首页|Identifying behavioral determinants and stage of readiness for performing knee massage among individuals with knee osteoarthritis:An observational study

Identifying behavioral determinants and stage of readiness for performing knee massage among individuals with knee osteoarthritis:An observational study

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Objective:Patients who experience knee osteoarthritis or chronic knee pain can alleviate their symptoms by performing self-knee massage.Understanding the readiness and types of determinants needed to facilitate self-knee massage is needed to design effective,theory-informed interventions.The primary objective of this study was to apply the transtheoretical model of behavior change to identify how factors,which include the type of knee condition and pain level,predict an individual's readiness to adopt self-knee massage.The secondary objective employed the capability,opportunity and motivation-behavior(COM-B)model to identify relevant determinants that are predictive of an individual's readiness to undertake self-knee massage.Methods:An observational study design was used to recruit individuals with knee osteoarthritis(n=270)and chronic knee pain(n=130).Participants completed an online survey that assessed the transtheoret-ical model of behavior change stages,COM-B determinants(capability,opportunity and motivation),along with self-administered massage behavior.Multivariate analysis of covariance and structural equa-tion modeling were used to test the primary and secondary objective,respectively.Results:Participants who had knee osteoarthritis scored higher on the action stage compared to those with chronic pain(P=0.003),and those who experienced greater level of pain scored higher in the con-templation(P＜0.001)and action phases(P＜0.001)of performing knee massage compared to those with milder pain.The COM-B structural equation model revealed self-administered knee massage to be predicted by capability(β=0.31,P=0.004)and motivation(β=0.29,P＜0.001),but not opportunity(β=-0.10,P=0.39).Pain level predicted motivation(β=0.27,P＜0.001),but not capability(β=0.09,P=0.07)or opportunity(β=0.01,P=0.83).Tests for mediating effects found that determinants of COM-B(motivation and capability)mediate between pain level and self-administered massage behavior(β=0.10,P=0.002).Conclusion:Clinicians and researchers can expect that patients diagnosed with knee osteoarthritis or who have chronic knee pain are ready(action stage)or are considering the behavior(contemplation stage)of self-knee massage.Individuals who report having knee osteoarthritis or chronic knee pain should be coached to develop the skills to perform self-knee massage and helped to develop the motiva-tion to carry out the therapy.

OsteoarthritisMassageSelf-managementTranstheoretical model of behavior changeBehavioral model

Donya Nemati、Niki Munk、Navin Kaushal

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College of Nursing,the Ohio State University,Columbus,OH 43210,USA

Department of Health Sciences,School of Health & Human Sciences,Indiana University,Indianapolis,IN 46202,USA

National Centre for Naturopathic Medicine,Southern Cross University,Lismore,New South Wales 2480,Australia

Australian Research Centre in Complementary and Integrative Medicine(ARCCIM),Massage & Myotherapy Australia Fellow and Visiting Faculty of Health,University of Technology Sydney,New South Wales 2007,Australia

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School of Health and Human Sciences at Indiana University,Indianapolis

2024

10.1016/j.joim.2024.01.006

结合医学学报(英文版)
上海市中西医结合学会,上海长海医院

结合医学学报(英文版)

CSTPCD
影响因子：0.711
ISSN：2095-4964
年,卷(期)：2024.22(1)
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