Enabling Self-management and Coping
with Arthritic Pain using Exercise

COVID-19 Support

There are a number of ways in which you can support your ESCAPE-pain participants/waiting lists to manage their condition until you are able to resume classes. Please see below for suggested ideas. 

 

We would like to thank all ESCAPE-pain site, providers and facilitators for your continued engagement over the past 18 months, which we know have been extremely challenging. We would be grateful if you could keep us updated with any further progress at your sites by emailing escape-pain@oruk.org

 

1. National guidance for delivering clinical interventions

Depending on the nature of your organisation you may face organisational or local restrictions for delivering face-to-face interventions. Please ensure you follow your local guidance, policies and procedures whilst also taking into account, where relevant, guidance coming from the following:

Chartered Society of Physiotherapy 

Gov.uk

ukactive

 

2. ESCAPE-pain Online

ESCAPE-pain Online is the web-based version of the ESCAPE-pain app. It is a digital version of the face-to-face programme and provides users with a structured education and exercise programme of 12 sessions over six weeks. There are two compulsory sessions per week and they are a combination of education and exercise. It can be viewed on a range of mobile devices (like smartphones and tablets) but is best viewed on a computer. It is especially helpful for people who would prefer to view the programme on a larger screen or who don’t have access to a smart phone.

It was originally designed as an aide memoir for ESCAPE-pain participants to use after they had completed the face-to-face programme, however, in light of COVID-19 and many ESCAPE-pain sites not yet having re-started their face-to-face classes, we feel these tools may be of benefit to a much wider audience of people living with knee/hip pain/osteoarthritis who have not previously attended a face-to-face class. 

 

3. ESCAPE-pain app - Android

Similarly, the ESCAPE-pain app is a digital version of the face-to-face programme and provides users with a structured education and exercise programme of 12 sessions over six weeks. There are two compulsory sessions per week and they are a combination of education and exercise. It is available on Android smartphones and tablets. Just search ESCAPE-pain on Google Play. 

It was originally designed as an aide memoir for ESCAPE-pain participants to use after they had completed the face-to-face programme, however, in light of COVID-19 and many ESCAPE-pain sites not yet having re-started their face-to-face classes, we feel these tools may be of benefit to a much wider audience of people living with knee/hip pain/osteoarthritis who have not previously attended a face-to-face class. 

 

4. ESCAPE-pain videos

These videos were developed for the ESCAPE-pain digital tools, the app and ESCAPE-pain Online (our web-based app). We have made the videos freely available so that people don’t need to create an account to view them and for people who don’t wish to follow a structured programme (like the app and ESCAPE-pain Online) and just want a reminder of how to do an exercise.

The exercise videos are designed so that the exercises could be done in a home setting using everyday household items like chairs or steps. They are simple and easy to follow with audio instructions. 

The educational videos – these videos can be viewed at any time to learn more about your joint pain. They give simple advice and information to help people learn about how to better manage their condition. 

 

5. Deliver the programme virtually

Many ESCAPE-pain sites are delivering a virtual programme based on ESCAPE-pain. We have pulled together their experiences and developed a FAQ resource to support with virtual delivery. If you would like a copy of this please contact the central team on hello@escape-pain.org. This information will be updated over time as we learn more about this model.

We are supporting sites to run virtual programmes where they are delivered in the following way. 

  • sessions are delivered twice weekly;
  • sessions are delivered across an interactive platform which allows facilitators and participants to speak to one another;
  • there is a fixed cohort starting and finishing together;
  • the education and exercise sessions are delivered in real time;
  • clinical outcomes are collected.

 

6. Video resources - a 10-session abridged version of the programme

 

Image of the two facilitators who narrate the new video resourcesImage of the homepage of one of the new video resourcesImage of a woman doing an exercise in her living room using a chair as a prop

We also have video footage for the ESCAPE-pain knee and hip programme. The footage is a collaboration between the Academic Health Science Network for the North East and North Cumbria, North West Coast Innovation Agency, and the Health Innovation Network. It is a 10-session abridged version of the ESCAPE-pain programme using videos. The videos have been designed to give people access to the programme during the current COVID-19 restrictions. These sessions will only be available online until December 2021.

Conditions for use:

  • Please note the link is not publicly available. It is only available for use by trained ESCAPE-pain facilitators, based at ESCAPE-pain sites that were active before lockdown. The purpose of this is to enable trained facilitators, who are familiar with the programme, to explain the programme to service users who may need guidance about the videos and how to use them and answer any queries they may have.
  • If you require the link please contact your regional ESCAPE-pain lead or the central team on hello@escape-pain.org
  • The link must not be shared with any persons that are not trained ESCAPE-pain facilitators.
  • To reduce the likelihood of infringement of the associated Intellectual Property, the footage must also not be shared with other referrers into the programme nor wider generic stakeholders. 

Who is it aimed at?

  • You may find this resource is useful for your service users who would prefer this format rather than the ESCAPE-pain app, ESCAPE-pain Online or the virtual delivery model which some sites are offering.
  • The video resources were developed with the recognition that some people do not have access to video conferencing facilities.

How does it work?

Each video is made up of:

  • an education topic presentation;
  • a warm-up;
  • an exercise session;
  • a cool down;
  • and a relaxation session.

Service users should also be advised to complete two sessions per week, with a few days in between each session to recover.

Please note that clinical outcomes do not need to be collected for this format.

 

7. Supporting ESCAPE-pain participants with no access to the Internet or digital devices

We recognise many of the tools that are being recommended to support people to keep active in their homes during COVID-19 require access to smart devices, laptops, the Internet etc. Importantly, they also require people to feel comfortable and able to use of these tools effectively.

Please see below a list of resources which may be more accessible to people who do not have access to the Internet or digital devices.

Depending on your service and if you have access to printing facilities you may wish to send printed copies of some of these resources to your participants, or email it to them or a family member if they are able to print them out themselves. 

  • Versus Arthritis knee exercises – downloadable version.
  • Versus Arthritis hip exercises – downloadable version.
  • Versus Arthritis back exercisesdownloadable version.
  • Versus Arthritis also have a free helpline open Monday–Friday, 9am–8pm, the number is 0800 5200 520. *Calls are free when calling from within the UK but charges will apply when calling from abroad. For more information you will need to contact your network provider.
  • This Department of Health infographic details the physical activity guidelines for adults and older adults.
  • We Are Undefeatable is a campaign supporting those with long term health conditions to be more active. They have introduced 'Five in Five' - a mini-workout that is completely customisable. It's simple too. Just choose 5 activities from their library of exercises and do each for 1 minute. Download the booklet.
  • Move More Sheffield have shared an excellent booklet that can be printed out and sent to people to support them stay active and healthy at home. The booklet was co-produced by partners across Sheffield in recognition that there is little out there for people who do not use the internet. It is part of Sport England's Join the Movement campaign and gives ideas and credible advice on how to stay active and healthy during lockdown.  
  • The University of Manchester's Healthy Ageing Research Group has teamed up with the Greater Manchester Ageing Hub to  develop a wellbeing booklet with support and advice for older people self-isolating during COVID-19. Download and print a copy of the 'Keeping Well at Home' booklet.
  • Gateshead Older People's Assembly have launched 'Keeping Well at Home' TV - an exercise programme that is available to watch on television. Keeping Well at Home can be viewed on Tyne & Wear Local TV as part of the North East Live programme. Tyne & Wear Local TV is available on Freeview (channel 7), Sky (channel 117), and Virgin Media (channel 159). The programme airs Monday through Friday at the following times:
    • 6:07am, 7:07am, 8:07am, 13:07pm, 13:37pm, 18:07pm and 19:07pm (Freeview and Virgin Media)
    • 19:37 (Sky)
    • Viewers are encouraged to tune in on the hour or half hour in order to catch North East Live in full. Each episode is approximately four minutes. During that time, instructors explain and demonstrate exercises you can do throughout the day.
  • 10Today is a set of 10 minutes exercises that can be listened to on the radio (DAB only, not FM) or watched online. For all the different radio stations please visit their website.
  • Finally, depending on what your participants might be interested in you could also download and send any mindfulness/meditation practices for them to follow at home if they're feeling anxious or stressed. Sometimes a simple visualisation exercise can be really quite relaxing and soothing. Perhaps share one you've already used in your ESCAPE-pain classes.

 

We are grateful for anything you can do to support your participants. Also, let us know of other resources you’ve come across that we can share more widely.


For further information please email: hello@escape-pain.org‚Äč

Page last reviewed: 7 October 2021. Page last updated: 7 October 2021. Next review date: December 2021