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 |
||
