Better Knee, Better Me™: effectiveness of two scalable health care interventions supporting self-management for knee osteoarthritis - protocol for a randomized controlled trial.
Arthralgia
/ diagnosis
Australia
Body Weight Maintenance
Combined Modality Therapy
Humans
Knee Joint
/ physiopathology
Osteoarthritis, Knee
/ complications
Pain Measurement
Patient Education as Topic
/ methods
Pragmatic Clinical Trials as Topic
Quality of Life
Resistance Training
/ methods
Self Report
Self-Management
/ methods
Telerehabilitation
/ methods
Treatment Outcome
Dietitian
Exercise
Ketogenic diet
Knee
Obesity
Osteoarthritis
Pain
Physiotherapy
RCT
Telerehabilitation
Weight management
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
12 Mar 2020
12 Mar 2020
Historique:
received:
27
06
2019
accepted:
26
02
2020
entrez:
14
3
2020
pubmed:
14
3
2020
medline:
29
12
2020
Statut:
epublish
Résumé
Although education, exercise, and weight loss are recommended for management of knee osteoarthritis, the additional benefits of incorporating weight loss strategies into exercise interventions have not been well investigated. The aim of this study is to compare, in a private health insurance setting, the clinical- and cost-effectiveness of a remotely-delivered, evidence- and theory-informed, behaviour change intervention targeting exercise and self-management (Exercise intervention), with the same intervention plus active weight management (Exercise plus weight management intervention), and with an information-only control group for people with knee osteoarthritis who are overweight or obese. Three-arm, pragmatic parallel-design randomised controlled trial involving 415 people aged ≥45 and ≤ 80 years, with body mass index ≥28 kg/m This pragmatic study will determine whether a scalable remotely-delivered service combining weight management with exercise is more effective than a service with exercise alone, and with both compared to an information-only control group. Findings will inform development and implementation of future remotely-delivered services for people with knee osteoarthritis. Australian New Zealand Clinical Trials Registry: ACTRN12618000930280 (01/06/2018).
Sections du résumé
BACKGROUND
BACKGROUND
Although education, exercise, and weight loss are recommended for management of knee osteoarthritis, the additional benefits of incorporating weight loss strategies into exercise interventions have not been well investigated. The aim of this study is to compare, in a private health insurance setting, the clinical- and cost-effectiveness of a remotely-delivered, evidence- and theory-informed, behaviour change intervention targeting exercise and self-management (Exercise intervention), with the same intervention plus active weight management (Exercise plus weight management intervention), and with an information-only control group for people with knee osteoarthritis who are overweight or obese.
METHODS
METHODS
Three-arm, pragmatic parallel-design randomised controlled trial involving 415 people aged ≥45 and ≤ 80 years, with body mass index ≥28 kg/m
DISCUSSION
CONCLUSIONS
This pragmatic study will determine whether a scalable remotely-delivered service combining weight management with exercise is more effective than a service with exercise alone, and with both compared to an information-only control group. Findings will inform development and implementation of future remotely-delivered services for people with knee osteoarthritis.
TRIAL REGISTRATION
BACKGROUND
Australian New Zealand Clinical Trials Registry: ACTRN12618000930280 (01/06/2018).
Identifiants
pubmed: 32164604
doi: 10.1186/s12891-020-3166-z
pii: 10.1186/s12891-020-3166-z
pmc: PMC7068989
doi:
Types de publication
Clinical Trial Protocol
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
160Subventions
Organisme : National Health and Medical Research Council
ID : APP1079078
Références
Pain. 2001 Nov;94(2):149-58
pubmed: 11690728
Eur J Clin Nutr. 2013 Jul;67(7):759-64
pubmed: 23632752
Psychol Health. 2011 Nov;26(11):1479-98
pubmed: 21678185
Arthritis Care Res (Hoboken). 2015 Mar;67(3):366-73
pubmed: 25155652
Osteoarthritis Cartilage. 2015 Sep;23(9):1445-56
pubmed: 26003947
Arthritis Care Res (Hoboken). 2019 Jul;71(7):855-864
pubmed: 30055077
BMC Musculoskelet Disord. 2012 Dec 20;13:254
pubmed: 23253742
Ann Intern Med. 2017 Apr 4;166(7):453-462
pubmed: 28241215
Osteoarthritis Cartilage. 2015 May;23(5):803-14
pubmed: 25952351
Osteoarthritis Cartilage. 2017 Jul;25(7):1010-1025
pubmed: 28232144
Eur J Pain. 2010 Apr;14(4):402-9
pubmed: 19665403
J Am Diet Assoc. 2009 Dec;109(12):2010-6
pubmed: 19942018
Arthritis Care Res (Hoboken). 2018 Nov;70(11):1569-1575
pubmed: 29911741
Healthc Policy. 2018 Nov;14(2):47-58
pubmed: 30710441
Am J Phys Med Rehabil. 2016 May;95(5):372-89
pubmed: 26945211
Psychol Bull. 1992 May;111(3):455-74
pubmed: 1594721
Musculoskeletal Care. 2019 Sep;17(3):170-197
pubmed: 31373435
BMJ Open. 2017 Jun 8;7(6):e014537
pubmed: 28600365
Arthritis Care Res (Hoboken). 2017 Dec;69(12):1834-1844
pubmed: 28217864
J Bone Joint Surg Br. 2007 Jul;89(7):893-900
pubmed: 17673581
Osteoarthritis Cartilage. 2015 Jul;23(7):1071-82
pubmed: 25865391
Clin Rehabil. 2017 May;31(5):625-638
pubmed: 27141087
J Racial Ethn Health Disparities. 2015 Sep;2(3):414-20
pubmed: 26462289
Stat Med. 2011 Nov 30;30(27):3192-207
pubmed: 21948462
J Rheumatol. 1988 Dec;15(12):1833-40
pubmed: 3068365
Arthritis Care Res (Hoboken). 2016 May;68(5):590-602
pubmed: 26417720
Ann Intern Med. 2015 Jan 6;162(1):46-54
pubmed: 25560713
Pain. 2006 Mar;121(1-2):151-7
pubmed: 16472915
Phys Ther. 2011 Jun;91(6):843-61
pubmed: 21493746
Milbank Q. 1996;74(4):511-44
pubmed: 8941260
Clin Rehabil. 2014 Dec;28(12):1159-71
pubmed: 24942478
BMC Musculoskelet Disord. 2017 Sep 19;18(1):402
pubmed: 28927387
Arthritis Rheumatol. 2014 Apr;66(4):950-9
pubmed: 24757146
Health Psychol. 1996 Mar;15(2):114-23
pubmed: 8681919
Lancet Diabetes Endocrinol. 2014 Dec;2(12):954-62
pubmed: 25459211
Pain. 2018 Sep;159(9):1833-1842
pubmed: 29794609
Osteoarthritis Cartilage. 2011 Nov;19(11):1270-85
pubmed: 21907813
J Med Internet Res. 2018 May 09;20(5):e10021
pubmed: 29743149
Obes Rev. 2005 Feb;6(1):43-65
pubmed: 15655038
J Consult Clin Psychol. 1991 Oct;59(5):739-44
pubmed: 1955608
J Chronic Dis. 1982;35(7):521-9
pubmed: 7085844
Ann Rheum Dis. 2013 Jul;72(7):1125-35
pubmed: 23595142
Ann Rheum Dis. 2008 Dec;67(12):1716-23
pubmed: 18541604
Arthritis Rheum. 1989 Jan;32(1):37-44
pubmed: 2912463
Patient. 2014;7(1):85-96
pubmed: 24271592
Med Sci Sports Exerc. 2010 Jan;42(1):8-15
pubmed: 20010135
Arch Intern Med. 2006 Feb 13;166(3):285-93
pubmed: 16476868
Osteoarthritis Cartilage. 2013 Nov;21(11):1648-59
pubmed: 23948979
Osteoarthritis Cartilage. 2019 May;27(5):788-804
pubmed: 30668988
Phys Ther. 2014 Jan;94(1):31-9
pubmed: 23929827
J Occup Environ Med. 2003 Feb;45(2):156-74
pubmed: 12625231
Osteoarthritis Cartilage. 2015 May;23(5):787-97
pubmed: 25952349
Prev Sci. 2008 Dec;9(4):288-98
pubmed: 18843535
Arthritis Care Res (Hoboken). 2014 Sep;66(9):1328-36
pubmed: 24923633
Med J Aust. 2012 Jul 16;197(2):100-5
pubmed: 22794056
Health Serv Res. 2005 Dec;40(6 Pt 1):1918-30
pubmed: 16336556
J Phys Act Health. 2015 Jan;12(1):93-101
pubmed: 24510000
Aust J Prim Health. 2014;20(3):305-10
pubmed: 23863752
Ann Intern Med. 2013 Feb 5;158(3):200-7
pubmed: 23295957
Arthritis Rheum. 2001 Oct;45(5):453-61
pubmed: 11642645
Obes Rev. 2014 Jul;15(7):578-86
pubmed: 24751192
Am J Clin Nutr. 2016 Dec;104(6):1693-1702
pubmed: 27935523
Orthop Clin North Am. 2017 Apr;48(2):117-125
pubmed: 28336036
Cochrane Database Syst Rev. 2015 Jan 09;1:CD004376
pubmed: 25569281
JAMA. 2013 Sep 25;310(12):1263-73
pubmed: 24065013
Obes Rev. 2005 Feb;6(1):67-85
pubmed: 15655039
Stat Med. 2008 Jul 10;27(15):2850-64
pubmed: 17960589
Arthritis Care Res (Hoboken). 2012 Jun;64(6):862-71
pubmed: 22290689
Arthritis Care Res (Hoboken). 2010 Aug;62(8):1190-3
pubmed: 20704005
Br J Sports Med. 2010 Nov;44(14):1029-34
pubmed: 19474003
Acta Reumatol Port. 2016 Jul-Sep;41(3):226-231
pubmed: 27682419
Dan Med J. 2014 Jul;61(7):A4867
pubmed: 25123117