Public opinion on community-based education and exercise programs for managing hip and knee osteoarthritis-like symptoms: results of a survey.
Public opinion on community-based education and exercise programs for managing hip and knee osteoarthritis-like symptoms: results of a survey.
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DOI：
10.2147/ppa.s101717
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发表时间：
2016
影响因子：
2.2
通讯作者：
Li LC
中科院分区：
文献类型：
--
作者：
Davis AM;Palaganas M;Li LC
在北美，卫生专业人员为髋关节和膝关节骨关节炎（OA）患者提供有针对性的锻炼和教育计划带来了与成本和可及性相关的挑战。将健康和卫生部门联系起来可以增加计划的可用性。我们评估了OA患者是否愿意参加社区中心/健身房培训师提供的项目。我们对加拿大公众进行了为期两个月的在线调查。参与者包括年龄≥30岁的自我报告慢性OA样膝关节或髋关节疼痛的患者。我们评估了社区/健身中心的使用情况、锻炼频率、每周两次参加循证计划的兴趣（持续6周）以及支付意愿。分析包括95%置信区间的描述性统计和卡方检验，以评估与参加该计划的意愿相关的因素。删除重复记录后，751名受访者完成了调查，其中408名可能患有髋关节和/或膝关节OA，从未接受过关节置换术。这408名受访者的年龄范围为30至≥75岁，86%为女性。在408名患者中，（63.7%）年龄在45至64岁之间。只有两名受访者报告说，社区中心距离酒店超过1小时。五十六人（38%）报告目前的会员资格，203人（50.4%）报告每周锻炼3天，120人（29.8%）<3天，80人（19.9%）报告没有锻炼。297名受访者（73.7%）愿意参加一个项目，其中26%愿意支付100加元或更多。年龄、性别、社区中心/健身房的使用、目前的健身房会员资格和目前的锻炼频率与参加计划的意愿没有显著相关。近75%的OA受访者（尽管三分之一的受访者拥有社区中心会员资格）对参加社区/健身中心提供的有针对性的计划感兴趣。健康部门的计划可能是一个可行的选择，以支持人们管理他们的髋关节和/或膝关节OA。
In North America, delivery of targeted exercise and education programs by health professionals for people with hip and knee osteoarthritis (OA) poses challenges related to cost and access. Linking the wellness and health sectors could increase program availability. We evaluated if people with OA were willing to participate in programs delivered by trainers in community centers/gyms. We conducted an online survey of the general public in Canada over a period of 2 months. Participants included those aged ≥30 years with self-reported chronic OA-like knee or hip pain. We evaluated access to community/fitness centers, exercise frequency, interest in attending an evidence-based program twice a week for 6 weeks, and willingness to pay. Analyses included descriptive statistics with 95% confidence intervals and chi-square tests to evaluate factors associated with willingness to attend the program. After removing duplicate records, 751 respondents completed the survey with 408 likely having hip and/or knee OA and never having received a joint replacement. These 408 respondents had an age range of 30 to ≥75 years and 86% were female. Of the 408, (63.7%) were between 45 and 64 years of age. Only two respondents reported that a community center was >1 hour away. One hundred and fifty-six (38%) reported a current membership, and 203 (50.4%) reported exercise 3 days/wk, 120 (29.8%) <3 days, and 80 (19.9%) reported no exercise. Two hundred and ninety-seven respondents (73.7%) were willing to attend a program, and, of these, 26% were willing to pay $100 Cdn or more. Age, sex, access to a community center/gym, current gym membership, and current frequency of exercise were not significantly associated with willingness to attend a program. Almost 75% of respondents with OA, despite one in three having a community center membership, were interested in attending a targeted program delivered in community/fitness centers. A program in the wellness sector may be a viable option to support people in managing their hip and or knee OA.