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Factors influencing the success of behavioral graded activity in patients with OA of hip and /or knee: a qualitative study.
Veenhof, C., Hasselt, T.J. van, Köke, A.J.A., Dekker, J., Bijlsma, J.W.J., Ende, C.H.M. van den. Factors influencing the success of behavioral graded activity in patients with OA of hip and /or knee: a qualitative study. Annals of the Rheumatic Diseases: 2006, 65(suppl. 2) 409. Abstract. Annual European Congress of Rheumatology on 21-24 june 2006 in Amsterdam, the Netherlands.
Background: Recently, a randomized controlled trial was conducted on the effectiveness of behavioral graded activity (BGA) in patients with OA of hip and/or knee. The BGA intervention is performed by physiotherapists, and aims to increase activity in the long term. It consists of an exercise program with boostersessions, using operant treatment principles. Objective – To investigate why certain patients treated with BGA successfully integrate activities in their daily lives and others do not. Method: A qualitative study was performed, based on interviews with 12 patients. Patients were selected according to the model of deliberate sampling for heterogeneity. Selection was based on their success of the treatment as assessed on the patient global assessment (PGA). The data were coded and analysed using the methods developed in grounded theory. Results: The findings from this study suggest that two factors influence the compliance of patients treated with BGA. First, patients' motivation for long-term goals seems to relate to a higher compliance of patients. Secondly, an active involvement of patients during the treatment-process seems to relate to a higher compliance. Conclusion: Although the involvement of patients in the treatment process is already part of the BGA protocol, it would be beneficial to emphasize the importance of an active involvement of patients right from the start of the treatment. Furthermore, to increase the success of treatment, physiotherapists should gain a clear understanding of the patients' motives for treatment and, subsequently, physiotherapists can make use of the knowledge of these motives when making a choice for a specific intervention.(aut. ref.)
Background: Recently, a randomized controlled trial was conducted on the effectiveness of behavioral graded activity (BGA) in patients with OA of hip and/or knee. The BGA intervention is performed by physiotherapists, and aims to increase activity in the long term. It consists of an exercise program with boostersessions, using operant treatment principles. Objective – To investigate why certain patients treated with BGA successfully integrate activities in their daily lives and others do not. Method: A qualitative study was performed, based on interviews with 12 patients. Patients were selected according to the model of deliberate sampling for heterogeneity. Selection was based on their success of the treatment as assessed on the patient global assessment (PGA). The data were coded and analysed using the methods developed in grounded theory. Results: The findings from this study suggest that two factors influence the compliance of patients treated with BGA. First, patients' motivation for long-term goals seems to relate to a higher compliance of patients. Secondly, an active involvement of patients during the treatment-process seems to relate to a higher compliance. Conclusion: Although the involvement of patients in the treatment process is already part of the BGA protocol, it would be beneficial to emphasize the importance of an active involvement of patients right from the start of the treatment. Furthermore, to increase the success of treatment, physiotherapists should gain a clear understanding of the patients' motives for treatment and, subsequently, physiotherapists can make use of the knowledge of these motives when making a choice for a specific intervention.(aut. ref.)