Sturesdotter Åkesson K1, Sundén A1, Stigmar K1, Pawlikovska T2, Fagerström C3, Ekvall Hansson E1
1Lund University, Department of Health Sciences/Physiotherapy, Lund, Sweden, 2RCSI Royal College of Surgeons in Ireland, Health Professions Education Centre, Dublin, Ireland, 3Linnaeus University, Department of Health and Caring Sciences, Kalmar, Sweden
Background: The World Health Organization (WHO) has recognized the lack of patient enablement in the care of patients with chronic disease. The concept of patient enablement is closely related to empowerment and self-efficacy and describes the patients´ understanding, and ability to cope with their disease. Enablement, measured by the Patient Enablement Instrument (PEI), has been used to evaluate quality of medical consultations in primary health care. The PEI consists of six questions. The Swedish version of PEI has shown good reliability and applicability, however a deeper understanding of the concept of enablement in various environments is required. This study is conducted in primary health care after a physiotherapeutic intervention.
Purpose: The objective was to compare the Swedish version of the Patient Enablement Instrument to the Arthritis Self-Efficacy Scale (ASES-S) and the Swedish Rheumatic Disease Empowerment Scale (Swe-Res-23).
Methods: The Swedish version of PEI was compared to the Arthritis Self-Efficacy Scale (ASES-S) and the Swedish Rheumatic Disease Empowerment Scale (Swe-Res-23). ASES-S is a valid and reliable instrument for measuring self-efficacy. Swe-Res-23 has shown acceptable psychometric properties and measures empowerment. Patients were consecutively asked to fill in PEI, ASES-S and Swe-Res-23 after having attended a Supported OsteoArthritis Self-management Programme (SOASP). The SOASP consists of a combination of education and exercise and patients were asked to fill in the questionnaires both after the educational part of the SOASP, and at 3 months´ follow-up after having exercised. Spearman´s rho (rs ) was used for analysis.
Results: 111 patients were included in this analysis, 89 were women. Mean age was 65. There was a moderate positive correlation between PEI and ASES-S (rs =.508, p 0.00, n=72) and a low positive correlation between PEI and Swe-Res-23 (rs =.436, p 0.00, n=77) after the educational part of the SOASP. After three months, there was a moderate positive correlation between PEI and ASES-S (rs =.543, p 0.00, n=49) and between PEI and Swe-Res-23 (rs =.568, p 0.00, n=67).
Conclusion(s): Results indicate that the correlation is moderate between PEI and ASES-S and between PEI and Swe-Res-23. Final analysis will include a larger sample which will provide a more reliable basis for interpretation. In the future, it would be interesting to see if there is a relation between patient enablement and outcome of a Supported OsteoArthritis Self-management Programme when it comes to health-related quality of life (EQ-5D-5L) and pain (Visual Analogue Scale, VAS).
Implications: According to the WHO, it is essential to enable people to learn and to cope with chronic illness such as osteoarthritis. Physical therapy practices that stimulate enablement and enhances patient participation to promote health according to the International Classification of Functioning, Disability and Health (ICF) are preferable. By continuously evaluating and improving physical therapy practices, such as the Supported OsteoArthritis Self-management Programme, quality might be ensured.
Keywords: enablement, osteoarthritis, self-management
Funding acknowledgements: The Swedish Rheumatism Association
The Swedish Association of Physiotherapists´s memorial fund
The Southern Region of Health Care
Hemborgs´memorial fund
Purpose: The objective was to compare the Swedish version of the Patient Enablement Instrument to the Arthritis Self-Efficacy Scale (ASES-S) and the Swedish Rheumatic Disease Empowerment Scale (Swe-Res-23).
Methods: The Swedish version of PEI was compared to the Arthritis Self-Efficacy Scale (ASES-S) and the Swedish Rheumatic Disease Empowerment Scale (Swe-Res-23). ASES-S is a valid and reliable instrument for measuring self-efficacy. Swe-Res-23 has shown acceptable psychometric properties and measures empowerment. Patients were consecutively asked to fill in PEI, ASES-S and Swe-Res-23 after having attended a Supported OsteoArthritis Self-management Programme (SOASP). The SOASP consists of a combination of education and exercise and patients were asked to fill in the questionnaires both after the educational part of the SOASP, and at 3 months´ follow-up after having exercised. Spearman´s rho (rs ) was used for analysis.
Results: 111 patients were included in this analysis, 89 were women. Mean age was 65. There was a moderate positive correlation between PEI and ASES-S (rs =.508, p 0.00, n=72) and a low positive correlation between PEI and Swe-Res-23 (rs =.436, p 0.00, n=77) after the educational part of the SOASP. After three months, there was a moderate positive correlation between PEI and ASES-S (rs =.543, p 0.00, n=49) and between PEI and Swe-Res-23 (rs =.568, p 0.00, n=67).
Conclusion(s): Results indicate that the correlation is moderate between PEI and ASES-S and between PEI and Swe-Res-23. Final analysis will include a larger sample which will provide a more reliable basis for interpretation. In the future, it would be interesting to see if there is a relation between patient enablement and outcome of a Supported OsteoArthritis Self-management Programme when it comes to health-related quality of life (EQ-5D-5L) and pain (Visual Analogue Scale, VAS).
Implications: According to the WHO, it is essential to enable people to learn and to cope with chronic illness such as osteoarthritis. Physical therapy practices that stimulate enablement and enhances patient participation to promote health according to the International Classification of Functioning, Disability and Health (ICF) are preferable. By continuously evaluating and improving physical therapy practices, such as the Supported OsteoArthritis Self-management Programme, quality might be ensured.
Keywords: enablement, osteoarthritis, self-management
Funding acknowledgements: The Swedish Rheumatism Association
The Swedish Association of Physiotherapists´s memorial fund
The Southern Region of Health Care
Hemborgs´memorial fund
Topic: Primary health care; Outcome measurement; Disability & rehabilitation
Ethics approval required: Yes
Institution: Lund university, Sweden
Ethics committee: Regional Ethical Review Board in Lund, Sweden
Ethics number: 2015/918
All authors, affiliations and abstracts have been published as submitted.
