Abstract:
The known advantage of exercise for older adults who had knee pain is limited by low adherence to an exercise program. LINE application on action and coping plans do improve exercise adherence, knee functional performance and reduce knee pain. This quasi-experimental study determined the effect of LINE application on action and coping plans on exercise adherence, self-efficacy for exercise (SEE) , specific self-efficacy (task, maintenance, recovery), functional performance including knee range of motion (ROM), time up and go (TUG), 30-second chair stand (30CST) , knee outcome for activities of daily living (KOS-ADLS) and knee pain scale among older adults with knee pain in suburban area of Bangkok Metropolis, Thailand after implementation program. Total participants were 86 at aged 50-65 years and they were divided into 2 groups: intervention group (received action and coping plans with LINE application program) and control group (received usual care) with 43 participants in each group. Participants undertook 14 weeks period of the study program. All outcomes were measured at baseline and post-test except exercise adherence was collected after finishing the intervention program via exercise diary. Data were analyzed statically. The results demonstrated that there was a significant difference between 2 groups in all outcomes ( P<0.05). Also, the study findings revealed that an intervention group improved significantly in all outcomes within-group after completed the study program while the control group has only one measure (SEE) was significantly difference within-group (P<0.05). Moreover, applying technology from application on a smartphone as LINE combination with action and coping plans was found effective to enhance older adults’ adherence, motivate and encourage them to become adherer to exercise and decrease knee pain which it advantages to prevent them from knee pain and disability.