Abstract
Purpose
In recent years, focus has shifted towards utilising physical activity (PA) for improvement with the management of hip and knee osteoarthritis (OA). The GLA:D® programme, comprises of two educational and 12 supervised exercise sessions for management of hip and knee OA. Increases of 110-120% on physical activity (PA) participation post-intervention have been observed by Skou & Roos (2017); elucidating the effect these programmes have in behaviour change. The type and intensity of PA that people with OA engage with after GLA:D however, is unknown. The aim of this study is to subjectively and objectively measure the long-term changes in PA and associations with patient outcomes following the GLA:D® programme.
Methods
A preliminary analysis using data from the GLA:D Ireland Registry was performed to evaluate the change in PA (UCLA activity scale) from baseline to post-programme and 12-months follow-up. An ANOVA to assess significant differences between all 3 time-points was carried out using IBM SPSS. A sub-cohort of participants will be followed at the same time-points using accelerometery devices and a questionnaire on activity type. The relationship between change in PA and patient outcomes (pain and QOL) will be examined.
Results
In 16 GLA:D participants with data at all time-points, an increase of 7.2% in UCLA PA levels was observed from baseline (µ=5.13 ± 1.63) to post-programme (µ=5.5 ± 1.67) and decreased by 1.1% at 12-months (µ=5.44 ± 1.86). Participants with Low UCLA levels (1-4) saw the greatest increase with 50% of participants increasing to Moderate (5-6) or High (7-10) PA post-programme. Future analyses: using subjective and objective measurements will show whether these results are replicated and how this influences patient outcomes; allowing for a thorough understanding of PA engagement.
Conclusion
Although marginal clinical improvements in PA are observed after GLA:D in Ireland, the promotion and sustainability of PA following a supervised programme needs to be addressed to maximise long-term behaviour change for hip and knee OA. Results will be used to design pragmatic interventions to facilitate viable pathways to community-exercise and PA for long-term OA self-management.
In recent years, focus has shifted towards utilising physical activity (PA) for improvement with the management of hip and knee osteoarthritis (OA). The GLA:D® programme, comprises of two educational and 12 supervised exercise sessions for management of hip and knee OA. Increases of 110-120% on physical activity (PA) participation post-intervention have been observed by Skou & Roos (2017); elucidating the effect these programmes have in behaviour change. The type and intensity of PA that people with OA engage with after GLA:D however, is unknown. The aim of this study is to subjectively and objectively measure the long-term changes in PA and associations with patient outcomes following the GLA:D® programme.
Methods
A preliminary analysis using data from the GLA:D Ireland Registry was performed to evaluate the change in PA (UCLA activity scale) from baseline to post-programme and 12-months follow-up. An ANOVA to assess significant differences between all 3 time-points was carried out using IBM SPSS. A sub-cohort of participants will be followed at the same time-points using accelerometery devices and a questionnaire on activity type. The relationship between change in PA and patient outcomes (pain and QOL) will be examined.
Results
In 16 GLA:D participants with data at all time-points, an increase of 7.2% in UCLA PA levels was observed from baseline (µ=5.13 ± 1.63) to post-programme (µ=5.5 ± 1.67) and decreased by 1.1% at 12-months (µ=5.44 ± 1.86). Participants with Low UCLA levels (1-4) saw the greatest increase with 50% of participants increasing to Moderate (5-6) or High (7-10) PA post-programme. Future analyses: using subjective and objective measurements will show whether these results are replicated and how this influences patient outcomes; allowing for a thorough understanding of PA engagement.
Conclusion
Although marginal clinical improvements in PA are observed after GLA:D in Ireland, the promotion and sustainability of PA following a supervised programme needs to be addressed to maximise long-term behaviour change for hip and knee OA. Results will be used to design pragmatic interventions to facilitate viable pathways to community-exercise and PA for long-term OA self-management.
| Original language | English (Ireland) |
|---|---|
| Journal | European Journal of Public Health |
| Volume | 34 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 26 Sep 2024 |