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Peer-reviewedCC BY-NC 4.0BMJ Open

Knowledge, attitudes and practices regarding daily management among patients with knee osteoarthritis: a cross-sectional study

  • Qiaoling Tan1
  • Hui Yang2
  • Hui Li3
  • Mojie Ren4
  • Li Wang5
  • Xinhua Yu1
  • Junhua Cheng1,6,7
7 affiliations
  1. 1Department of the Third Ward of Orthopedic Rehabilitation, Taihe Hospital,Hubei University of Medicine, Shiyan, China
  2. 2Department of Nursing, Taihe Hospital, Hubei University of Medicine, Shiyan, China
  3. 3Department of the Third Ward of Neurological Rehabilitation, Taihe Hospital, Hubei University of Medicine, Shiyan, China
  4. 4Department of the Cerebrovascular Disease Diagnosis and Treatment Center, Taihe Hospital, Hubei University of Medicine, Shiyan, China
  5. 5Department of Nephrology, Taihe Hospital, Hubei University of Medicine, Shiyan, China
  6. 6Clinical College of Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan, China
  7. 7Hubei Clinical Research Center for Umbilical Cord Blood Hematopoietic Stem Cells, Taihe Hospital, Hubei University of Medicine, Shiyan, China
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Abstract

Objectives: This study aimed to evaluate the knowledge, attitudes and practices (KAP) of patients with knee osteoarthritis (KOA) in managing their condition.

Design: Multicentre cross-sectional study.

Setting: Four centres in Shiyan city, China, comprising three campuses of Taihe Hospital and one member hospital of the Taihe Hospital Medical Alliance. Data were collected from June to September 2024.

Participants: A total of 391 patients with KOA completed the study. Participants were recruited through convenience sampling using QR codes posted in hospital outpatient clinics and wards, distributed via county-level medical alliance hospitals and provided during follow-up visits with previously hospitalised patients and completed the questionnaire online. Eligibility criteria included a confirmed diagnosis of KOA, while exclusion criteria included cognitive impairment, hearing or vision disabilities or other conditions that could interfere with questionnaire completion.

Interventions: None.

Primary and secondary outcome measures: The primary outcomes were scores for KAP related to KOA management measured using a structured self-administered questionnaire. Secondary outcomes included the correlations and structural relationships among these three domains.

Results: Among the 391 patients included, 262 (67.0%) were female and 180 (46.0%) were aged between 55 and 64 years. The results revealed scores of 7.75±2.51 for knowledge (possible range: 0–11; 70.5%), 28.06±3.47 for attitudes (possible range: 9–45; 62.4%) and 20.81±5.24 for practices (possible range: 6–30; 69.4%), with higher scores indicating better knowledge, more positive attitudes and more proactive practices and percentages indicating the proportion of the maximum possible score for each subscale. Positive correlations were observed between knowledge and attitudes (r=0.298, p<0.001), knowledge and practices (r=0.121, p=0.017) and attitudes and practices (r=0.154, p=0.002). Structural equation modelling indicated that knowledge was positively associated with attitudes (β=0.496, p<0.001) and practices (β=0.121, p=0.001), while attitudes were positively associated with practices (β=0.243, p<0.001). An indirect association between knowledge and practices through attitudes was also observed (β=0.185, p=0.008).

Conclusion: Among the patients surveyed, knowledge regarding KOA was moderate, whereas attitudes toward disease management and self-management practices were suboptimal. KAP were positively associated, and attitudes statistically mediated the association between knowledge and practices. These findings suggest the potential value of multifaceted interventions that combine knowledge enhancement with strategies to foster positive attitudes and support the implementation of proactive daily management behaviours.

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Cite

BibTeXRIS
BibTeX
@article{tan2026knowledge,
  title = {{Knowledge, attitudes and practices regarding daily management among patients with knee osteoarthritis: a cross-sectional study}},
  author = {Qiaoling Tan and Hui Yang and Hui Li and Mojie Ren and Li Wang and Xinhua Yu and Junhua Cheng},
  journal = {BMJ Open},
  year = {2026},
  month = oct,
  doi = {10.1136/bmjopen-2026-120105},
  url = {https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2026-120105},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - Knowledge, attitudes and practices regarding daily management among patients with knee osteoarthritis: a cross-sectional study
AU  - Qiaoling Tan
AU  - Hui Yang
AU  - Hui Li
AU  - Mojie Ren
AU  - Li Wang
AU  - Xinhua Yu
AU  - Junhua Cheng
PY  - 2026
DA  - 2026/10/30
JO  - BMJ Open
DO  - 10.1136/bmjopen-2026-120105
UR  - https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2026-120105
AB  - Objectives: This study aimed to evaluate the knowledge, attitudes and practices (KAP) of patients with knee osteoarthritis (KOA) in managing their condition.  Design: Multicentre cross-sectional study.  Setting: Four centres in Shiyan city, China, comprising three campuses of Taihe Hospital and one member hospital of the Taihe Hospital Medical Alliance. Data were collected from June to September 2024.  Participants: A total of 391 patients with KOA completed the study. Participants were recruited through convenience sampling using QR codes posted in hospital outpatient clinics and wards, distributed via county-level medical alliance hospitals and provided during follow-up visits with previously hospitalised patients and completed the questionnaire online. Eligibility criteria included a confirmed diagnosis of KOA, while exclusion criteria included cognitive impairment, hearing or vision disabilities or other conditions that could interfere with questionnaire completion.  Interventions: None.  Primary and secondary outcome measures: The primary outcomes were scores for KAP related to KOA management measured using a structured self-administered questionnaire. Secondary outcomes included the correlations and structural relationships among these three domains.  Results: Among the 391 patients included, 262 (67.0%) were female and 180 (46.0%) were aged between 55 and 64 years. The results revealed scores of 7.75±2.51 for knowledge (possible range: 0–11; 70.5%), 28.06±3.47 for attitudes (possible range: 9–45; 62.4%) and 20.81±5.24 for practices (possible range: 6–30; 69.4%), with higher scores indicating better knowledge, more positive attitudes and more proactive practices and percentages indicating the proportion of the maximum possible score for each subscale. Positive correlations were observed between knowledge and attitudes (r=0.298, p<0.001), knowledge and practices (r=0.121, p=0.017) and attitudes and practices (r=0.154, p=0.002). Structural equation modelling indicated that knowledge was positively associated with attitudes (β=0.496, p<0.001) and practices (β=0.121, p=0.001), while attitudes were positively associated with practices (β=0.243, p<0.001). An indirect association between knowledge and practices through attitudes was also observed (β=0.185, p=0.008).  Conclusion: Among the patients surveyed, knowledge regarding KOA was moderate, whereas attitudes toward disease management and self-management practices were suboptimal. KAP were positively associated, and attitudes statistically mediated the association between knowledge and practices. These findings suggest the potential value of multifaceted interventions that combine knowledge enhancement with strategies to foster positive attitudes and support the implementation of proactive daily management behaviours.
SN  - 2044-6055
SN  - 2044-6055
ER  -