{"title":"Knowledge, attitude, and practice towards knee osteoarthritis: a regional study in Chinese patients.","authors":"Tao Liu, Chao Lin, Hui Shi, Qiang Ren, Xinmei Lin","doi":"10.1007/s10067-025-07385-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Given the chronic nature of knee osteoarthritis and its reliance on self-management, patients' knowledge, attitudes, and practice (KAP) significantly influence their ability to effectively manage knee osteoarthritis. This study aimed to investigate patients' KAP towards knee osteoarthritis.</p><p><strong>Methods: </strong>This cross-sectional survey was conducted among patients with knee osteoarthritis, using a self-designed questionnaire.</p><p><strong>Results: </strong>A total of 764 (96.47%) valid questionnaires enrolled, including 451 (59.03%) females, with a mean age of 48.28 ± 7.08 years. Their mean KAP scores were 8.10 ± 3.67 (possible range 0-16), 26.40 ± 4.492 (possible range 9-45), and 20.67 ± 5.156 (possible range 7-35), respectively. Structural equation modelling showed that knowledge had direct effects on attitude and practice. Attitude was found to exert a direct impact on practice. Moreover, multivariate logistic regression showed that employment, family's monthly income, duration of knee osteoarthritis, and medication were independently associated with knowledge. Age, sex, employment, and coachfellow were independently associated with attitude. Sex, employment, and marital status were independently associated with practice (all P < 0.05).</p><p><strong>Conclusion: </strong>Patients had inadequate knowledge, negative attitude, and inactive practice towards knee osteoarthritis. Age, gender, employment, and marital status, monthly income, duration of knee osteoarthritis, medication, and coachfellow might be associated with their KAP. It is recommended to enhance clinical practice through patient education, personalized exercise plans, and tailored care based on individual patient profiles for improved knee osteoarthritis management. Key Points • Patients show inadequate KAP towards knee osteoarthritis. • Factors affecting KAP include age, gender, and income. • Need for patient education and personalized care in management.</p>","PeriodicalId":10482,"journal":{"name":"Clinical Rheumatology","volume":" ","pages":""},"PeriodicalIF":2.9000,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Rheumatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10067-025-07385-0","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"RHEUMATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Given the chronic nature of knee osteoarthritis and its reliance on self-management, patients' knowledge, attitudes, and practice (KAP) significantly influence their ability to effectively manage knee osteoarthritis. This study aimed to investigate patients' KAP towards knee osteoarthritis.
Methods: This cross-sectional survey was conducted among patients with knee osteoarthritis, using a self-designed questionnaire.
Results: A total of 764 (96.47%) valid questionnaires enrolled, including 451 (59.03%) females, with a mean age of 48.28 ± 7.08 years. Their mean KAP scores were 8.10 ± 3.67 (possible range 0-16), 26.40 ± 4.492 (possible range 9-45), and 20.67 ± 5.156 (possible range 7-35), respectively. Structural equation modelling showed that knowledge had direct effects on attitude and practice. Attitude was found to exert a direct impact on practice. Moreover, multivariate logistic regression showed that employment, family's monthly income, duration of knee osteoarthritis, and medication were independently associated with knowledge. Age, sex, employment, and coachfellow were independently associated with attitude. Sex, employment, and marital status were independently associated with practice (all P < 0.05).
Conclusion: Patients had inadequate knowledge, negative attitude, and inactive practice towards knee osteoarthritis. Age, gender, employment, and marital status, monthly income, duration of knee osteoarthritis, medication, and coachfellow might be associated with their KAP. It is recommended to enhance clinical practice through patient education, personalized exercise plans, and tailored care based on individual patient profiles for improved knee osteoarthritis management. Key Points • Patients show inadequate KAP towards knee osteoarthritis. • Factors affecting KAP include age, gender, and income. • Need for patient education and personalized care in management.
期刊介绍：
Clinical Rheumatology is an international English-language journal devoted to publishing original clinical investigation and research in the general field of rheumatology with accent on clinical aspects at postgraduate level.
The journal succeeds Acta Rheumatologica Belgica, originally founded in 1945 as the official journal of the Belgian Rheumatology Society. Clinical Rheumatology aims to cover all modern trends in clinical and experimental research as well as the management and evaluation of diagnostic and treatment procedures connected with the inflammatory, immunologic, metabolic, genetic and degenerative soft and hard connective tissue diseases.
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