A comprehensive health education plus monitoring support program for older adults with knee osteoarthritis coexisting with overweight and type 2 diabetes

To examine the patient outcomes of a comprehensive health education plus village health volunteer monitoring support program on older adults with knee osteoarthritis who are overweight and have type 2 diabetes. Quasi-experimental, two-group, pretest-posttest design was applied. Using random geograph...

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Bibliographic Details
Published in:International journal of nursing sciences 2022-10, Vol.9 (4), p.512-520
Main Authors: Aree-Ue, Suparb, Roopsawang, Inthira, Saraboon, Yuwadee, Youngcharoen, Phichpraorn, Belza, Basia, Kawinwonggowit, Viroj
Format: Article
Language:English
Subjects:
Aged
Community
Diabetes
Health education
Knee osteoarthritis
Overweight
Research Paper
Volunteers
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Summary:To examine the patient outcomes of a comprehensive health education plus village health volunteer monitoring support program on older adults with knee osteoarthritis who are overweight and have type 2 diabetes. Quasi-experimental, two-group, pretest-posttest design was applied. Using random geographic cluster sampling, older adults who met the inclusion criteria were assigned to two groups, 62 in the intervention group and 71 in the control group. The intervention group received the comprehensive health education plus village health volunteer monitoring support program. The control group received only the comprehensive health education program. Study outcomes, including blood glucose level, knee pain and range of motion, body weight, physical ability (Timed Up and Go Test), fatigue, depressive symptoms, quality of sleep, and quality of life, were assessed at baseline, 3 months, and 6 months after enrollment and analyzed using descriptive statistics and multivariate analysis of variance. One hundred and ten participants completed the study (55 participants in each group). Most patient outcomes in the two groups showed general improvement with statistical significance (P ≤ 0.001): pain decreased, physical ability improved, less depressive symptoms and fatigue, quality of life and sleep improved. The interaction effect (the group and time) demonstrated statistically significant differences between the intervention and control groups on pain, knee range of motion, and fatigue according to each time follow-up (P 
ISSN:2352-0132
2096-6296
2352-0132
DOI:10.1016/j.ijnss.2022.08.002