Participation in a digital self-management intervention for osteoarthritis and socioeconomic inequalities in patient-related outcomes
Authors' conclusion
There were inequalities in patient-related outcomes in favour of those with higher education among participants of a digital self-management intervention for OA, although the magnitude of these pre-existing inequalities generally narrowed after the 3 month intervention.
Study context
- Population
- Participants with hip/knee osteoarthritis (OA) enrolled in a digital self-management intervention, Sweden
- Participants
- 21,688 participants
- Exposure
- Socioeconomic inequalities by educational attainment, baseline vs 3 month follow-up
- Outcome
- Changes in socioeconomic (educational) inequalities in patient-related outcomes and pain medication use, by concentration index
- Follow-up
- 3 month
Methodological detailsconcentration index, baseline and 3 month follow-up
- Concentration index
- Baseline and 3 month follow-up
Main finding
As reported in the abstract
Educational inequalities in patient-related outcomes · baseline and 3 month follow-up
- All outcomes except Patient Acceptable Symptom State (PASS) showed inequalities in favour of highly educated participants at both time-points
- At 3 months, inequality widened for activity impairment
- At 3 months, inequality narrowed for numerical rating scale (NRS) pain, EQ-5D-5L, KOOS-12/HOOS-12 Pain and Function, physical function, and wish for surgery
- No statistically conclusive changes in inequalities for the remaining outcomes
Observational data: associations, not effects.
Original publication
Participation in a digital self-management intervention for osteoarthritis and socioeconomic inequalities in patient-related outcomes. Scand J Rheumatol. Published 20 June 2024. doi:10. 1080/ 03009742. 2024. 2361542
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