacy reinforcement stretching exercise program for elderly patients with osteoarthritis [master’s thesis]. [Seoul]: Korea University;2012. p. 165.

16. Ajzen I, Fishbein M. Understanding attitudes and predicting social behavior. 1st ed. Upper Saddle River, NJ: Prentice-Hall;1980. p. 278.

17. Francis JJ, Eccles MP, Johnston M, Walker A, Grimshaw J, Foy R, et al. Constructing questionnaires based on the theory of planned behaviour: A manual for health services researchers. Newcastle upon Tyne: University of Newcastle;2004. p. 42.

18. Lorig K, Chastain RL, Ung E, Shoor S, Holman HR. Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis. Arthritis and Rheumatology. 1989; 32(1):37–44. http://dx.doi.org/10.1002/anr.1780320107.

19. Kim JI. The nurse's role of exercise intervention in patients having arthritis. The Korean Nursing. 1994; 33(3):28–32.

20. Jo KH, Oh WO, Choe JY. Development of a health behavior assessments scale of patients with rheumatoid arthritis. Journal of Korean Academy of Nursing. 2000; 30(5):1333–1346.

21. Bellamy N, Campbell J, Stevens J, Pilch L, Stewart C, Mah-mood Z. Validation study of a computerized version of the Western Ontario and McMaster universities VA3.0 osteoarth- ritis index. The Journal of Rheumatology. 1997; 24(12):2413–2415.

22. Bae SC, Lee HS, Yun HR, Kim TH, Yoo DH, Kim SY. Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and Lequesne osteoarthritis indices for clinical research. Osteoarthritis and Cartilage. 2001; 9(8):746–750. http://dx.doi.org/10.1053/joca.2001.0471.

23. Sheikh JI, Yesavage JA. Geriatric depression scale (GDS): Recent evidence and development of a shorter version. Brink, TL, editor. Clinical gerontology: A guide to assessment and intervention. Binghamton, NY: The Haworth Press, Inc;1986. p. 165–173.

24. Kee BS. A preliminary study for the standardization of geri- atric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association. 1996; 35(2):298–307.

25. Seels B, Richey R. Instructional technology: The definition and domains of the field. Washington, DC: Association for Educational Communications and Technology;1994. p. 208.

26. Park SY, Son JT, Park DH, Lee KH, Kim JS. Effect of self help program or pain, ADL, exercise self-efficacy, and knowledge about arthritis in patients with osteoarthritis. Journal of Rheumatology Health. 2004; 11(1):31–41.

27. Lee HD, Han SW. The effects of swimming and aquarobics exercise programs for female elderly suffering from degenerative arthritis on leg muscular function and knee joint ROM. The Korea Journal of Sports Science. 2010; 19(4):1129–1139.