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Table 1 Similarities and differences between the OAK program and ASMPa

From: A randomised controlled trial of a self-management education program for osteoarthritis of the knee delivered by health care professionals

Comparison parameters OAK ASMP
Similarities   
   Length of time 2.5 hours per week (6 weeks) 2.5 hours per week (6 weeks)
   Group size 12 to 15 15 to 20
   Setting Community venue Community venue
   Theoretical framework Social cognitive theory
• Goal-setting (weekly)
• Problem-solving
• Guided imagery
Cognitive behavioural therapy
Social cognitive theory
• Goal-setting (weekly)
• Problem-solving
• Guided imagery
Cognitive behavioural therapy
   Small-group discussion Occasional small groups or pairs of participants Small groups or pairs of participants in most sessions
   Program fidelity Facilitator's manual Facilitator's manual
   Training Leaders require training Leaders require training
Differences  
   Participants All with OA knee Various musculoskeletal conditions
   Leaders Health professionals (n = 2) Trained leaders, one or both of whom are non-health-care professionals with arthritis themselves [58]
   Osteoarthritis Specific information on
• Anatomy of knee
• Pathophysiology
• Disease progression
• Specific treatment options
• Management of OA:
exercise, lifestyle, nutrition, weight loss
General overview of OA; no detailed explanations or pathophysiology
Nutrition
   Exercise Actively encouraged
Detailed information every session
Greater emphasis on exercise
Instruction and demonstration with some group participation
Exercise linked to goal-setting
General information on types of exercise
   Pain management Analgesia for acute and/or chronic pain
Medication
Cognitive behavioural therapy
General medication overview
Cognitive behavioural therapy
   Medication Specific information on
• Types of medication
• Current trends/alerts (such as NSAIDs)
• Therapeutic dosing
• Contraindications
General overview
   Support group-type interaction Occasionally Weekly
   Instruction format Interactive
Moderate didactic content
Modelling
Group discussion
Highly interactive
Minimal didactic content
Modelling
Group discussion
Brainstorming
  1. aASMP: Arthritis Self-Management Program; NSAID: nonsteroidal anti-inflammatory drug; OA: osteoarthritis; OAK: Osteoarthritis of the Knee Self-Management Program.