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3. Faculty of Health Sciences / Fakulti Sains Kesihatan

Title:	Healthcare utilisation, development and evaluation of physiotherapeutic self-management education programme in older adults with knee osteoarthritis
Supervisor:	Devinder Kaur Ajit Singh, Profesor Dr.
Keywords:	Osteoarthritis Knee Universiti Kebangsaan Malaysia -- Dissertations Dissertations, Academic -- Malaysia
Issue Date:	9-Feb-2020
Description:	Self-management education programme (SMEP) is recommended as one of the management strategies for knee osteoarthritis (OA) as it assists individuals to be involved in their health management. While several studies have shown the benefits of SMEP, there continue to be knowledge gaps in terms of strategies to implement SMEP in older adults with knee OA. Therefore, through a multi-phase approach, the objectives of this study were to determine knee OA healthcare utilisation, explore knee OA knowledge and educational needs, develop and determine the outcomes of Physiotherapeutic SMEP (PSMEP) for this cohort. In phase I which was a retrospective study, 1073 cases from the Malaysian Elders Longitudinal Research (MELoR) study were analysed. In phase II which was a qualitative study, focus group discussions (FGDs) were conducted among 16 older adults with knee OA. In phase III, PSMEP was developed and pre- and post- evaluation was conducted among 30 older adults with knee OA. The Knee Injury and Osteoarthritis Outcome Score (KOOS) and physical performances were evaluated after six weeks from the baseline. The results showed that the healthcare utilisation among older adults with knee OA was significantly higher compared to those without knee OA (p < 0.01). Being married and have an income were found to be associated with outpatient care services (OR:11.136, 95% CI:1.893 - 65.517, p < 0.01) and medication (OR:10.439, 95% CI:1.187 �� 91.812, p < 0.05) respectively while women were less likely to utilise inpatient care services (OR: 0.126, 95% CI: 0.021- 0.746, p < 0.05). Knowledge about knee OA varied in older adults with knee OA and the information required for PSMEP was warranted. The outcomes of the PSMEP showed that there were significant differences in sit to stand (p < 0.05), time up and go (p < 0.001) and twominute walk (p < 0.001) tests when compared from the baseline. These results suggest that there were improvements in lower limb muscle strength, functional mobility and cardiovascular endurance in older adults with knee OA after PSMEP. In conclusion, educational intervention is crucial to enhance self-management skills and a tailored PSMEP is feasible and beneficial to support older adults with knee OA.,Ijazah Doktor Falsafah
Pages:	222
Call Number:	9 Tesis WE870.S632h 2020
Publisher:	UKM, Kuala Lumpur
Appears in Collections:	Faculty of Health Sciences / Fakulti Sains Kesihatan

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