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Hand <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> causes pain, impaired mobility, and reduced grip force, which cause activity limitations. <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> group interventions in primary care settings are sparsely reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010four individuals with hand <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> agreed to participate; 15 were excluded due to not fulfilling the inclusion criteria. The 49 remaining (90% female) participated in an <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> group intervention at a primary care unit with education, paraffin wax bath, and hand exercise over a 6\u2010week period. Data were collected at baseline, end of intervention, and after 1 year. Instruments used were the Grip Ability Test (<jats:styled-content style=\"fixed-case\">GAT<\/jats:styled-content>), the Signals of Functional Impairment (<jats:styled-content style=\"fixed-case\">SOFI<\/jats:styled-content>), dynamometry (grip force), hand pain at rest using a visual analog scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>), the Patient\u2010Specific Functional Scale (<jats:styled-content style=\"fixed-case\">PSFS<\/jats:styled-content>), the Quick Disabilities of the Arm, Shoulder, and Hand (Quick\u2010<jats:styled-content style=\"fixed-case\">DASH<\/jats:styled-content>), and the EuroQol <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">EQ VAS<\/jats:styled-content>). Data were analyzed using nonparametric statistics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hand function, activity limitation, and self\u2010rated health significantly improved from baseline to end of intervention, grip force (right hand: <jats:italic>P<\/jats:italic> &lt; 0.001; left hand: <jats:italic>P<\/jats:italic> = 0.008), <jats:styled-content style=\"fixed-case\">SOFI<\/jats:styled-content> (<jats:italic>P<\/jats:italic> = 0.011), <jats:styled-content style=\"fixed-case\">GAT<\/jats:styled-content> (<jats:italic>P<\/jats:italic> &lt; 0.001), hand pain at rest (<jats:italic>P<\/jats:italic> &lt; 0.001), <jats:styled-content style=\"fixed-case\">PSFS<\/jats:styled-content> (1: <jats:italic>P<\/jats:italic> = 0.008, 2: <jats:italic>P<\/jats:italic> &lt; 0.001, and 3: <jats:italic>P<\/jats:italic> = 0.004), Quick\u2010<jats:styled-content style=\"fixed-case\">DASH<\/jats:styled-content> (<jats:italic>P<\/jats:italic> = 0.001), and <jats:styled-content style=\"fixed-case\">EQ VAS<\/jats:styled-content> (<jats:italic>P<\/jats:italic> = 0.039), and the effects were sustained after 1 year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The hand <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> group intervention in primary care improves hand function, activity limitation, and self\u2010rated health. The benefits are sustained 1 year after completion of the intervention.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.23431","type":"journal-article","created":{"date-parts":[[2017,10,3]],"date-time":"2017-10-03T14:46:37Z","timestamp":1507041997000},"page":"1039-1045","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Improved Hand Function, Self\u2010Rated Health, and Decreased Activity Limitations: Results After a Two\u2010Month Hand Osteoarthritis Group Intervention"],"prefix":"10.1002","volume":"70","author":[{"given":"Linda","family":"Bjurehed","sequence":"first","affiliation":[{"name":"Link\u00f6ping University Norrk\u00f6ping Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3589-664X","authenticated-orcid":false,"given":"Nina","family":"Brodin","sequence":"additional","affiliation":[{"name":"Karolinska Institutet, Huddinge, Sweden, and Danderyd Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulla","family":"Nordenski\u00f6ld","sequence":"additional","affiliation":[{"name":"Gothenburg University Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathilda","family":"Bj\u00f6rk","sequence":"additional","affiliation":[{"name":"Link\u00f6ping University Norrk\u00f6ping Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2010.11.002"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2012.03.002"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61689-4"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-016-0424-x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780331101"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2009.03.001"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21851"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.034900"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwf141"},{"key":"e_1_2_7_11_1","first-page":"24","article-title":"The meaning of activity and participation in everyday life when living with hand osteoarthritis","volume":"21","author":"Bromann Bukhave E","year":"2014","journal-title":"Scand J Occup Ther"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2013.863390"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2009.04.006"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/02844319509034334"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-012-9434-0"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1085"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21596"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2013.10.011"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/ar4339"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-204808"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2006.062091"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.11.024"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2010.05.001"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.3109\/11038128.2010.514942"},{"key":"e_1_2_7_25_1","unstructured":"World Medical Association.Declaration of Helsinki: ethical principles for medical research involving human subjects.2013. 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