Stepped Exercise Program for Patients With Knee Osteoarthritis

Allen, Kelli D.; Woolson, Sandra; Hoenig, Helen; Bongiorni, Dennis; Byrd, James C.; Caves, Kevin; Hall, Katherine S.; Heiderscheit, Bryan C.; Hodges, Nancy Jo; Huffman, Kim M.; Morey, Miriam C.; Ramasunder, Shalini; Severson, Herbert H.; Houtven, Courtney Harold Van; Abbate, Lauren M.; Coffman, Cynthia J.

doi:10.7326/m20-4447

Cited by 50 publications

(42 citation statements)

References 38 publications

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“…The sample size of the studies ranged from 40 to 427. Four studies included a follow-up at 12-months [ 15 , 26 , 31 , 34 ], one at 9 months [ 28 ] and the remaining six studies had no follow-up [ 25 , 27 , 29 , 30 , 32 , 33 ]. The control groups varied amongst included studies.…”

Section: Resultsmentioning

confidence: 99%

“…The control groups varied amongst included studies. Four studies provided education to their control group [ 27 , 28 , 30 , 31 ], one provided a home-based exercise program [ 25 ], one provided usual physical therapy [ 34 ], two included a waitlist control group [ 15 , 26 ] and three studies did not provide anything to their control group [ 29 , 32 , 33 ]. In addition to a control group, two studies also included a physical therapy group, which included individualised home exercise programs.…”

Section: Resultsmentioning

confidence: 99%

“… Allen et al 2018 [ 26 ] USA Age: 65.3 ± 11.1 years BMI: 31.4 ± 8.0 Sex: 251/99 100% knee OA No significant differences in WOMAC scores between groups. Allen et al 2021 [ 27 ] USA Age: 60.0 ± 10.3 years BMI: 33.9 ± 7.4 Sex: 53/292 100% knee OA Greater improvement in the total WOMAC score in the intervention group compared to control group. Bennell et al 2017 [ 28 ] Australia Age: 60.8 ± 6.5 a years BMI: 32.0 ± 13.9 a Sex: 83/65 100% chronic knee pain suggestive of OA Significant improvement in pain and physical function in the intervention group compared to the control group.…”

Section: Resultsmentioning

confidence: 99%

“…The length of the interventions ranged from 6 weeks to 9 months. Four interventions were less than 10 weeks [ 15 , 25 , 29 , 33 ], three were between 10 and 20 weeks [ 26 , 28 , 34 ] and four were longer than 20 weeks [ 27 , 30 – 32 ]. Eight studies utilised a website to deliver their intervention [ 15 , 26 – 28 , 30 , 31 , 33 , 34 ] and the remaining three studies used a smartphone application [ 25 , 29 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

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Digital self-management interventions for osteoarthritis: a systematic scoping review of intervention characteristics, adherence and attrition

et al. 2022

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Background Osteoarthritis (OA) is a chronic, progressive condition that can be effectively managed via conservative treatments including exercise, weight management and education. Offering these treatments contemporaneously and digitally may increase adherence and engagement due to the flexibility and cost-effectiveness of digital program delivery. The objective of this review was to summarise the characteristics of current digital self-management interventions for individuals with OA and synthesise adherence and attrition outcomes. Methods Electronic databases were searched for randomised controlled trials utilising digital self-management interventions in individuals with OA. Two reviewers independently screened the search results and extracted data relating to study characteristics, intervention characteristics, and adherence and dropout rates. Results Eleven studies were included in this review. Intervention length ranged from 6 weeks to 9 months. All interventions were designed for individuals with OA and mostwere multi-component and were constructed around physical activity. The reporting of intervention adherence varied greatly between studies and limited the ability to form conclusions regarding the impact of intervention characteristics. However, of the seven studies that quantified adherence, six reported adherence > 70%. Seven of the included studies reported attrition rates < 20%, with contact and support from researchers not appearing to influence adherence or attrition. Conclusions Holistic digital interventions designed for a targeted condition are a promising approach for promoting high adherence and reducing attrition. Future studies should explore how adherence of digital interventions compares to face-to-face interventions and determine potential influencers of adherence.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Digital self-management interventions for osteoarthritis: a systematic scoping review of intervention characteristics, adherence and attrition

et al. 2022

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“…Video display, automated reminders and progression tracking were part of the IBET program [ 47 ]. Three programs were delivered telephonically [ 48 , 49 , 50 ].…”

Section: Resultsmentioning

confidence: 99%

Complex Lifestyle and Psychological Intervention in Knee Osteoarthritis: Scoping Review of Randomized Controlled Trials

Tan

Thach

Munro

et al. 2021

IJERPH

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Knee osteoarthritis (OA) causes pain, disability and poor quality of life in the elderly. The primary aim was to identify and map out the current evidence for randomised controlled trials (RCTs) on complex lifestyle and psychosocial interventions for knee OA. The secondary aim was to outline different components of complex lifestyle and psychosocial interventions. Our scoping review searched five databases from 2000 to 2021 where complex lifestyle or psychosocial interventions for patients with knee OA were compared to other interventions. Screening and data extraction were performed by two review authors independently and discrepancies resolved through consensus and in parallel with a third reviewer. A total of 38 articles were selected: 9 studied the effectiveness of psychological interventions; 11 were on self-management and lifestyle interventions; 18 looked at multifaceted interventions. This review highlights the substantial variation in knee OA interventions and the overall lack of quality in the current literature. Potential areas of future research, including identifying prognostic social factors, stratified care models, transdisciplinary care delivery and technology augmented interventions, have been identified. Further high-quality RCTs utilizing process evaluations and economic evaluation in accordance with the MRC guidelines are critical for the development of evidence-based knee OA programs globally.

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Recruitment and Retention Strategies for Underrepresented Populations and Adults With Arthritis in Behavioral Interventions: A Scoping Review

Pellegrini

Wilcox

DeVivo

et al. 2023

Arthritis Care & Research

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ObjectiveTo identify strategies used to recruit and retain underrepresented populations and populations with arthritis or fibromyalgia (FM) into behavioral programs targeting exercise, physical activity, or chronic disease self management.MethodsFive bibliographic databases were searched for articles published between January 2000 and May 2022. The search focused on strategies and best practices for recruiting and retaining underrepresented populations or populations with arthritis or FM into disease self‐management or physical activity/exercise programs. Abstracts and full‐text articles were screened for inclusion by 2 independent reviewers, and 2 reviewers extracted data from included articles.ResultsOf the 2,800 articles, a total of 43 publications (31 interventions, 8 reviews, 4 qualitative/descriptive studies) met criteria and were included. The majority of studies focused on physical activity/exercise (n = 36) and targeted African American (n = 17), Hispanic (n = 9), or arthritis populations (n = 7). Recruitment strategies that were frequently used included having race‐ or community‐matched team members, flyers and information sessions in areas frequented by the population, targeted emails/mailings, and word of mouth referrals. Retention strategies used included having race‐ or community‐matched team members, incentives, being flexible, and facilitating attendance. Most studies used multiple recruitment and retention strategies.ConclusionThis scoping review highlights the importance of a multifaceted recruitment and retention plan for underrepresented populations and populations with arthritis or FM in behavioral intervention programs targeting exercise, physical activity, or chronic disease self management. Additional research is needed to better understand the individual effects of different strategies and the costs associated with the various recruitment/retention methods in underrepresented populations and populations with arthritis.

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Stepped Exercise Program for Patients With Knee Osteoarthritis

Cited by 50 publications

References 38 publications

Digital self-management interventions for osteoarthritis: a systematic scoping review of intervention characteristics, adherence and attrition

Digital self-management interventions for osteoarthritis: a systematic scoping review of intervention characteristics, adherence and attrition

Complex Lifestyle and Psychological Intervention in Knee Osteoarthritis: Scoping Review of Randomized Controlled Trials

Recruitment and Retention Strategies for Underrepresented Populations and Adults With Arthritis in Behavioral Interventions: A Scoping Review

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