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ESCAPE-pain

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    ESCAPE-pain

    24th November 2017
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    Six-week group programme delivered to people aged 45 plus with Osteoarthritis (OA).

    “…I have benefitted 100% from the class. My right knee is much improved and I have a training programme to help me with the rest of my life.”
    Patient

    Summary:
    Enabling Self-management and Coping of Arthritic Pain through Exercise, or ESCAPE-pain, is a six-week programme delivered to groups of ten people, aged 45 years or older, with knee and/or hip OA. It helps people understand their problem, advises them what (not) to do and teaches simple exercises that can alleviate pain; allowing them to do more, change the course of the condition and improve their lives. Behavioural change techniques – including goal-setting, action/coping planning, monitoring – are incorporated to encourage participants to maintain a healthy body weight and exercise regularly.

    Challenge/problem identified:
    OA affects nearly ten million people, causes pain, reduced mobility, impairs physical, mental and emotional wellbeing, independence and quality of life, and increases risk of co-morbidity and mortality. 90% of people with OA are managed by GPs. It accounts for two million GP consultations, prescription medication, an estimated 150,000 knee/hip replacements, and is the third largest NHS expenditure.

    Impact:

    • Shown to reduce pain, improve physical function, depression, health beliefs and general well-being in randomised control trial (RCT)
    • Sustained benefits for up to two and a half years after completing the programme
    • £2.8 million annual savings in total health and social care for every 1,000 participants who undertake ESCAPE-pain

     

    Read the ESCAPE-pain economic impact analysis, completed by York Health Economic Consortium (2019), which shows a return on investment (ROI) of £8.83 for every £1.00 spent on the programme.

    Download a list of supporting evidence here.

    Read the patient case study here.

    Fellow: Michael Hurley

    Category:
    2017
    Tags:
    Self-care and education
    Avatar

    Shobna Kamali

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