Effects of a Physical Activity Promoting Program on Self-Efficacy for Physical Activity, the Severity of Knee Osteoarthritis, and Balance among Persons with Knee Osteoarthritis.

Main Article Content

Siraphob Tosem
Teeranut Harnirattisai
Thongchai Suntharapa
Borwarnluck Thongthawee

Abstract

This study used a quasi-experimental research design with pretest-posttest control groups and aimed to examine the effects of a physical activity promoting program on self-efficacy for physical activity, the severity of knee osteoarthritis, and balance among persons with knee osteoarthritis.The program was developed based on the self-efficacy theory. The study recruited 78 persons with knee osteoarthritis who sought care service at an outpatient clinic. The sample was randomly assigned either to the experimental (n = 39) or control group (n = 39). Those in the experimental group received the physical activity promoting program, while those in the control group received routine care. The instruments used in this study included the Demographic Questionnaire, the Self-Efficacy Scale for Physical Activity, the Severity of Knee Osteoarthritis Questionnaire and the Timed Up and Go Test. Data were analyzed using descriptive statistics, independent sample t-test, and repeated measures ANOVA. The results showed that the experimental group had a significantly higher mean score of self-efficacy for physical activity and a significantly lower mean score of the severity of knee osteoarthritis at weeks 4 and 8 after receiving the program than did the control group. Although the physical activity program could not change the balance significantly, the experimental group improved its mean score for balance over time. The findings suggested that the program should be applied to enhance the perceived self-efficacy for physical activity, balance, and reduced the severity of knee
osteoarthritis in persons with knee osteoarthritis. The healthcare team should use this program continuously for decreasing the severity of knee osteoarthritis and increasing balance to prevent falls among persons with knee osteoarthritis.

Article Details

How to Cite
1.
Tosem S, Harnirattisai T, Suntharapa T, Thongthawee B. Effects of a Physical Activity Promoting Program on Self-Efficacy for Physical Activity, the Severity of Knee Osteoarthritis, and Balance among Persons with Knee Osteoarthritis. Nurs Res Inno J [Internet]. 2020 Aug. 29 [cited 2024 Nov. 22];26(2):172-87. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/235926
Section
บทความวิจัย

References

Wittenauer R, Smith L, Aden K. Background paper 6.12 osteoarthritis. World Health Organization; 2013.

Nimit-arnun N. The epidemiological situation and risk assessment of knee osteoarthritis among Thai people.

Journal of The Royal Thai Army Nurses. 2014;15(3):185-194 (in Thai)

Jainad Narendra Hospital. Jainad Narendra Hospital annual report 2016. Chainat: Jainad Narendra Hospital; 2016

Chamonchant D, Gaogasigam C. Effect of fear of falling and gender on balance ability in Thai elderly population.Journal of Allied Health Sciences. 2006;6(2):1-13. (inThai)

Jevsevar DS. Treatment of osteoarthritis of the knee:evidence-based guideline. JAAOS. 2013;21(9): 571-76.

Egan BA, Mentes JC. Benefits of physical activity for knee osteoarthritis: a brief review. J Gerontol Nurs. 2010;36

(9): 9-14.

Hiyama Y, Yamada M, Kitagawa A, Tei N, Okada S. A four-week walking exercise program in patients with knee

osteoarthritis improves the ability of dual-task performance:a randomized controlled trial. Clin Rehabil. 2012;26

(5):403-12. doi:10.1177/02692155 11421028.

Harnirattisai T. Nursing care for enchancing the physical activity and exercise older adults and their health. Pathum Thani: Thammasat Printing House; 2018. (in Thai)

Harnirattisai T, Thongtawee B, Raetong P. The effects of a physical activity program for fall prevention among Thai older adults. Pacific Rim Int J Nurs Res. 2015;19(1):4-18.

Ronnarithivichai C, Thaweeboon T, Petchpansri S,Sujijantararat R, Boonchan N, Kridiborworn C. The

evaluation of physical fitness before and after 9-squaretable aerobic exercise and rubber ring stretching of elders in the health promotion program for the elderly, Faculty of Nursing, Mahidol University. Journal of Nursing Science. 2009;27(3):68-76. (in Thai)

Bandura A. Self-efficacy: the exercise of control. New York; W. H. Freeman; 1997.

Phairrungsakul B. Effect of self-efficacy and social support enhancement program on exercise behavior among the elderly with knee osteoarthritis [thesis]. Chiang Mai:Chiang Mai University; 2550. (in Thai)

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social,behavioral, and biomedical sciences. Behav Res Methods.2007; 39(2):91- 175.

Compiranonth T. The effect of health education program applying the protective motivation theory of self care of osteoarthritis in Chonprathan Hospital [thesis]. Bangkok:Srinakarinwirot University; 2006. (in Thai)

Morse JM. The modified morse fall scale. Int J Nurs Pract,2006;12(3):174-5.

Aksaranugraha S. Modified WOMAC scale for knee pain.J Thai Rehabil. 2000;9:82-5. (in Thai)

Bellamy N, Buchanan WW, Goldsmith CH, Campbell J,Stitt LW. Validation study of WOMAC: a health status

instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. The Journal of Rheumatology. 1988;15(12):1833-40.

Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. JAGS.1991;39(2):142-8.

Jalayondeja C. Falls screening by Timed Up and Go (TUG). J Med Tech Phy Ther. 2014;26(1):5-16.

Da Silva FS, de Melo FES, do Amaral MMG, Caldas VVA,Pinheiro ILD, Abreu BJ, et al. Efficacy of simple integrated group rehabilitation program for patients with knee osteoarthritis: single-blind randomized controlled trial. J Rehabil Res Dev. 2015;52(3):309-22. doi: 10.1682/JRRD.2014.08.0199.

Piyakhachornrot N, Aree-Ue S, Putwatana P,Kawinwonggowit V. Impact of an integrated health education and exercise program in middle-aged Thai adults with osteoarthritis of the knee. Orthopaedic Nursing.

;30(2): 134-42. (in Thai)

Leulard K, Choowattanapakorn T. Effects of informationmotivation-behavioral skill program on the severity of

knee osteoarthritis and body weight on overweight older persons with knee osteoarthritis. Kuakarun Journal of

Nursing. 2016;23(2):149-64. (in Thai)

Kankayant C, Charoennukul A, Wayo W. Delaying knee osteoarthritis prior to advancing age. Rama Nurs J.

;26(1):5-17. (in Thai)