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Use of non-pharmacological therapies among patients with osteoarthritis.

Publication ,  Journal Article
Hsieh, JB; Dominick, KL
Published in: Aging Clin Exp Res
October 2003

BACKGROUND AND AIMS: Non-pharmacological therapies are an important component of treatment for osteoarthritis (OA), but they may be under-used. This study examined the prevalence of self-reported use of common non-pharmacological therapies, as well as patient and physician-related predictors of use. METHODS: Subjects included 205 veterans who completed a survey regarding OA symptoms and treatments. Analyses examined the prevalence of use of three specific non-pharmacological therapies: exercise, physical therapy (PT), and dietary/herbal supplements. We also examined whether patient variables (demographics, clinical characteristics, and perceived helpfulness of non-pharmacological therapies) and physician characteristics (age, gender, race, and recommendation of non-pharmacological therapies) were associated with use of each therapy. RESULTS: Forty-six percent of subjects reported current use of exercise, 11% reported using PT, and 12%, dietary/herbal supplements. Patient demographic and clinical characteristics were generally poor predictors of use of non-pharmacological therapy. However, females were more likely to report exercising than males (p<0.05), and patients with greater disease severity were more likely to report current use of PT (p<0.001). Patients' perceived helpfulness of each therapy significantly predicted use (p<0.05). Physician demographic characteristics were not strong predictors of patients' use of therapy, but physician recommendation for exercise and PT predicted patients' use (p<0.05). CONCLUSIONS: Among this sample of veterans with OA, there was relatively low use of exercise, PT, and dietary/herbal supplements. Patients' perceptions of treatment helpfulness and physician recommendations strongly predicted use. These results signal the importance of interventions aimed at educating both patients and physicians about these therapies.

Duke Scholars

Published In

Aging Clin Exp Res

DOI

ISSN

1594-0667

Publication Date

October 2003

Volume

15

Issue

5

Start / End Page

419 / 425

Location

Germany

Related Subject Headings

  • Surveys and Questionnaires
  • Phytotherapy
  • Physical Therapy Modalities
  • Patient Satisfaction
  • Osteoarthritis
  • Middle Aged
  • Male
  • Humans
  • Geriatrics
  • Female
 

Citation

APA
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ICMJE
MLA
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Hsieh, J. B., & Dominick, K. L. (2003). Use of non-pharmacological therapies among patients with osteoarthritis. Aging Clin Exp Res, 15(5), 419–425. https://doi.org/10.1007/BF03327363
Hsieh, Jason B., and Kelli L. Dominick. “Use of non-pharmacological therapies among patients with osteoarthritis.Aging Clin Exp Res 15, no. 5 (October 2003): 419–25. https://doi.org/10.1007/BF03327363.
Hsieh JB, Dominick KL. Use of non-pharmacological therapies among patients with osteoarthritis. Aging Clin Exp Res. 2003 Oct;15(5):419–25.
Hsieh, Jason B., and Kelli L. Dominick. “Use of non-pharmacological therapies among patients with osteoarthritis.Aging Clin Exp Res, vol. 15, no. 5, Oct. 2003, pp. 419–25. Pubmed, doi:10.1007/BF03327363.
Hsieh JB, Dominick KL. Use of non-pharmacological therapies among patients with osteoarthritis. Aging Clin Exp Res. 2003 Oct;15(5):419–425.
Journal cover image

Published In

Aging Clin Exp Res

DOI

ISSN

1594-0667

Publication Date

October 2003

Volume

15

Issue

5

Start / End Page

419 / 425

Location

Germany

Related Subject Headings

  • Surveys and Questionnaires
  • Phytotherapy
  • Physical Therapy Modalities
  • Patient Satisfaction
  • Osteoarthritis
  • Middle Aged
  • Male
  • Humans
  • Geriatrics
  • Female