People make sense of osteoarthritis (OA) by drawing on information, beliefs, and knowledge. This narrative review summarises diverse qualitative and quantitative research investigating beliefs and knowledge about OA and the impact these have on behaviour and outcomes. It synthesises evidence and highlights key actions clinicians can take to support people to make sense of OA in helpful ways. Beliefs about OA inform the behaviour of those living with OA and the behaviour of clinicians caring for people with OA. Beliefs about OA often focus on joint degradation and inevitable progression. These impairment-focused fatalistic beliefs can result in reduced offer of, or engagement in, active management strategies. Alternative views focus on health as part of a dynamic ecosystem where people are healthy when they can participate in activities they value. These beliefs are associated with increased engagement in self-management and lifestyle-based interventions. Clinician actions that support people to make sense of OA ways that align with helpful behaviours and support participation in valued activities represent key opportunities to improve health and well-being.

中文翻译：

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理解骨关节炎：叙述性综述


人们通过利用信息、信念和知识来理解骨关节炎 （OA）。本叙述性综述总结了不同的定性和定量研究，调查了对 OA 的信念和知识以及它们对行为和结果的影响。它综合了证据并强调了临床医生可以采取的关键行动，以支持人们以有益的方式理解 OA。关于 OA 的看法影响了 OA 患者的行为以及照顾 OA 患者的临床医生的行为。关于 OA 的看法通常集中在关节退化和不可避免的进展上。这些以损伤为中心的宿命论信念可能导致主动管理策略的提供或参与减少。另一种观点将健康视为动态生态系统的一部分，当人们能够参与他们重视的活动时，他们就会健康。这些信念与增加对自我管理和基于生活方式的干预的参与有关。支持人们理解 OA 方式的临床医生行动与有益的行为保持一致并支持参与有价值的活动，代表了改善健康和福祉的关键机会。