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Construction of an adherence rating scale for exercise therapy for patients with knee osteoarthritis

BACKGROUND: Knee osteoarthritis (KOA) is one of the most common chronic diseases in the elderly and is the primary cause of the loss of motor function and disability in this population. Exercise therapy is a core, basic and matureand treatment method of treating patients with KOA. Exercise therapy i...

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Autores principales: Wang, Jianji, Yang, Long, Li, Qingjun, Wu, Zhanyu, Sun, Yu, Zou, Qiang, Li, Xuanze, Xu, Zhe, Ye, Chuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064120/
https://www.ncbi.nlm.nih.gov/pubmed/30053843
http://dx.doi.org/10.1186/s12891-018-2200-x
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author Wang, Jianji
Yang, Long
Li, Qingjun
Wu, Zhanyu
Sun, Yu
Zou, Qiang
Li, Xuanze
Xu, Zhe
Ye, Chuan
author_facet Wang, Jianji
Yang, Long
Li, Qingjun
Wu, Zhanyu
Sun, Yu
Zou, Qiang
Li, Xuanze
Xu, Zhe
Ye, Chuan
author_sort Wang, Jianji
collection PubMed
description BACKGROUND: Knee osteoarthritis (KOA) is one of the most common chronic diseases in the elderly and is the primary cause of the loss of motor function and disability in this population. Exercise therapy is a core, basic and matureand treatment method of treating patients with KOA. Exercise therapy is “strongly recommended” or “recommended” in the diagnosis and treatment guidelines of osteoarthritis in many countries, and most scholars advocate exercise therapy as the preferred rehabilitation method for KOA patients. However, poor long-term adherence is a serious problem affecting the therapeutic effect of this mature treatment. The objective of this study was to construct a concise and practical adherence rating scale (ARS) based on the exercise therapy adherence prediction model in patients with knee osteoarthritis. METHODS: A binary logistic regression model was established, with the adherence of 218 cases of KOA patients as the dependent variable. The patients’ general information, exercise habits, knowledge, attitude, and exercise therapy were independent variables. The regression coefficients were assigned to various variables in the model, and the ARS was constructed accordingly. Receiver operating characteristic curves and curve fitting were used to analyse the effect of the ARS in predicting the adherence and to determine the goodness of fit for the adherence. The external validity of the ARS was examined in a randomized controlled trial. RESULTS: The construction of the adherence model and the ARS included the following variables: age (1 point), education level (1 point), degree of social support (2 points), exercise habits (3 points), knowledge of KOA prevention and treatment (2 points), degree of care needed to treat the disease (1 point), familiarity with exercise therapy (4 points) and treatment confidence (3 points). The critical value of the total score of the ARS was 6.50, with a sensitivity of 87.20% and a specificity of 76.34%. CONCLUSIONS: A KOA exercise therapy adherence model and a simple and practical ARS were constructed. The ARS has good internal validity and external validity and can be used to evaluate the adherence to exercise therapy in patients with KOA.
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spelling pubmed-60641202018-08-01 Construction of an adherence rating scale for exercise therapy for patients with knee osteoarthritis Wang, Jianji Yang, Long Li, Qingjun Wu, Zhanyu Sun, Yu Zou, Qiang Li, Xuanze Xu, Zhe Ye, Chuan BMC Musculoskelet Disord Research Article BACKGROUND: Knee osteoarthritis (KOA) is one of the most common chronic diseases in the elderly and is the primary cause of the loss of motor function and disability in this population. Exercise therapy is a core, basic and matureand treatment method of treating patients with KOA. Exercise therapy is “strongly recommended” or “recommended” in the diagnosis and treatment guidelines of osteoarthritis in many countries, and most scholars advocate exercise therapy as the preferred rehabilitation method for KOA patients. However, poor long-term adherence is a serious problem affecting the therapeutic effect of this mature treatment. The objective of this study was to construct a concise and practical adherence rating scale (ARS) based on the exercise therapy adherence prediction model in patients with knee osteoarthritis. METHODS: A binary logistic regression model was established, with the adherence of 218 cases of KOA patients as the dependent variable. The patients’ general information, exercise habits, knowledge, attitude, and exercise therapy were independent variables. The regression coefficients were assigned to various variables in the model, and the ARS was constructed accordingly. Receiver operating characteristic curves and curve fitting were used to analyse the effect of the ARS in predicting the adherence and to determine the goodness of fit for the adherence. The external validity of the ARS was examined in a randomized controlled trial. RESULTS: The construction of the adherence model and the ARS included the following variables: age (1 point), education level (1 point), degree of social support (2 points), exercise habits (3 points), knowledge of KOA prevention and treatment (2 points), degree of care needed to treat the disease (1 point), familiarity with exercise therapy (4 points) and treatment confidence (3 points). The critical value of the total score of the ARS was 6.50, with a sensitivity of 87.20% and a specificity of 76.34%. CONCLUSIONS: A KOA exercise therapy adherence model and a simple and practical ARS were constructed. The ARS has good internal validity and external validity and can be used to evaluate the adherence to exercise therapy in patients with KOA. BioMed Central 2018-07-27 /pmc/articles/PMC6064120/ /pubmed/30053843 http://dx.doi.org/10.1186/s12891-018-2200-x Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Wang, Jianji
Yang, Long
Li, Qingjun
Wu, Zhanyu
Sun, Yu
Zou, Qiang
Li, Xuanze
Xu, Zhe
Ye, Chuan
Construction of an adherence rating scale for exercise therapy for patients with knee osteoarthritis
title Construction of an adherence rating scale for exercise therapy for patients with knee osteoarthritis
title_full Construction of an adherence rating scale for exercise therapy for patients with knee osteoarthritis
title_fullStr Construction of an adherence rating scale for exercise therapy for patients with knee osteoarthritis
title_full_unstemmed Construction of an adherence rating scale for exercise therapy for patients with knee osteoarthritis
title_short Construction of an adherence rating scale for exercise therapy for patients with knee osteoarthritis
title_sort construction of an adherence rating scale for exercise therapy for patients with knee osteoarthritis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064120/
https://www.ncbi.nlm.nih.gov/pubmed/30053843
http://dx.doi.org/10.1186/s12891-018-2200-x
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