Exploring the role of the built environment and psychosocial mediators on knee function in knee osteoarthritis patients in Singapore: a cross-sectional study
Objectives (1) To examine if a more accessible built environment (BE) is significantly associated with better knee function outcomes in knee osteoarthritis (OA) patients. (2) To assess if the relationship between BE and knee function is mediated by fear of movement and self-efficacy. Design Cross-sectional study. Setting Two tertiary hospitals in Singapore. Participants 212 knee OA patients (mean: 63.81±8.27 years old), majority female (69.8%). Inclusion criteria: (i) meets National Institute for Health and Care Excellence criteria for knee OA, (ii) independent community ambulant. Exclusion criteria: (i) alternative diagnosis to knee OA, (ii) secondary osteoarthritis, (iii) severe medical and/or cognitive comorbidity impairing activities of daily living, (iv) previous knee arthroplasty, (v) wheelchair bound, or (vi) pregnant. Primary and secondary outcome measures; Statistics How self-efficacy (Arthritis Self-Efficacy Scale-8 (ASES-8)) and fear of movement (Brief Fear of Movement (BFOM
