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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 2/2018

01-04-2018

Treatment Beliefs Underlying Intended Treatment Choices in Knee and Hip Osteoarthritis

Authors: Ellen M. H. Selten, Rinie Geenen, Henk J. Schers, Frank H. J. van den Hoogen, Roelien G. van der Meulen-Dilling, Willemijn H. van der Laan, Marc W. Nijhof, Cornelia H. M. van den Ende, Johanna E. Vriezekolk

Published in: International Journal of Behavioral Medicine | Issue 2/2018

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Abstract

Purpose

Patients’ beliefs about treatment modalities for knee and hip osteoarthritis (OA) will underlie their treatment choices. Based on the Theory of Planned Behavior, it is hypothesized that patients’ beliefs, subjective norm, and perceived behavioral control guide their treatment choices. Also, symptom severity and one’s inherent tendency to approach or avoid situations are assumed to play a role. The objective of this study was to test whether these variables were associated with intended treatment choices in knee and hip OA.

Methods

Patients with knee and hip OA were randomly selected from hospital patient records. They completed the Treatment beliefs in OsteoArthritis questionnaire to assess positive and negative treatment beliefs regarding five treatment modalities: physical activities, pain medication, physiotherapy, injections, and arthroplasty. Other measures were intention, subjective norm, perceived behavioral control (ASES), symptom severity (WOMAC), and the person’s general tendency to approach or avoid situations (RR/BIS scales). Three models were tested using path analyses to examine the hypothesized associations.

Results

Participants were 289 patients. Positive treatment beliefs and subjective norm were consistently associated with intended treatment choice across all treatment modalities. Negative treatment beliefs were associated with intended treatment choices for pain medication and arthroplasty. Other associations were not significant.

Conclusions

This is the first study testing the Theory of Planned Behavior in the context of treatment choices in OA. Findings suggest that foremost positive beliefs about treatment modalities and the norms of one’s social environment guide a specific treatment choice. Unexpectedly, symptom severity was not related to intended treatment choices.
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Metadata
Title
Treatment Beliefs Underlying Intended Treatment Choices in Knee and Hip Osteoarthritis
Authors
Ellen M. H. Selten
Rinie Geenen
Henk J. Schers
Frank H. J. van den Hoogen
Roelien G. van der Meulen-Dilling
Willemijn H. van der Laan
Marc W. Nijhof
Cornelia H. M. van den Ende
Johanna E. Vriezekolk
Publication date
01-04-2018
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 2/2018
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-017-9671-2

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