Effects of a Structured Digital Osteoarthritis Self-management Program After 6 Months of Adherence

NCT04049318 | Completed

• 1 other identifier: X
• Study Type: observational
• Target: 1,709
• Locations: 1 country
• Sites: 1

Brief Summary

This is a study based on a cohort in a register of patients enrolled in a digital osteoarthritis self-management program, Joint Academy. The purpose of this study is to examine joint pain and the potential change of this pain, in patients with long-term adherence to a digital self-management program for individuals with knee- and hip osteoarthritis. The hypothesis, based on preliminary findings is that pain levels of those adhering to the program, decreases over time. To test the hypothesis, participants weekly pain report will be investigated whilst adhering to the digital program for 6- to 12 months, and statistically tests will be performed to find out whether significant differences can be seen over time.

Conditions

Osteoarthritis, Knee; Osteoarthritis, Hip

Keywords

Exercise; Education; Digital treatment

Outcome Measures

Primary Outcomes (2)

• Change in NRS pain

  0 no pain, 10 max pain

  0-24 and 0-48 weeks

• Change in 30 second chair stand test (30CST)

  sit to stand repetitions in 30 seconds

  0-24 and 0-48 weeks

Study Arms (2)

24 weeks

Subjects who participated in the intervention who have data available at week 24

Other: Education+ exercise (delivered digitally)

48 weeks

Subjects who participated in the intervention who have data available at week 48

Other: Education+ exercise (delivered digitally)

Interventions

Education+ exercise (delivered digitally) OTHER

The intervention consisted of a digital, structured and individualized treatment program for people with hip or knee OA (Joint Academy®; www.jointacademy.com). The program consists of neuromuscular exercises appropriately adjusted to each patient in regard to degrees of complexity and difficulty, continuous access to and dialogue with a physiotherapist through a chat function, and/or telephone , and information in the form of text or video lessons (with quizzes on the material after each episode) on subjects related to OA, OA symptoms and its management.

24 weeks; 48 weeks

Eligibility Criteria

• Sex: all
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

At the time of the study start (13th of March, 2019), the Joint Academy patient database contained data from 1709 Swedish participants who had reported one of their knees or hips as their most symptomatic joint

You may qualify if:

• radiographic or clinical diagnosis of hip or knee OA (about 95%) from a physical therapist or physician
• had been treated in the digital non-surgical treatment program the first 3 weeks with a adherence of at least 70%
• had been included in the program at least 24 weeks prior to the data extraction

Sponsors & Collaborators

• Lund University: lead

Study Sites (1)

Arthro therapeutics

Malmo, Sweden

Location

Related Publications (5)

• Thorstensson CA, Garellick G, Rystedt H, Dahlberg LE. Better Management of Patients with Osteoarthritis: Development and Nationwide Implementation of an Evidence-Based Supported Osteoarthritis Self-Management Programme. Musculoskeletal Care. 2015 Jun;13(2):67-75. doi: 10.1002/msc.1085. Epub 2014 Oct 24.

  PMID: 25345913 BACKGROUND

• Cronstrom A, Dahlberg LE, Nero H, Ericson J, Hammarlund CS. 'I would never have done it if it hadn't been digital': a qualitative study on patients' experiences of a digital management programme for hip and knee osteoarthritis in Sweden. BMJ Open. 2019 May 24;9(5):e028388. doi: 10.1136/bmjopen-2018-028388.

  PMID: 31129601 BACKGROUND

• Nero H, Ranstam J, Kiadaliri AA, Dahlberg LE. Evaluation of a digital platform for osteoarthritis treatment: study protocol for a randomised clinical study. BMJ Open. 2018 Nov 8;8(11):e022925. doi: 10.1136/bmjopen-2018-022925.

  PMID: 30413507 BACKGROUND

• Nero H, Dahlberg J, Dahlberg LE. A 6-Week Web-Based Osteoarthritis Treatment Program: Observational Quasi-Experimental Study. J Med Internet Res. 2017 Dec 18;19(12):e422. doi: 10.2196/jmir.9255.

  PMID: 29254906 BACKGROUND

• Cronstrom A, Nero H, Dahlberg LE. Factors Associated With Patients' Willingness to Consider Joint Surgery After Completion of a Digital Osteoarthritis Treatment Program: A Prospective Cohort Study. Arthritis Care Res (Hoboken). 2019 Sep;71(9):1194-1201. doi: 10.1002/acr.23772. Epub 2019 Jul 17.

  PMID: 30298990 BACKGROUND

MeSH Terms

Conditions

Osteoarthritis, Knee; Osteoarthritis, Hip; Motor Activity

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Behavior

Study Officials

• Håkan Nero, PhD

  Lund University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 5, 2019
• First Posted: August 8, 2019
• Study Start: March 14, 2019
• Primary Completion: March 14, 2019
• Study Completion: March 14, 2019
• Last Updated: August 8, 2019

Record last verified: 2019-08

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)