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Wafaa Ismail Shereif

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Open access 2026

Effectiveness of a Learning Package in Reducing Pain and Improving Activities of Daily Living Among Patients with Knee Osteoarthritis

Background: Knee osteoarthritis (KOA) is a highly prevalent musculoskeletal disorder and a leading cause of pain and functional disability worldwide. Effective management increasingly emphasizes patient education and self-management strategies to reduce pain and restore mobility and functional independence. Objectives: This study aimed to evaluate the effect of a learning package on pain intensity and activities of daily living (ADL) among patients with knee osteoarthritis. Methods: A quasi-experimental one-group pre–post design was conducted in the orthopedic departments and outpatient clinics of Mansoura University Hospital, Egypt. A purposive sample of 71 adult patients diagnosed with KOA was selected. Data were collected using a structured interview questionnaire and the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire, with a focus on the pain and ADL subscales. Measurements were obtained at baseline, one month, and two months post-intervention. Results: The findings demonstrated a statistically significant improvement in both pain and ADL scores after the implementation of the learning package (p<0.001). Pain scores decreased progressively over time, while functional performance in daily activities improved. Conclusions: The structured learning package was effective in reducing pain and enhancing functional ability among patients with KOA. It is recommended that educational and in-service training programs be regularly implemented to enhance patients' knowledge and self-management practices regarding knee osteoarthritis.

Asmaa Gamal Khairy, Wafaa Ismail Shereif, Amany Mohammed Shebl et al. · 0 citations