Guideline for the management of knee and hip osteoarthritis

Recommendations

Self-management education programs

Guideline for the management of knee and hip osteoarthritis
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Non-pharmacological interventions 

Self-management education programs


 

Self-management education programs – Knee and/or hip

Recommendation

We are unable to recommend either for or against formal face-to-face self-management education programs for people with knee and/or hip osteoarthritis (OA). However, clinicians should provide information to  enhance understanding about OA, its prognosis and its optimal management.

Strength of recommendation

Conditional (neutral) recommendation

Quality of evidence

Very low

What is it?

Formal face-to-face self-management education programs are complex interventions targeting patient education in order to increase participant’s knowledge about OA, and to encourage them to take an active role in management. Programs vary widely in their content, delivery and duration.

Rationale

Very low-quality evidence shows this intervention has no significant effect on pain and function (Appendix 5 of the Guideline for the management of knee and hip osteoarthritis: Technical document). Self-management education programs may also require a considerable time commitment by the person to attend, and many Australians may experience access difficulties (eg those in rural or remote areas, those for whom English is not a native language). Nonetheless, the programs have the potential to benefit other relevant health domains (eg disease knowledge, self-efficacy), thus may be considered useful for some people. The working group felt that ongoing education and advice provided by the clinician remains integral to personcentred care and shared decision-making.

Harms

No adverse effects reported.

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