{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T21:48:18Z","timestamp":1764020898556,"version":"3.44.0"},"reference-count":64,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Obesity is a risk factor for osteoarthritis and total hip\/knee joint replacement and can lead to poorer outcomes following surgical interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This work aimed to determine the preliminary efficacy of a self\u2010management programme versus usual care in improving health\u2010related quality of life in obese patients with osteoarthritis awaiting joint replacement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a two\u2010group parallel randomised trial involving patients with obesity and osteoarthritis who were awaiting hip or knee arthroplasty. Patients were randomly allocated to the Flinders Program of self\u2010management support plus usual care or usual care alone groups. Primary outcomes at 10\u2009months were Short\u2010Form Health Survey (SF\u201036) and Osteoarthritis of Knee\/Hip Quality of Life (OAKHQoL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010five patients were randomised to either intervention (<jats:italic>n<\/jats:italic>\u2009=\u200948) or usual care (<jats:italic>n<\/jats:italic>\u2009=\u200947) and analysed in an intent\u2010to\u2010treat analysis. While there was no intervention effect in SF\u201036, evidence was in favour of intervention for OAKQoL improved social support (<jats:italic>d<\/jats:italic>\u2009=\u20090.43, 95% CI: 0.01\u20130.83) versus usual care (<jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.01, 95% CI: \u22120.41 to 0.42) (<jats:italic>p<\/jats:italic>\u2009=\u20090.03). Similarly, intervention patients experienced larger improvements for social activity (<jats:italic>d<\/jats:italic>\u2009=\u20090.47; 95% CI: 0.05\u20130.89) versus usual care (<jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.16; 95% CI: \u22120.58 to 0.25) (<jats:italic>p<\/jats:italic>\u2009=\u20090.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The intervention warrants examination in a larger trial to establish effectiveness among patients with obesity and osteoarthritis awaiting arthroplasty.<\/jats:p><jats:p><jats:bold>Trial Registration:<\/jats:bold> Australian New Zealand Clinical Trials Registry ACTRN12615000674538<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijn.70044","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T07:53:46Z","timestamp":1755762826000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Preliminary Efficacy of a Self\u2010Management Programme to Improve Quality\u2010of\u2010Life in Patients With Obesity and Osteoarthritis Awaiting Arthroplasty: A Randomised Trial"],"prefix":"10.1111","volume":"31","author":[{"given":"Ladan","family":"Sahafi","sequence":"first","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9835-3474","authenticated-orcid":false,"given":"David","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, College of Medicine and Public Health Flinders University  Bedford Park South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruurd","family":"Jaarsma","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malcolm","family":"Battersby","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.15933"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000412648.25797.f0"},{"key":"e_1_2_13_4_1","unstructured":"Australian Institute of Health and Welfare.2024.Chronic Musculoskeletal Conditions: Osteoarthritis. 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