Telehealth-delivered group-based education and exercise-therapy for knee osteoarthritis: A randomised clinical trial interrupted by the COVID-19 pandemic

Barton, Christian J; Pazzinatto, Marcella Ferraz; Perraton, Zuzana; Crossley, Kay M; Dundules, K.; Russell, T.; Silva, D. De Oliveira; O’Halloran, Paul; Kemp, Joanne L

doi:10.1016/j.jsams.2022.09.081

Cited by 3 publications

(6 citation statements)

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“…Only one study ( 40 ) with 50 participants reported patient-reported quality of life at short-term, and no difference was found. One study ( 37 ) reported 12-month follow-up of KOOS 4 and showed no between-group statistical difference.…”

Section: Resultsmentioning

confidence: 99%

“…Descriptive characteristics of the 11 included studies are detailed in Tables 1 , 2 . HBE was compared with CBE in 6 studies ( 37–42 ), and with HBE combined with CBE in 5 studies ( 25–27 , 43 , 44 ). Studies were published from 2004 to 2022, with two studies conducted in Turkey ( 26 , 39 ), two in Australia ( 37 , 38 ), two in United States ( 25 , 44 ), two in Nigeria ( 40 , 41 ), with the remainder in Iran ( 43 ), Thailand ( 42 ), and United Kingdom ( 27 ).…”

Section: Resultsmentioning

confidence: 99%

“…HBE was compared with CBE in 6 studies ( 37–42 ), and with HBE combined with CBE in 5 studies ( 25–27 , 43 , 44 ). Studies were published from 2004 to 2022, with two studies conducted in Turkey ( 26 , 39 ), two in Australia ( 37 , 38 ), two in United States ( 25 , 44 ), two in Nigeria ( 40 , 41 ), with the remainder in Iran ( 43 ), Thailand ( 42 ), and United Kingdom ( 27 ). HBE had periodic remote monitoring by telephone ( 38–41 , 43 , 44 ) or videoconference ( 37 ), whereas four trials with no monitoring ( 25–27 , 42 ).…”

Section: Resultsmentioning

confidence: 99%

“…Studies were published from 2004 to 2022, with two studies conducted in Turkey ( 26 , 39 ), two in Australia ( 37 , 38 ), two in United States ( 25 , 44 ), two in Nigeria ( 40 , 41 ), with the remainder in Iran ( 43 ), Thailand ( 42 ), and United Kingdom ( 27 ). HBE had periodic remote monitoring by telephone ( 38–41 , 43 , 44 ) or videoconference ( 37 ), whereas four trials with no monitoring ( 25–27 , 42 ). Support materials included exercise video ( 43 , 44 ), exercise instruction manual ( 25 , 40 , 41 , 43 ), exercise logbook ( 25 , 40–43 ), and automated reminders ( 44 ).…”

Section: Resultsmentioning

confidence: 99%

“…Due to insufficient information, most trials were scored unclear or high risk in the randomization process or/and deviations from the intended interventions. Two-fives of the trials ( 26 , 27 , 37 , 38 ) were unclear or at high risk of outcome measurement, mainly because of the lack of assessor blinding. Except for two trials ( 42 , 44 ), most of the other trials lacked a pre-registered protocol, which might result in selective reporting bias risk.…”

Section: Resultsmentioning

confidence: 99%

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Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Zhang,

Huang,

Tian

et al. 2024

Front. Public Health

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BackgroundHome-based exercise (HBE) represents an alternative to increase the accessibility of rehabilitation programs and relieve the burden on the health care system for people with knee osteoarthritis.ObjectivesTo summarize for the first time the effectiveness of HBE as compared to center-based exercise (CBE), both with and without HBE, on patient-reported and performance-based outcomes in people with KOA.MethodsSearches were conducted on PubMed, Cochrane, Embase, Web of Science, and Scopus until March 10, 2023, without date or language restrictions. Randomized controlled trials investigating HBE versus CBE or HBE combined with CBE for people with KOA were eligible. The primary outcomes were patient-reported: pain, physical disability, and quality of life. The secondary outcomes were performance-based: walking ability, lower limb muscle strength, and balance function. Risk of bias was assessed with the Cochrane Risk of Bias tool and quality of evidence according to the GRADE.ResultsEleven trials involving 956 participants were included. There was no difference in short-term pain (SMD, 0.22 [95% CI, −0.04 to 0.47], p = 0.09; I2 = 0%), physical disability (SMD, 0.17 [95% CI, −0.19 to 0.54], p = 0.35; I2 = 0%), walking ability (SMD, −0.21 [95% CI, −0.64 to 0.22], p = 0.33; I2 = 35%) and lower limb muscle strength (SMD, −0.24 [95% CI, −0.88 to 0.41], p = 0.47; I2 = 69%) between HBE and CBE. HBE combined with CBE has better benefits compared with HBE alone in short-term pain (SMD, 0.89 [95% CI, 0.60 to 1.17], p < 0.001; I2 = 11%) and physical disability (SMD, 0.25 [95% CI, 0.00 to 0.50], p = 0.05; I2 = 0%).ConclusionBased on limited evidence, HBE is as effective as CBE on short-term pain, physical disability, walking ability, and lower limb muscle strength in people with knee osteoarthritis. Furthermore, combining HBE with CBE may enhance the overall efficacy of the intervention.Systematic review registrationPROSPERO, CRD42023416548.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Zhang,

Huang,

Tian

et al. 2024

Front. Public Health

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Implementing good life with osteoArthritis from Denmark (GLA:D®) in australian public hospitals. Part 1: Feasibility

Collins,

Smith,

O'Leary

et al. 2024

Musculoskeletal Science and Practice

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Implementation of the Good Life with osteoArthritis in Denmark (GLA:D^®) program via telehealth in Australia: A mixed-methods program evaluation

et al. 2023

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Introduction We aimed to evaluate the implementation of the Good Life with osteoArthritis in Denmark (GLA:D®) program via telehealth in Australia using Reach, Effectiveness, Adoption, Implementation, and Maintenance Qualitative Evaluation for Systematic Translation framework. Methods Using a convergent mixed-methods design, semi-structured one-on-one interviews with physiotherapist adopters and nonadopters of GLA:D® via telehealth were analyzed thematically alongside the examination of registry data (1 March 2020–10 February 2022) from patients with hip or knee osteoarthritis completing GLA:D® via telehealth (telehealth-only) or combined with in-person care (hybrid). Effectiveness was determined as changes from baseline to 3-month follow-up (mean differences, 95% confidence intervals, effect size) for Knee injury and Osteoarthritis Outcome Score (KOOS-12)/Hip disability and Osteoarthritis Outcome Score-12 (HOOS-12), and chair stand test. Group- and individual-level changes were compared to published minimally clinically important change scores. Results Twenty-three interviews (12 adopters, 11 nonadopters) found key barriers/facilitators to reach and adoption, high perceived effectiveness, and strategies to support sustainability. Of 2612 registered patients, 85 (3%) and 115 (4%) completed GLA:D® via telehealth-only or hybrid model, respectively. Most effectiveness outcomes were associated with moderate-large improvements. Group-level changes exceeded minimally clinically important change values for KOOS/HOOS-quality of life and chair stand test. Nearly two out of three patients reached a minimally clinically important change for KOOS/HOOS-quality of life. With telehealth-only and hybrid delivery, 99% ( n = 82) and 85% ( n = 97) were satisfied/very satisfied. Physiotherapist adoption was limited ( n = 128, 6%). Discussion GLA:D® delivered via telehealth is effective, had high patient satisfaction, and was perceived positively by physiotherapist adopters. Addressing low reach and adoption requires further implementation strategies to facilitate greater telehealth opportunities for patients and physiotherapists.

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Telehealth-delivered group-based education and exercise-therapy for knee osteoarthritis: A randomised clinical trial interrupted by the COVID-19 pandemic

Cited by 3 publications

References 0 publications

Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Implementing good life with osteoArthritis from Denmark (GLA:D®) in australian public hospitals. Part 1: Feasibility

Implementation of the Good Life with osteoArthritis in Denmark (GLA:D^®) program via telehealth in Australia: A mixed-methods program evaluation

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Telehealth-delivered group-based education and exercise-therapy for knee osteoarthritis: A randomised clinical trial interrupted by the COVID-19 pandemic

Cited by 3 publications

References 0 publications

Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Implementing good life with osteoArthritis from Denmark (GLA:D®) in australian public hospitals. Part 1: Feasibility

Implementation of the Good Life with osteoArthritis in Denmark (GLA:D®) program via telehealth in Australia: A mixed-methods program evaluation

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Product

Resources

About

Implementation of the Good Life with osteoArthritis in Denmark (GLA:D^®) program via telehealth in Australia: A mixed-methods program evaluation