Clinical Rheumatology

, Volume 35, Issue 9, pp 2283–2291 | Cite as

Factors influencing adherence among older people with osteoarthritis

  • Laurianne Loew
  • Lucie Brosseau
  • Glen P. Kenny
  • Natalie Durand-Bush
  • Stéphane Poitras
  • Gino De Angelis
  • George A. Wells
Original Article
First Online:
Received:
Revised:
Accepted:

Abstract

This study aims to identify potential factors that could affect adherence and influence the implementation of an evidence-based structured walking program, among older adults diagnosed with knee osteoarthritis. A total of 69 participants with mild to moderate osteoarthritis of the knee fulfilled an online survey on potential factors that could affect their adherence to an evidence-based structured walking program. Adherence with regard to the influencing factors was explored using a logistic regression model. Results tend to show higher odds of adhering to the evidence-based walking program if the participants were supervised (more than 2.9 times as high), supported by family/friends (more than 3.7 times as high), and not influenced by emotional involvement (more than 11 times as high). The odds of adhering were 3.6 times lower for participants who indicated a change in their medication intake and 3.1 times lower for individuals who considered themselves as less physically active (95 % confidence interval (CI)). Our exploratory findings identified and defined potential adherence factors that could guide health professionals in their practice to better identify positive influences and obstacles to treatment adherence, which would lead to the adoption of a more patient-centered approach. A large-scale study is required to clearly delineate the key factors that would influence adherence. We addressed a new knowledge gap by identifying the main strategies to promote the long-term adherence of community-based walking program.

Keywords

Adherence Factors Implementation Osteoarthritis Preference Walking 
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Notes

Acknowledgments

We are thankful to the Chair of the thesis examination committee Dr. Mary Egan (Epidemiologist), study participants, research staff (Amélie Gravelle, Valérie Langlois, Lisa Lévesque, Isabel Théberge, Ana Lakic, Prinon Rahman, David Li, Christine Smith, Spencer Yam), members of the Pacesetters Walking Club, Marion D.-Russell from the Arthritis Society, and Billings Bridge Shopping Centre staff. The proposed study was supported by the Arthritis Health Professions Association (AHPA) and The Arthritis Research Foundation Movement and Mobility. It was awarded the 2012 Arthritis Research Foundation Movement and Mobility Award. Other funds that were obtained include the following: scholarships from the Fonds de recherche en santé du Québec (FRSQ), University of Ottawa Research Chair, Knowledge Translation Canada, in collaboration with the Canadian Institutes of Health Research (CIHR), Ontario Physiotherapy Association (OPA), Government of Ontario, and the University of Ottawa.

Compliance with ethical standards

This proposed study was in accordance with ethical standards for human research and was approved by the Research Ethics Board from the University of Ottawa (H01-07-08C).

Disclosures

None.

Supplementary material

10067_2015_3141_MOESM1_ESM.docx (24 kb)
ESM 1 (DOCX 23 kb)

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Copyright information

© International League of Associations for Rheumatology (ILAR) 2015

Authors and Affiliations

  1. 1.School of Rehabilitation Sciences, Faculty of Health SciencesUniversity of OttawaOttawaCanada
  2. 2.School of Human Kinetics, Human and Environmental Physiology Research Unit, Faculty of Health SciencesUniversity of OttawaOttawaCanada
  3. 3.Clinical Epidemiology ProgramOttawa Hospital Research InstituteOttawaCanada
  4. 4.Department of Epidemiology and Community Medicine, Faculty of MedicineUniversity of OttawaOttawaCanada

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