Educational program based on health belief model on knee osteoarthritis pain management in Iranian peri menopausal women: a randomized parallel controlled study

In light of the alarming rise in knee osteoarthritis (KOA) among the population in Iran, this study rigorously evaluated the efficacy of a model-based educational intervention designed to significantly alleviate knee pain and other debilitating symptoms in peri-menopausal women affected by this condition in Yasouj, Iran. This randomized, parallel-controlled study was conducted on 100 peri-menopausal women with KOA who were randomly divided into two groups: intervention and control (50 women in each group). The model-based knee protective interventional program was applied just to the intervention group. However, the control group received just the medication that the physician prescribed. Data by demographic questionnaire, Rheumatoid arthritis self-efficacy (RASE), and Western Ontario and Mc. Master Universities Arthritis Index (WOMAC) was collected at baseline and 6-month follow-up and analyzed by SPSS 20. The primary outcome in this study was pain severity, which was measured by WOMAC. A total of 100 eligible women, including 50 women with a mean age of 44.8 ± 4.5 years in the intervention group and 50 women with a mean age of 47.2 ± 4.9 years in the control group, took part in this study. Comparing WOMAC subscales of intervention group versus control group at 6- month follow up, showed intervention group has obtained significant improvement in clinical symptom (13.10 ± 11.42 vs. 5.5 ± 10.6 ; P < 0.001), joint stiffness (8.99 ± 8.85 vs. 1.69 ± 8.96 ; P < 0.001), muscle strengths (3.00 ± 8.2 vs. 1.00 ± 0.01; P < 0.001 ), daily activities (12.50 ± 8.31 vs. 5.06 ± 4.04 ; P < 0.001) and pain severity (16.50 ± 7.37 vs. 2.56 ± 4.08; P < 0.001). This study could be a scientific basis for future studies in research centers that work to promote self-management behaviors among KOA patients and improve the health systems of their countries. The study was registered in IRCT20220105053636N1 on 05/02/2022.

• Publication year

  2025

• Venue

  BMC Musculoskeletal Disorders

• Publication date

  2025-11-11

• Fields of study

  Medicine, Education

• Identifiers
  DOI 10.1186/s12891-025-09248-wPMID 41219847PMCID 12606976
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Prevalence of Symptomatic Knee Osteoarthritis in Saudi Arabia and Associated Modifiable and Non-Modifiable Risk Factors: A Population-Based Cross-Sectional Study

  2023influential reference
• Knee osteoarthritis: Current status and research progress in treatment (Review)

  2023cited by this paper
• Evaluation of mindfulness based stress reduction in symptomatic knee or hip osteoarthritis patients: a pilot randomized controlled trial

  2022cited by this paper
• The quality of physiotherapy and rehabilitation program and the effect of telerehabilitation on patients with knee osteoarthritis

  2022cited by this paper
• Therapeutic approaches in the management of knee osteoarthritis (Review).

  2022cited by this paper
• The effects on pain, physical function, and quality of life of quadriceps strengthening exercises combined with Baduanjin qigong in older adults with knee osteoarthritis: a quasi-experimental study

  2021cited by this paper
• Diagnosis and Treatment of Hip and Knee Osteoarthritis: A Review.

  2021cited by this paper
• Recent Updates of Diagnosis, Pathophysiology, and Treatment on Osteoarthritis of the Knee

  2021cited by this paper
• The Prevalence of Symptomatic Knee Osteoarthritis in Relation to Age, Sex, Area, Region, and Body Mass Index in China: A Systematic Review and Meta-Analysis

  2020cited by this paper
• Determinants of Self-care Behaviors in Patients with Knee Osteoarthritis Based on the Theory of Planned Behavior in Iran

  2020cited by this paper
• Non-surgical treatment of knee osteoarthritis.

  2019cited by this paper
• The use of cellular matrix in symptomatic knee osteoarthritis

  2019cited by this paper
• The Effect of Self-Management Educational Program on Pain Intensity in Elderly Patients with Knee Osteoarthritis: A Randomized Clinical Trial

  2018cited by this paper
• Knee Osteoarthritis Preventive Behaviors in Women over 40 Years referred to Health Centers in Shiraz, Iran: Application of Theory of Planned behavior

  2017influential reference
• Effectiveness of behavioural change techniques in physiotherapy interventions to promote physical activity adherence in patients with hip and knee osteoarthritis: a systematic review protocol

  2017cited by this paper
• Complementary Tools to Empower and Sustain Behavior Change

  2016cited by this paper
• Applying Transtheoretical Model to Promote Physical Activities Among Women

  2015influential reference
• WHO-ILAR COPCORD study (stage 1, urban study) in Sanandaj, Iran

  2015cited by this paper
• The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in Persian Speaking Patients with Knee Osteoarthritis.

  2014cited by this paper
• Prevalence of osteoarthritis in rural areas of Iran: a WHO‐ILAR COPCORD study

  2014cited by this paper
• The benefits and barriers to physical activity and lifestyle interventions for osteoarthritis affecting the adult knee

  2012cited by this paper
• Improving breast self-examination: an educational intervention based on health belief model from Bandar Abbass, Iran

  2011cited by this paper
• Improving Physical Activity and Function in Overweight and Obese Older Adults with Osteoarthritis of the Knee: A Feasibility Study

  2011cited by this paper
• The behaviour change wheel: A new method for characterising and designing behaviour change interventions

  2011cited by this paper
• Development and validation of a self-efficacy scale for use in British patients with rheumatoid arthritis (RASE).

  2001cited by this paper

• No citing papers are available for this paper.