Torrens University Australia
Browse

File(s) stored somewhere else

Please note: Linked content is NOT stored on Torrens University Australia and we can't guarantee its availability, quality, security or accept any liability.

A population analysis of self‐management and health‐related quality of life for chronic musculoskeletal conditions

journal contribution
posted on 2018-11-21, 01:13 authored by Elizabeth HoonElizabeth Hoon, Tiffany GillTiffany Gill, Clarabelle Pham, Jodi Gray, Justin BeilbyJustin Beilby

Background

There is growing policy emphasis on self‐management as an essential component of musculoskeletal chronic care models. Underpinning this drive is the assumption that with correct ‘informational’ framing people will better manage their condition's progression and thereby maintain quality of life.

Objective

To assess associations between self‐management behaviours and health‐related quality of life for people with chronic musculoskeletal conditions.

Design

Using survey data from health census and follow‐up structured telephone interviews, linear regression (cumulatively adjusted for potential confounders) and logistic regression examined associations between use of specific self‐management behaviours and quality of life.

Setting and participants

A total of 885 respondents (2012) who indicated still having a musculoskeletal condition reported in a 2010 health census (Port Lincoln, South Australia).

Variables

Specific self‐management activities, age, sex, education, marital status, smoking, comorbidities and pain.

Outcome measure

EQ‐5D‐5L.

Results

Exercise (63%) and diet (19%) were the most commonly reported self‐management activities used to manage musculoskeletal conditions. About 24% reported not using any specific self‐management activities. Involvement in self‐management showed no association with quality of life, with and without adjustment for confounders. Diet had a negative association with quality of life as did use of formal support (self‐management course or community group support).

Discussion

Taking a real‐world perspective, these findings raise important questions about how people currently engage with self‐management activities and the kinds of outcomes that can be expected from undertaking these activities. The timing of people's uptake of self‐management within the musculoskeletal disease continuum is an issue requiring further attention in both research and practice.

Health Expectations Vol. 20, (1) 24-34, 2017


Funding

The Physiology of Health Systems: Port Lincoln as a case study

National Health and Medical Research Council

Find out more...

History

Year of publication

2017

Usage metrics

    Health

    Licence

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC