Darlow Ben, Belton Joletta, Brown Melanie, Clark Jane, Richards Dawn P, Simick Behera Naomi, Bunzli Samantha
Department of Primary Health Care and General Practice, University of Otago Wellington, New Zealand.
Patient Partner and Independent Pain Advocate, Fraser, CO, USA.
Osteoarthritis Cartilage. 2025 Jan;33(1):17-26. doi: 10.1016/j.joca.2024.09.012. Epub 2024 Oct 9.
People make sense of osteoarthritis (OA) by drawing on information, beliefs, and knowledge. This narrative review summarises diverse qualitative and quantitative research investigating beliefs and knowledge about OA and the impact these have on behaviour and outcomes. It synthesises evidence and highlights key actions clinicians can take to support people to make sense of OA in helpful ways. Beliefs about OA inform the behaviour of those living with OA and the behaviour of clinicians caring for people with OA. Beliefs about OA often focus on joint degradation and inevitable progression. These impairment-focused fatalistic beliefs can result in reduced offer of, or engagement in, active management strategies. Alternative views focus on health as part of a dynamic ecosystem where people are healthy when they can participate in activities they value. These beliefs are associated with increased engagement in self-management and lifestyle-based interventions. Clinician actions that support people to make sense of OA ways that align with helpful behaviours and support participation in valued activities represent key opportunities to improve health and well-being.
人们通过利用信息、信念和知识来理解骨关节炎（OA）。这篇叙述性综述总结了各种定性和定量研究，这些研究调查了关于OA的信念和知识，以及它们对行为和结果的影响。它综合了证据，并强调了临床医生可以采取的关键行动，以帮助人们以有益的方式理解OA。关于OA的信念影响着OA患者的行为以及照顾OA患者的临床医生的行为。关于OA的信念通常集中在关节退化和不可避免的进展上。这些以损伤为重点的宿命论信念可能导致主动管理策略的提供减少或参与度降低。另一种观点将健康视为动态生态系统的一部分，即当人们能够参与他们重视的活动时，他们就是健康的。这些信念与自我管理和基于生活方式的干预措施的参与度增加有关。支持人们以与有益行为相一致的方式理解OA并支持参与有价值活动的临床医生行动，是改善健康和福祉的关键机会。
