Multidisciplinary lifestyle behavioral management in patients with knee osteoarthritis: a randomized controlled study from Iran

This study aimed to assess lifestyle behavioral management in patients with Knee osteoarthritis among Iranian patients up to 6 months. Settings and Design.
Methods and Material: In this educational controlled trial study, 130 eligible participants took part in control group (n = 66) and received just prescribed medications, or intervention group (n=64) who received the lifestyle behavioral management plus medication. The program invol­ved three two-hour and two one – hour group sessions over a one- week period. Data based on demographic characteristics and risky behaviors questionnaire as well as Functional Knee Assess­ment Test (FKAT) were collected at initial, 3-, and 6 - month follow ups and analyzed by using SPSS 18.
Of 130 participants, five individuals from intervention and eight individuals from control group were excluded over 6 months. Totally, 117 eligible participants in two groups of intervention (n=59), and control (n=58) completed the study. The mean age of participants in intervention and control group at base line was 59.03±6.13 and 57.85±9.31 years respectively. Despite being the same at initial time (P>0.05), Repeated Measure ANOVA test showed significantly better improved disability in intervention group over time (P0.05), Repeated Measure ANOVA test showed significantly better improved disability in intervention group over time (P This study revealed that the multidisciplinary program could significantly reduce risky behaviors and disability up to six months in interv­ention group. Thus, due to lack of lifestyle behavioral management in health care system of Iran, to embedding this program into clinical practice for managing knee OA pain is recommended.