TY - JOUR TI - Empowering knowledge and its connection to health-related quality of life: A cross-cultural study. A concise and informative title: Empowering knowledge and its connection to health-related quality of life. AU - Koekenbier, K. AU - Leino-Kilpi, H. AU - Cabrera, E. AU - Istomina, N. AU - Stark, T.J. AU - Katajisto, J. AU - Lemonidou, C. AU - Papastavrou, E. AU - Salanterä, S. AU - Sigurdardottir, A. AU - Valkeapää, K. AU - Eloranta, S. JO - Applied Nursing Research PY - 2016 VL - 29 TODO - null SP - 211-216 PB - W.B. Saunders SN - 0897-1897, 1532-8201 TODO - 10.1016/j.apnr.2015.05.004 TODO - clinical study; Finland; follow up; Greece; human; Iceland; patient education; quality of life; Spain; surgery; Sweden; cultural factor; osteoarthritis; patient participation, Cross-Cultural Comparison; Finland; Greece; Iceland; Osteoarthritis; Patient Participation; Quality of Life; Spain; Sweden TODO - Aims: Assess the association between patient education (i.e. empowering knowledge) and preoperative health-related quality of life, 6 months postoperative health-related quality of life, and the increase in health-related quality of life in osteoarthritis patients who underwent total hip or total knee arthroplasty. Method: This is a cross-cultural comparative follow-up study using structured instruments to measure the difference between expected and received patient education and self-reported health-related quality of life (EQ-5D) in Finland, Greece, Iceland, Spain and Sweden. Results: The health-related quality of life was significantly increased 6 months postoperatively in all countries due to the arthroplasties. In the total sample, higher levels of empowering knowledge were associated with a higher health-related quality of life, both pre- and postoperatively, but not with a higher increase in health-related quality of life. On the national level, postoperative health-related quality of life was associated with higher levels of empowering knowledge in Finland, Iceland and Sweden. The increase in health-related quality of life was associated with levels of empowering knowledge for Greece. Conclusions: Overall, it can be concluded that the level of empowering knowledge was associated with high postoperative health-related quality of life in the total sample, even though there is some variation in the results per country. © 2015 Elsevier Inc. ER -