A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia
Background: In Malaysia, around one in ten older people are diagnosed with osteoarthritis (OA). The most common form is knee OA. This can lead to functional limitations, impaired activities of daily living, reduced quality-of-life and increased risk of falls. Our systematic review of the literature...
| Main Authors: | , , |
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| Format: | Proceeding Paper |
| Language: | English English |
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2018
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| Online Access: | http://irep.iium.edu.my/66289/ http://irep.iium.edu.my/66289/1/Day%202%20Workshop%20A%20Muhammad%20Kamil%20Che%20Hasan.pdf http://irep.iium.edu.my/66289/7/66289_A%20Feasibility%20Randomised%20Controlled.pdf |
| _version_ | 1848786550547021824 |
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| author | Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris |
| author_facet | Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris |
| author_sort | Che Hasan, Muhammad Kamil |
| building | IIUM Repository |
| collection | Online Access |
| description | Background: In Malaysia, around one in ten older people are diagnosed with osteoarthritis (OA). The most common form is knee OA. This can lead to functional limitations, impaired activities of daily living, reduced quality-of-life and increased risk of falls. Our systematic review of the literature concludes that a programme integrating exercise, education and active coping strategies (Enabling Self-management and Coping with Arthritic Pain using Exercise (ESCAPE-pain)) provides the best evidence for implementation. Thus, this study aims to evaluate the feasibility of ESCAPE-pain programme among patients with knee OA in Malaysian healthcare context.
Method: A pragmatic feasibility randomised controlled trial was conducted recruiting from two hospitals in Malaysia. OA knee patients were randomised to ESCAPE-pain intervention (n=36) or control (n=36) groups using an independent online randomisation service (www.sealedenvelope.com). Outcomes were measured for physical function (TUG), knee injury and osteoarthritis outcome scores (KOOS), mental wellbeing (Short-WEMWBS), exercise health beliefs (ExBeliefs) and fear of falling (Short-FES-I) at baseline, six-week and after 12-week of intervention.
Results: Attendance at ≥10 out of 12 sessions was 82.4%. Retention rate at 12-week was 87.5% (63/72). Repeated measures MANOVA shows that no significant changes (p>0.05) for TUG or KOOS between intervention and control groups. However, better outcomes (p<0.05) were reported for health belief, mental wellbeing, and fear of falling efficacy among patients in intervention group.
Conclusions: The findings of this study indicate that the ESCAPE-pain programme may be feasible for patients with knee OA in Malaysia. As a feasibility study this is not powered to detect significant differences on primary KOOS outcomes, nonetheless participants reported positive views towards exercise with significant improvements in belief in performing activities, and reduced fear of falling. |
| first_indexed | 2025-11-14T17:10:49Z |
| format | Proceeding Paper |
| id | iium-66289 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T17:10:49Z |
| publishDate | 2018 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-662892018-10-03T01:11:36Z http://irep.iium.edu.my/66289/ A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris RC Internal medicine RT71 Study and Teaching Background: In Malaysia, around one in ten older people are diagnosed with osteoarthritis (OA). The most common form is knee OA. This can lead to functional limitations, impaired activities of daily living, reduced quality-of-life and increased risk of falls. Our systematic review of the literature concludes that a programme integrating exercise, education and active coping strategies (Enabling Self-management and Coping with Arthritic Pain using Exercise (ESCAPE-pain)) provides the best evidence for implementation. Thus, this study aims to evaluate the feasibility of ESCAPE-pain programme among patients with knee OA in Malaysian healthcare context. Method: A pragmatic feasibility randomised controlled trial was conducted recruiting from two hospitals in Malaysia. OA knee patients were randomised to ESCAPE-pain intervention (n=36) or control (n=36) groups using an independent online randomisation service (www.sealedenvelope.com). Outcomes were measured for physical function (TUG), knee injury and osteoarthritis outcome scores (KOOS), mental wellbeing (Short-WEMWBS), exercise health beliefs (ExBeliefs) and fear of falling (Short-FES-I) at baseline, six-week and after 12-week of intervention. Results: Attendance at ≥10 out of 12 sessions was 82.4%. Retention rate at 12-week was 87.5% (63/72). Repeated measures MANOVA shows that no significant changes (p>0.05) for TUG or KOOS between intervention and control groups. However, better outcomes (p<0.05) were reported for health belief, mental wellbeing, and fear of falling efficacy among patients in intervention group. Conclusions: The findings of this study indicate that the ESCAPE-pain programme may be feasible for patients with knee OA in Malaysia. As a feasibility study this is not powered to detect significant differences on primary KOOS outcomes, nonetheless participants reported positive views towards exercise with significant improvements in belief in performing activities, and reduced fear of falling. 2018-07-03 Proceeding Paper NonPeerReviewed application/pdf en http://irep.iium.edu.my/66289/1/Day%202%20Workshop%20A%20Muhammad%20Kamil%20Che%20Hasan.pdf application/pdf en http://irep.iium.edu.my/66289/7/66289_A%20Feasibility%20Randomised%20Controlled.pdf Che Hasan, Muhammad Kamil and Stanmore, Emma and Todd, Chris (2018) A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia. In: EU Falls Festival 2018, 2nd-3rd July 2018, Manchester, United Kingdom. (Unpublished) http://www.eufallsfest.eu/documents/Abstact%20Booklet.pdf |
| spellingShingle | RC Internal medicine RT71 Study and Teaching Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia |
| title | A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia |
| title_full | A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia |
| title_fullStr | A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia |
| title_full_unstemmed | A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia |
| title_short | A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia |
| title_sort | feasibility randomised controlled trial of escape-pain programme among patients with knee osteoarthritis in malaysia |
| topic | RC Internal medicine RT71 Study and Teaching |
| url | http://irep.iium.edu.my/66289/ http://irep.iium.edu.my/66289/ http://irep.iium.edu.my/66289/1/Day%202%20Workshop%20A%20Muhammad%20Kamil%20Che%20Hasan.pdf http://irep.iium.edu.my/66289/7/66289_A%20Feasibility%20Randomised%20Controlled.pdf |