Table 1 Similarities and differences between the OAK program and ASMPa
Comparison parameters | OAK | ASMP |
|---|---|---|
Similarities | Â | Â |
   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 | Â | |
   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 |