Metrics
13 Record Views
Journal article
Participation in a digital self-management intervention for osteoarthritis and socioeconomic inequalities in patient-related outcomes
Scandinavian journal of rheumatology, Vol.54(1), pp.33-40
2025
Web of Science ID: WOS:001251336900001
Abstract
Objective: To investigate changes in socioeconomic inequalities in patient-related outcomes and pain medication use, following participation in a digital self-management intervention for osteoarthritis (OA) in Sweden.
Method: Participants with hip/knee OA enrolled in the digital intervention were included. Self-reported outcomes collected were the numerical rating scale (NRS) pain, activity impairment, general health, Knee/Hip injury and Osteoarthritis Outcome Score (KOOS-12, HOOS-12) Pain, Function, and Quality of Life subscales, 5-level EuroQol 5 Dimensions (EQ-5D-5L), Patient Acceptable Symptom State (PASS) for function, walking difficulties, fear of movement, wish for surgery, pain medication use, physical function measured by the 30s chair-stand test, and level of physical activity. Educational attainment was used as a socioeconomic measure and the concentration index was used to assess the magnitude of inequalities at baseline and 3 month follow-up.
Results: The study included 21,688 participants (mean ± sd age 64.1 ± 9.1 years, 74.4% females). All outcomes except for PASS demonstrated inequalities in favour of highly educated participants at both time-points, with highly educated participants reporting better outcomes. At 3 month follow-up, the magnitude of inequality widened for activity impairment, but narrowed for NRS pain, EQ-5D-5L, KOOS-12/HOOS-12 Pain and Function, physical function, and wish for surgery. There were no statistically conclusive changes in the magnitude of inequalities for the remaining outcomes.
Conclusions: There were inequalities in patient-related outcomes in favour of those with higher education among participants of a digital self-management intervention for OA, although the magnitude of these pre-existing inequalities generally narrowed after the 3 month intervention
Details
- Title
- Participation in a digital self-management intervention for osteoarthritis and socioeconomic inequalities in patient-related outcomes
- Publication Details
- Scandinavian journal of rheumatology, Vol.54(1), pp.33-40
- Resource Type
- Journal article
- Publisher
- Taylor & Francis
- Copyright
- © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
- Identifiers
- WOS:001251336900001; 99380559996506600
- Academic Unit
- Usha Kundu, MD College of Health; Movement Sciences and Health
- Language
- English