The MUST program will be based on the SCT (Bandura, 1997, 2004) and include interventions modified from the researchers’ previous studies (Piyakhachornrot et al., 2011; Y. Saraboon et al., 2015) (Table 1 displays the SCT derived interventions). The multi-component intervention is delivered by multidisciplinary teams including programs for health education, diet, exercise, and support (health volunteers and healthcare providers). The education, diet, and exercise programs will be organized as a 3-consecutive day workshop. The health education program on lasting 2 hours will be delivered on the first day of the workshop. The health education program includes program activities: 1) orientation to get to know each another, 2) learning of objectives,
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The 45-minute lecture along with video clip consists of the definition of the knee OA, symptoms and diagnosis, risk factors, and management (prevention and treatment modalities). Then, a 15 – minute break will be provided for refreshment. Another 30 – minute lecture on diabetes self-management and impact of diabetes on knee OA will be delivered by an advanced practice nurse in diabetes care. An additional 30 minutes will be set up for group discussions (10-12 person per group). During the group discussion, the participants will be encouraged to share their experiences on knee OA symptom, how knee OA and diabetes impact their daily lives. Also, they will be asked to discuss and how information gained from the lecture will help them to plan for modifying their health risk behavior to delay the knee OA progression, decrease knee OA symptoms, and control their blood glucose level. The program aim is to provide knowledge about knee OA along with diabetes associated with knee OA. This will promote patients to better understanding on knee OA, raise awareness of the knee OA impact, and plan to modify their risk behaviors not only to improve the knee function, but also to control the blood glucose level. This session will be run by the research …show more content…
It composes of aerobic exercise (brisk walking) and strengthening quadriceps exercise. A community nurse practitioner (a research team member) will provide a 20-minute lecture on the benefit of exercise on the knee function together with a 10-minute video clip, which demonstrates how to perform strengthen quadriceps muscle. The participants will be instructed how to perform quadriceps muscle strengthening exercise (isotonic and isometric quadriceps muscle training exercise) with any position including lying, sitting, or standing position. For example, to perform the isometric exercise, the participant lies with supine position on the plane surface, slowly contracts the thigh muscle along with dorsiflex the foot, slowly raises the foot 10 cm surface height and holds for 5 seconds (equivalent to count from 1 to 10) before slowly lowering the foot back to the surface. As for the isotonic quadriceps exercise, the participant sits on a chair with the knee bent about 90º, slowly performs a straight leg raise parallel with the floor, and holds this position for 5 seconds before lowering slowly (Piyakhachornrot et al., 2011). Later, a refreshing break of 15 minutes will be offered. After refreshment, the participants will be instructed how to perform brisk walking exercise and how to use a pedometer to record their physical function while walking. Then, the participants
The 45-minute lecture along with video clip consists of the definition of the knee OA, symptoms and diagnosis, risk factors, and management (prevention and treatment modalities). Then, a 15 – minute break will be provided for refreshment. Another 30 – minute lecture on diabetes self-management and impact of diabetes on knee OA will be delivered by an advanced practice nurse in diabetes care. An additional 30 minutes will be set up for group discussions (10-12 person per group). During the group discussion, the participants will be encouraged to share their experiences on knee OA symptom, how knee OA and diabetes impact their daily lives. Also, they will be asked to discuss and how information gained from the lecture will help them to plan for modifying their health risk behavior to delay the knee OA progression, decrease knee OA symptoms, and control their blood glucose level. The program aim is to provide knowledge about knee OA along with diabetes associated with knee OA. This will promote patients to better understanding on knee OA, raise awareness of the knee OA impact, and plan to modify their risk behaviors not only to improve the knee function, but also to control the blood glucose level. This session will be run by the research …show more content…
It composes of aerobic exercise (brisk walking) and strengthening quadriceps exercise. A community nurse practitioner (a research team member) will provide a 20-minute lecture on the benefit of exercise on the knee function together with a 10-minute video clip, which demonstrates how to perform strengthen quadriceps muscle. The participants will be instructed how to perform quadriceps muscle strengthening exercise (isotonic and isometric quadriceps muscle training exercise) with any position including lying, sitting, or standing position. For example, to perform the isometric exercise, the participant lies with supine position on the plane surface, slowly contracts the thigh muscle along with dorsiflex the foot, slowly raises the foot 10 cm surface height and holds for 5 seconds (equivalent to count from 1 to 10) before slowly lowering the foot back to the surface. As for the isotonic quadriceps exercise, the participant sits on a chair with the knee bent about 90º, slowly performs a straight leg raise parallel with the floor, and holds this position for 5 seconds before lowering slowly (Piyakhachornrot et al., 2011). Later, a refreshing break of 15 minutes will be offered. After refreshment, the participants will be instructed how to perform brisk walking exercise and how to use a pedometer to record their physical function while walking. Then, the participants