Health beliefs before and after participation on an exercised-based rehabilitation programme for chronic knee pain: Doing is believing

BMC Musculoskeletal Disorders

Research Article

Vanita Bhavnani¹  Fiona Stevenson²  Nicola Walsh³  Nicky Britten⁴  Michael V Hurley⁵ 

[1] Department of General Practice & Primary Care, Kings College London, London, UK;Department of Primary Care and Population Health, UCL Medical School, London, UK;Faculty of Health Life Sciences, University of the West of England, Bristol, UK;Institute of Health Service Research, Peninsula Medical School, University of Exeter, UK;Rehabilitation Research Unit, Kings College London, London, UK;

关键词: Rehabilitation Programme;    Knee Pain;    Health Belief;    Baseline Interview;    Excess Body Weight;   

DOI  :  10.1186/1471-2474-11-31

 received in 2009-10-23, accepted in 2010-02-11,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundTo explore the health beliefs, experiences, treatment and expectations of people with chronic knee pain, and investigate if, how and why these change after taking part on an integrated exercise-based rehabilitation programme - Enabling Self-management and Coping with Arthritis knee Pain through Exercise, ESCAPE-knee pain.MethodsSemi-structured interviews were conducted with people with chronic knee pain, before (n = 29) and after (n = 23) participation on the programme. Thematic analysis was used to document people's baseline health beliefs, attitudes and cognitions, and to see if how and why these changed after completing the programme.ResultsInitially people had poor understanding and negative, fatalistic beliefs about the management or prognosis for knee pain. Following the programme the majority of participants had positive experiences describing improvement in pain, physical and psychosocial functioning, greater knowledge and understanding of their condition and treatment options, and in their ability to use exercise to control symptoms. Beliefs about the causation and prognosis of knee pain were unchanged, but their concerns about possible dangers of exercise had decreased, they appreciated how exercise could reduce symptoms (treatment beliefs) and their confidence in their ability to use exercise to effect improvements (exercise self-efficacy) increased. These improvements were attributed to the content and structure of the programme, and the care and guidance of the physiotherapist. Several expressed a need for on-going support.ConclusionsESCAPE-knee pain appears to achieve improvements by increasing people's treatment belief in safety and the utility of exercise to control symptoms, rather than alteration in their beliefs about causation or prognosis.Trial RegistrationCurrent Controlled Trials ISRCTN94658828

【 授权许可】

CC BY   
© Hurley et al; licensee BioMed Central Ltd. 2010