Original researchEffects of a brief action and coping planning intervention on completion of preventive exercises prescribed by a physiotherapist among people with knee pain
Section snippets
Effects of a brief action and coping planning intervention on completion of preventive exercises prescribed by a physiotherapist among people with knee pain
Pain in the knee joint is often associated with joint arthritic changes and knee pathologies.1 Early management of knee pain is paramount to reduce global burden secondary to chronic disabling conditions such as osteoarthritis of the knee, one of the leading causes of disability globally.2, 3 Exercise rehabilitation plays an important role in non-surgical management of knee pain, showing clinically significant improvements in alleviation of pain, functional capacity and quality of life through
Methods
This study was powered for the primary purpose of examining the effects of an ACP activity on exercise preventive behavior. Based on an estimated effect size of d = .31 from related work on physical activity,15 the required sample size in each condition, with a power of 80% at p < .05, was 132 (a total of 264 participants). People who had experienced knee pain accompanied by morning stiffness lasting less than 30 min, crepitus on active movements, and tenderness of the bony margins of the knee joint
Results
The flow of participants through the experimental procedures is shown in Fig. 1. In total, 373 participants were randomized to the experimental group (n = 180) or control condition (n = 193). Approximately 73% of the experimental group completed the time 2 survey; however, for the purposes of the per protocol analysis, 13 participants were excluded because of an incomplete or poor quality ACP (e.g., space left blank, statements such as “I don’t know” or “exercise”), leaving 118 participants in the
Discussion
This study builds on pilot work14 that examined the feasibility of ACP as a practical, feasible, and inexpensive behavior-change technique designed to promote adherence to physiotherapist prescribed self-management strategies for people with knee pain. Consistent with expectations, we demonstrated for the first time that ACP is beneficial for the enactment of preventive exercises that are designed to manage or prevent knee pain. As preventive or rehabilitation programs for knee osteoarthritis
Conclusions
Current findings underscore the importance of self-regulatory strategies for the enactment of preventive exercises that are designed to manage or prevent knee pain. Future research is required to replicate this work with improved methodological features and test the efficacy of ACP across a range of clinical conditions.
Practical implications
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ACP promoted greater adherence to physiotherapist prescribed self-management strategies for people with knee pain.
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Clinicians can work with patients at the end of a session to devise ACP strategies to enact the prescribed exercises between visits; patients’ reflections on their efforts can be discussed at the start of each session.
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Building resources or working on coping strategies may also be required to maximize the benefits of ACP.
Funding statement
Daniel Gucciardi is supported by a Curtin Research Fellowship.
Acknowledgment
The corresponding author is supported by a University Fellowship from his institution.
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2021, Archives of Gerontology and GeriatricsCitation Excerpt :Additionally, their intentions were affected by potentially experiencing bodily pain when performing PA. Interventions designed for individuals with HF could benefit from including includes planning techniques (Koh, Hagger, Goh, Hart, & Gucciardi, 2017) in addition to a comfortable and safe environment to address these barriers. Finally, the pathway of past behavior to perceived threat revealed some interesting findings that support our hypothesis of past PA behavior having a negative relationship with perceived threat.
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