{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T14:37:55Z","timestamp":1754145475215,"version":"3.41.2"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the trajectory of self\u2010management behaviour and its influencing factors in patients with knee osteoarthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This is a prospective, longitudinal observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2024 to April 2024, 126 patients with knee osteoarthritis who were hospitalized in two tertiary\u2010level hospitals in Hunan Province were selected to be surveyed on the day of discharge, 1 month after discharge and 3 months after discharge using the Chinese version of the Chronic Disease Self\u2010Management Research Measurement Scale. The trajectories of self\u2010management behaviours were performed using latent category growth analysis. The influencing factors were performed using Lasso regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two classes were identified, including \u2018slow decline class\u2019 (37.1%) and \u2018significant decline class\u2019 (62.9%). Age, education, history of knee surgery and number of other chronic diseases combined were significant factors. Finally, older patients were more likely to be in the \u2018significant decline group\u2019 and patients with a history of knee surgery were more likely to be in the \u2018slow decline group\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We reported the existence of heterogeneity in self\u2010management trajectories in patients with KOA and found that younger age and history of knee surgery were significantly associated with slow decline class trajectories. Further studies are needed to test the generalizability of these identified self\u2010management trajectories in patients with KOA and their association with psychosocial aspects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for the Profession and Patient Care<\/jats:title><jats:p>To identify the trajectory of self\u2010management behaviours of patients with KOA and explore their influencing factors, to provide reference for healthcare professionals to formulate targeted intervention programmes, so as to prevent the recurrence of knee osteoarthritis and delay the course of the disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Reporting Method<\/jats:title><jats:p>STROBE checklist was followed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>The authors would specially thank all the participants in this study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.70007","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T06:11:31Z","timestamp":1738908691000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trajectories and Influencing Factors of Self\u2010Management Behaviour in Patients With Knee Osteoarthritis: A Longitudinal Study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4543-9191","authenticated-orcid":false,"given":"Lingjia","family":"Li","sequence":"first","affiliation":[{"name":"The First Hospital of Hunan University of Chinese Medicine Changsha Hunan Province China"},{"name":"Hunan University of Chinese Medicine Changsha Hunan Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiangzhou","family":"Lan","sequence":"additional","affiliation":[{"name":"The First Hospital of Hunan University of Chinese Medicine Changsha Hunan Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weike","family":"Zeng","sequence":"additional","affiliation":[{"name":"Changsha Contemporary Nurses Magazine Limited Changsha Hunan Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miao","family":"Chen","sequence":"additional","affiliation":[{"name":"The First Hospital of Hunan University of Chinese Medicine Changsha Hunan Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ke","family":"Xue","sequence":"additional","affiliation":[{"name":"The First Hospital of Hunan University of Chinese Medicine Changsha Hunan Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing","family":"Chen","sequence":"additional","affiliation":[{"name":"The First Hospital of Hunan University of Chinese Medicine Changsha Hunan Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,7]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2020.100587"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16234701"},{"issue":"22","key":"e_1_2_13_4_1","first-page":"2827","article-title":"Clinical Practice Guidelines for Knee Osteoarthritis in Integrated Traditional Chinese and Western Medicine","volume":"37","author":"Xu X. 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