Self-efficacy—a predictor of physical activity after completion of osteoarthritis self-management program

WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS833–eS1237

Research Report Poster Presentation Number: RR-PO-20-07-Sat Saturday 2 May 2015 12:15 Exhibit halls 401–403 SELF-EFFICACY—A PREDICTOR OF PHYSICAL ACTIVITY AFTER COMPLETION OF OSTEOARTHRITIS SELF-MANAGEMENT PROGRAM Å. Degerstedt 1,2 , F. Alinaghizadeh Mollasaraie 3 , C.A. Thorstensson 4,5 , C.B. Olsson 1,6 1 Karolinska

Institutet, Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden; 2 Team Aktiv Primary Care Rehabilitation, Hässelby, Stockholm, Sweden; 3 Centre for Family Medicine, Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden; 4 University of Gothenburg, Department of Clinical Neuroscience and Rehabilitation, Gothenburg, Sweden; 5 Karolinska Institutet, Department of Medicine Solna, Stockholm, Sweden; 6 Mörby Academic Primary Healthcare Center, Stockholm, Sweden Background: Osteoarthritis causes pain and stiffness which can lead to inactivity, poor health and premature death. Treatment involves regular and life-long physical activity and it is therefore essential that those affected can independently manage a sustainable self-care. The self-management program aims to increase physical activity levels. Self-efficacy has shown links between initiating and continuing being physically active in other patient groups in previous research. There are no studies about the importance of self-efficacy for the level of activity in patients with osteoarthritis. Purpose: To elucidate whether self-efficacy can predict changes in physical activity level after completion of an osteoarthritis self-management program. Methods: A longitudinal study where data was collected from the National Quality Register BOA, a Swedish national register for registration of patients within primary care with osteoarthritis undergoing a self-management program. A total of 2797 individuals with osteoarthritis of the hip and/or knee answered the questionnaire at baseline and at follow-up 3 and 12 months after onset of a self-management program. Self-efficacy was assessed using Arthritis Self-efficacy Scale (ASES), subscales for pain and other symptoms. Physical activity was measured by self-reporting, where patients reported amount of days per week they were physically active at least 30 minutes. Data was analyzed using repeated measures ANCOVA. Results: Self-efficacy for managing pain did not show significant effect on change in physical activity (p = 0.193). Self-efficacy to manage other symptoms related to osteoarthritis had a significant effect (p < 0.001) on change in physical activity at both 3 and 12 months follow-up after adjustment for age, sex and BMI. Higher level of physical

eS1139

activity was significantly associated with higher self-efficacy at baseline. Conclusion(s): Self-efficacy for managing other symptoms related to osteoarthritis has a significant impact on future physical activity in people with osteoarthritis. Further studies are needed to identify which methods are most appropriate to strengthen self-efficacy of participants in osteoarthritis self-management programs. Implications: This study indicates that it is important to strengthen the participants’ confidence in their own ability to influence fatigue, stiffness and other symptoms in future self-management programs. Keywords: Osteoarthritis; Self-efficacy; Physical activity Funding acknowledgements: This work did not have external funding. Ethics approval: Approved by the Regional Ethics Committee, Gothenburg, Sweden. Dnr 1044-13. http://dx.doi.org/10.1016/j.physio.2015.03.2046 Special Interest Report Poster Presentation Number: SI-PO-21-03-Mon Monday 4 May 2015 12:15 Exhibit halls 401–403 MUSCULOSKELETAL TRIAGE: THE EXPERIENCES OF ADVANCED PRACTICE PHYSIOTHERAPISTS IN IRELAND N. O’Mahony, C. Blake University College Dublin, School of Population & Health Sciences, Dublin, Ireland Background: Advanced Practice Physiotherapist (APP) triage posts were set up as a national waiting list initiative in orthopaedics and rheumatology. There has been no multicentre analysis of this new service in Ireland. A similar gap in the international setting has also been noted. This research is both timely and pertinent to the understanding of evolving clinical roles. Purpose: The purpose of this study was to perform an analysis of embedded physiotherapists’ opinions on a new national public healthcare initiative in Ireland. Methods: This was a multi-stage project. Semi-structured interviews were performed with physiotherapy managers and physiotherapists involved in triage. 34 physiotherapists were invited to participate in a questionnaire examining barriers and facilitators to service provision. Data was analysed using inductive qualitative; and quantitative methodologies. Results: 79% of respondents noted a good relationship with their consultant(s); while 48% were satisfied with the triage setup. APPs were 5.4 times more likely to be satisfied if located within the consultant clinic greater than 75% of the time (99% CI, 1.22–23.96), decreasing to 2.71 times if in the same clinics greater than 50% of the time (99% CI, 1.26–5.84). Respondents also expressed satisfaction if