| Lay models of self-management: how do people manage knee osteoarthritis in context? | |
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MedLine Citation:
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PMID: 21343222 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: Current NICE guidelines for Osteoarthritis (OA) identify several core self-management recommendations (exercise and weight loss if overweight/obese) to be supported by Healthcare Professionals. Contemporary research stresses that a patient-centred model of self-management that builds upon existing patient action and belief is essential. The lay beliefs regarding self-management for OA have not been explicitly explored previously. METHOD: Of the participants, 22 people were recruited to undertake in-depth interviews and a diary study. The constant comparative method and narrative methods were utilized to analyse the data. RESULTS: Making adaptations and using strategies to get on with 'normal' daily life is as much a part of caring for OA as easing painful symptoms. Moreover, participants 'normal' routines ensured that they were able to stay active and keep the knee joint moving. Thus, maintaining everyday social roles and valued activities parallels recommendations from policy and practice. Engaging in exercise is influenced by biography, preferred lifestyle and contextual need. CONCLUSION: Practitioners and policy need to embrace the complexities of managing chronic OA conditions, by taking onboard the needs and priorities of patients. The findings highlight the disease specific needs of self-management that may be omitted from programmes like the Expert Patients Programme. |
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Authors:
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Andrew Morden; Clare Jinks; Bie Nio Ong |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-2-22 |
Journal Detail:
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Title: Chronic illness Volume: - ISSN: 1745-9206 ISO Abbreviation: - Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-2-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101253019 Medline TA: Chronic Illn Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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