Osteoarthritis Action Alliance, Thurston Arthritis Research Center; Department of Medicine; Depts. of Orthopaedics and Social Medicine; Dept. of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA.
Osteoarthritis Action Alliance, Thurston Arthritis Research Center, University of North Carolina, Chapel Hill, USA.
Clin Exp Rheumatol. 2019 Sep-Oct;37 Suppl 120(5):31-39. Epub 2019 Oct 14.
Osteoarthritis (OA) is a painful joint disease affecting more than 32.5 million adults in the US and over 350 million adults worldwide. The prevalence is expected to rise continually over the next several decades with significant impacts to societal health and economic costs as well as individuals' daily activities and quality of life. In 2008, the Centers for Disease Control and Prevention (CDC) and the Arthritis Foundation (AF) led a collaborative effort to address approaches to reduce the burden of OA via public health interventions, policies (systems and environmental), and communication strategies. This collaboration resulted in the National Public Health Agenda for OA (OA Agenda), which was vetted by more than 75 stakeholder organisations and released in 2010. The OA Agenda listed ten recommendations focused on public health interventions for OA including weight management, physical activity, self-management education, and injury prevention, and policies, systems, communication, research and evaluation. In 2011, the CDC and AF mobilised the OA Action Alliance (OAAA), a national coalition of organisations concerned with mitigating the public health impact of OA, to operationalise the recommendations set forth in the OA Agenda. Since then, the OAAA has grown to include more than 110 organisations that work collectively to increase awareness about the prevention and management of OA, provide educational resources, and expand access to evidence-based programmes for target audiences including individuals with OA, community-based organisations, healthcare systems and providers, and policymakers. This review highlights the OAAA's progress to date in addressing the OA Agenda recommendations; successes and challenges in delivery of effective communication, programmes, and resources; and future implications.
骨关节炎(OA)是一种影响美国超过 3250 万成年人和全球超过 3.5 亿成年人的疼痛关节疾病。预计在未来几十年内,其患病率将持续上升,对社会健康和经济成本以及个人的日常活动和生活质量产生重大影响。2008 年,疾病控制与预防中心(CDC)和关节炎基金会(AF)共同努力,通过公共卫生干预、政策(系统和环境)以及沟通策略,寻求减轻 OA 负担的方法。这一合作促成了国家骨关节炎公共卫生议程(OA 议程),该议程由 75 个以上利益攸关方组织审查,并于 2010 年发布。OA 议程列出了十项建议,重点关注骨关节炎的公共卫生干预措施,包括体重管理、身体活动、自我管理教育和伤害预防,以及政策、系统、沟通、研究和评估。2011 年,CDC 和 AF 动员了骨关节炎行动联盟(OAAA),这是一个关注减轻骨关节炎公共卫生影响的全国性组织联盟,以实施 OA 议程中的建议。自那时以来,OAAA 已发展到包括 110 多个组织,这些组织共同努力提高对预防和管理 OA 的认识,提供教育资源,并扩大目标受众(包括 OA 患者、社区组织、医疗保健系统和提供者以及政策制定者)获得循证计划的机会。本综述重点介绍了 OAAA 迄今为止在实施 OA 议程建议方面取得的进展;在提供有效沟通、计划和资源方面的成功和挑战;以及未来的影响。