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Experiences of Health-Promoting Activities among Individuals with Knee Pain: The Halland Osteoarthritis Cohort
Halmstad University, School of Health and Welfare.ORCID iD: 0000-0002-8895-1227
Spenshult Research and Development Centre, Halmstad, Sweden.ORCID iD: 0000-0002-8545-8023
Spenshult Research and Development Centre, Halmstad, Sweden; Section of Rheumatology, Department of Clinical Sciences, Lund University, Lund, Sweden.ORCID iD: 0000-0002-0217-5029
Halmstad University, School of Business, Innovation and Sustainability. Spenshult Research and Development Centre, Halmstad, Sweden; Section of Rheumatology, Department of Clinical Sciences, Lund University, Lund, Sweden.ORCID iD: 0000-0002-1445-5247
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2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 17, article id 10529Article in journal (Refereed) Published
Abstract [en]

Knee pain is an early sign of knee osteoarthritis (KOA) and a risk factor for chronic widespread pain (CWP). Early prevention is vital, and more research is needed to understand health-promoting activities for individuals with knee pain from a patient perspective. This study aimed to explore how individuals with knee pain experienced health-promoting activities. Explorative qualitative design with inductive approach was applied to explore the experiences of 22 individuals (13 women, 9 men; median age: 52). Semi-structured interviews were conducted and analysed using latent qualitative content analysis. The results revealed health-promoting activities in individuals with knee pain and were interpreted in the overall theme, striving for balance in everyday life. Two categories explored the content in health-promoting activities: (1) Caring for the body—being physically active, having a healthy diet, and utilising support; and (2) Managing life stressors—allowing for recovery, promoting vitality, and safeguarding healthy relationships. In conclusion, individuals with knee pain described various health-promoting activities. They strived for balance in everyday life by caring for the body and managing life stressors. We suggest that a broader approach to everyday life can be helpful in treatment plans and health promotion to manage and prevent KOA and CWP, while striving for a healthy lifestyle.

Place, publisher, year, edition, pages
Basel: MDPI, 2022. Vol. 19, no 17, article id 10529
Keywords [en]
health promotion, knee pain, knee osteoarthritis, chronic pain, patient perspective, interviews, qualitative content analysis
National Category
Health Sciences
Research subject
Health Innovation, Information driven care
Identifiers
URN: urn:nbn:se:hh:diva-48021DOI: 10.3390/ijerph191710529ISI: 000851150500001PubMedID: 36078245Scopus ID: 2-s2.0-85137831845OAI: oai:DiVA.org:hh-48021DiVA, id: diva2:1693868
Funder
Swedish Rheumatism Association, R-967899Anna and Edwin Bergers Foundation, F-21-0031
Note

Som manuskript i avhandling/As manuscript in thesis

Available from: 2022-09-08 Created: 2022-09-08 Last updated: 2023-12-14Bibliographically approved
In thesis
1. Multiple perspectives on health promotion in individuals with knee pain
Open this publication in new window or tab >>Multiple perspectives on health promotion in individuals with knee pain
2023 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Chronic musculoskeletal pain impacts the individual in multiple aspects of life (biological, psychological, and social). Individuals with knee pain have a higher risk of developingchronic widespread pain and knee osteoarthritis, compared to the general population, and the prevalence of chronic pain is estimated to rise. As a result, there is a global call for more health-promotive research in chronic pain. Hence, this thesis aimed to investigate multiple perspectives on health promotion by studying early factors associated with chronic pain and pain development as well as experiences of health-promoting activities and health literacy in individuals with knee pain. The studies are part of the Halland osteoarthritis (HALLOA) cohort, where 306 individuals with knee pain aged 30-65 years were included. Study I was a cross-sectional descriptive study (n=280), which aimed to investigate pain sensitivity and associations with radiographic knee osteoarthritis, chronic widespread pain, and overweight/obesity. Pain sensitivity was measured with pressure pain thresholds, and overweight was assessed using body mass index, visceral fat area and body fat percentage. Study II was a longitudinal study (n=251), aiming to examine whether or not health status and lifestyle habits have an impact on reporting chronic pain after two years. Lifestyle-related habits were overweight, physical activity, diet, alcohol intake, and tobacco use. Study III was an explorative qualitative study including 22 semi-structured interviews. The study aimed to explore health-promotive activities and was analysed with qualitative content analysis. Study IV had a convergent parallel mixed-methods design (n=221), including 19 interviews, and aimed to understand health literacy among individuals with knee pain. Quantitative variables were health literacy, health status, lifestyle habits, and pain distribution. The findings showed that higher pain sensitivity was associated with being female, having more pain sites, chronic widespread pain, higher body fat and visceral fat area (study I). Additionally, overweight/obesity and lower health status were associated with reporting chronic widespread pain after two years. Conversely, being normal-weighted and reporting better health status was associated with no chronic pain (study II). Striving for balance in everyday life was important to experiencing health among individuals with knee pain, and it was achieved by taking care of the body and managing life stressors (study III). Many reported sufficient health literacy, which was also associated with reporting better general health and less pain. How individuals found or received information, processed it, and took a stand based on trust and motivation, affected their decision-making processes (study IV). This thesis concludes that overweight/obesity and lower health status play an essential role in chronic pain. Health literacy and the everyday life of an individual are important when it comes to health promotion; and it is vital to consider what individuals with knee pain need in a given situation in order to prevent chronic pain.

Place, publisher, year, edition, pages
Halmstad: Halmstad University Press, 2023. p. 94
Series
Halmstad University Dissertations ; 104
Keywords
Knee pain, chronic pain, health promotion, health prevention, health status, lifestyle habits, overweight, obesity, health literacy
National Category
Public Health, Global Health, Social Medicine and Epidemiology Rheumatology and Autoimmunity Other Health Sciences
Identifiers
urn:nbn:se:hh:diva-52224 (URN)978-91-89587-22-9 (ISBN)978-91-89587-21-2 (ISBN)
Public defence
2024-01-12, S1022, Kristians IV:s väg 3, Halmstad, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2023-12-14 Created: 2023-12-14 Last updated: 2023-12-18Bibliographically approved

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Sylwander, CharlotteAndersson, Maria L.E.Haglund, EmmaLarsson, Ingrid

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