Table 1

Similarities and differences between the OAK program and ASMPa

Comparison parameters

OAK

ASMP


Similarities

Length of time

2.5 hours per week (6 weeks)

2.5 hours per week (6 weeks)

Group size

12 to 15

15 to 20

Setting

Community venue

Community venue

Theoretical framework

Social cognitive theory

• Goal-setting (weekly)

• Problem-solving

• Guided imagery

Cognitive behavioural therapy

Social cognitive theory

• Goal-setting (weekly)

• Problem-solving

• Guided imagery

Cognitive behavioural therapy

Small-group discussion

Occasional small groups or pairs of participants

Small groups or pairs of participants in most sessions

Program fidelity

Facilitator's manual

Facilitator's manual

Training

Leaders require training

Leaders require training

Differences

Participants

All with OA knee

Various musculoskeletal conditions

Leaders

Health professionals (n = 2)

Trained leaders, one or both of whom are non-health-care professionals with arthritis themselves [58]

Osteoarthritis

Specific information on

• Anatomy of knee

• Pathophysiology

• Disease progression

• Specific treatment options

• Management of OA:

exercise, lifestyle, nutrition, weight loss

General overview of OA; no detailed explanations or pathophysiology

Nutrition

Exercise

Actively encouraged

Detailed information every session

Greater emphasis on exercise

Instruction and demonstration with some group participation

Exercise linked to goal-setting

General information on types of exercise

Pain management

Analgesia for acute and/or chronic pain

Medication

Cognitive behavioural therapy

General medication overview

Cognitive behavioural therapy

Medication

Specific information on

• Types of medication

• Current trends/alerts (such as NSAIDs)

• Therapeutic dosing

• Contraindications

General overview

Support group-type interaction

Occasionally

Weekly

Instruction format

Interactive

Moderate didactic content

Modelling

Group discussion

Highly interactive

Minimal didactic content

Modelling

Group discussion

Brainstorming


aASMP: Arthritis Self-Management Program; NSAID: nonsteroidal anti-inflammatory drug; OA: osteoarthritis; OAK: Osteoarthritis of the Knee Self-Management Program.

Coleman et al. Arthritis Research & Therapy 2012 14:R21   doi:10.1186/ar3703

Open Data