ESCAPE-pain

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ESCAPE-pain

24th November 2017

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