Comparative Effect of Two Educational Videos for People With Knee Osteoarthritis (vidEO)

NCT05156216 | Completed

• 2 other identifiers: CT21063U1111-1269-6143
• Study Type: interventional
• Target: 589
• Locations: 1 country
• Sites: 1

Brief Summary

Education is an important part of knee osteoarthritis management. The aim of education is to help people with knee osteoarthritis make the best choices for them in terms of their treatment and lifestyle behaviours. Traditional education that describes the condition simplistically in terms of the joint damage and describes the cause of osteoarthritis solely with respect to loading through the joint can lead to activity avoidance and pessimism about the future progression of symptoms. An alternative is to provide the information about knee osteoarthritis management with the aim of giving hope for the future and building motivation and confidence to be physically active. This study will compare two educational videos that cover the same topics but with a contrasting 'discourse'. The experimental video has an 'empowerment and participatory' discourse, while the comparator or control video has a typical 'disease and impairment' discourse. The experimental video minimises mention of joint damage and instead corrects misconceptions about knee osteoarthritis, addresses common barriers to physical activity and incorporates behaviour change techniques such as social learning and modelling of desired behaviours. In this randomised controlled trial, people who report a history of knee problems consistent with knee osteoarthritis will complete questionnaires to determine their self-efficacy for managing knee osteoarthritis pain and their fear of movement. The participants will also be asked about their expectations for the future, their level of motivation to be physically active, and their knowledge about knee osteoarthritis. Participants will then be allocated one of the videos and asked to watch it before repeating the questionnaires.

Conditions

Knee Osteoarthritis; Patient Empowerment

Keywords

knee osteoarthritis; patient education; health information; empowerment discourse; video; randomised controlled trial

Outcome Measures

Primary Outcomes (2)

• Self-efficacy for managing pain from osteoarthritis

  Self-efficacy is considered fundamental for effective chronic disease self-management and greater self-efficacy is related to higher physical activity levels in people with OA. Self-efficacy will be measured with the Arthritis Self-Efficacy Scale (ASES) (pain subscale). Range 0-10, higher scores mean better self-efficacy.

  Immediately post intervention

• Kinesiophobia

  Kinesiophobia is the fear that movement will exacerbate pain. According to the fear-avoidance model, fear is worsened by heightened negative emotion and hypervigilance to symptoms. Kinesiophobia will be measured with the Brief Fear of Movement Scale for Osteoarthritis (BFMS). Range 6-24, lower scores mean better outcome.

  Immediately post intervention

Secondary Outcomes (6)

• Expectations about their knee OA prognosis and benefit from physical activity

  Immediately post intervention

• Importance of physical activity

  Immediately post intervention

• Knee OA knowledge

  Immediately post intervention

• Perceived change in feelings about having knee OA

  Immediately post intervention

• Perceived personal likelihood of ever needing knee surgery

  Immediately post intervention

Other Outcomes (3)

• Novelty check

  Immediately post intervention

• Fidelity check

  Immediately post intervention

• Satisfaction with the video education

  Immediately post intervention

Study Arms (2)

Experimental video

EXPERIMENTAL

Knee OA educational video based on an empowerment discourse delivered online and embedded within the survey.

Other: Patient education

Control video

ACTIVE COMPARATOR

Knee OA educational video based on a disease and impairment discourse delivered online and embedded within the survey.

Other: Patient education

Interventions

Patient education OTHER

Knowledge and beliefs about the condition and its management influences patient behavioural intentions, including treatment choices. Thus, patient education may play an important role in facilitating desirable behaviours with the aim of education being to develop accurate beliefs about treatment options and empower people to choose wisely for their current needs and circumstances.

Also known as: Health information

Control video; Experimental video

Eligibility Criteria

• Age: 45 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• live in Australia;
• are aged 45 years or over;
• have experienced activity-related knee pain during the past 3 months or have been told by a health professional that they have knee OA, ; and
• are able to easily understand verbal and written English language.

You may not qualify if:

• have had a hip or knee joint replacement;
• are scheduled/referred to see an orthopaedic surgeon or are already on a waiting list for hip or knee joint replacement;
• have any type of systemic arthritis (e.g. rheumatoid arthritis, gout), or have morning stiffness that lasts longer than 30 minutes;
• have a health condition that makes them unable to walk (since it will be difficult for people who cannot walk to follow the recommendations made in either video);
• have seen a health professional for their knee pain during the previous six months

Sponsors & Collaborators

• University of Melbourne: lead

Study Sites (1)

The University of Melbourne

Melbourne, Victoria, 3010, Australia

Location

Related Publications (1)

• Egerton T, Bennell KL, McManus F, Lamb KE, Hinman RS. Comparative effect of two educational videos on self-efficacy and kinesiophobia in people with knee osteoarthritis: an online randomised controlled trial. Osteoarthritis Cartilage. 2022 Oct;30(10):1398-1410. doi: 10.1016/j.joca.2022.05.010. Epub 2022 Jun 22.

  PMID: 35750241 DERIVED

MeSH Terms

Conditions

Osteoarthritis, Knee; Patient Participation

Interventions

Patient Education as Topic

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Health Education; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Thorlene Egerton, PhD

  University of Melbourne

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Limited disclosure will be used to blind participants and thereby reduce bias in responses since participants are also the assessors as all outcome measurements are self-reported. Participants will simply be informed that the trial aim is to assess knee OA educational videos. The investigators will not disclose details about how the educational content/presentation of the two videos differ, nor the hypotheses of the study. The biostatistician who performs the data analysis will be blinded.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants will be randomised to one of two groups (1:1) using the randomiser function in Qualtrics (set to 'evenly present elements').

Study Record Dates

• First Submitted: November 10, 2021
• First Posted: December 14, 2021
• Study Start: November 1, 2021
• Primary Completion: November 24, 2021
• Study Completion: February 15, 2022
• Last Updated: May 18, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

AU (1)