None listed
Conditions
Brief summary
Hip osteoarthritis (OA) is a prevalent public health problem with significant personal, social and economic costs. All clinical guidelines recommend education and physical activity, including structured exercise, in the management of hip OA, but undertaking regular exercise can be difficult for people with OA. Many people with hip OA are not receiving adequate advice or support required to incorporate regular exercise and physical activity into their daily routines. We are conducting a clinical trial to evaluate whether a digital exercise program ("My Hip Exercise"), in addition to an exercise adherence support mobile app, may be a scalable solution to overcoming barriers of exercise uptake in people with OA, compared with web-based education alone. The primary outcomes under investigation are hip pain while walking, and physical function. Participants will be randomly allocated to two treatment groups; i) Website comprising internet-delivered education, physical activity guidance and lower-limb strengthening exercise, combined with a mobile app to self-monitor and support exercise participation ii) Duplicated version of the website with internet-delivered education only Primary and secondary outcomes will be collected by web-based survey at baseline and 24-weeks after randomisation.
Interventions
In this two-arm, parallel-design, superiority, pragmatic randomised controlled trial, participants randomised to the intervention group will receive access to a bespoke website, a 24-week exercise program, and an exercise adherence support mobile app. After randomisation, participants will be provided with details of how to access the website (the URL and their unique username and password).
The website has been constructed by the authors in conjunction with physiotherapy clinicians and consum
In this two-arm, parallel-design, superiority, pragmatic randomised controlled trial, participants randomised to the intervention group will receive access to a bespoke website, a 24-week exercise program, and an exercise adherence support mobile app. After randomisation, participants will be provided with details of how to access the website (the URL and their unique username and password). The website has been constructed by the authors in conjunction with physiotherapy clinicians and consumers with hip osteoarthritis and developed in accordance with recommendations outlined by The Health on the Net Foundation’s Code of Conduct. It contains: i) educational information about living with hip osteoarthritis, hip osteoarthritis treatment options, exercise as a treatment for hip osteoarthritis, and exercise recommendations, including links to scholarly references, ii) a 24-week, self-directed, home-based exercise program predominately targeting lower limb muscle groups, including a downloadable/printable PDF of the exercise programs, and program logbook, iii) information and guidance to assist participants to increase their general physical activity over the 24-week intervention period, iv) a synthesis of resources from other sections within the website. The strength exercise section consists of three, eight-week home exercise programs (Program 1, 2, and 3) with 5-6 lower limb strength exercises in each (ie. squats, bridges, step ups, standing hip abduction, etc). Participants are asked to complete 3x10 repetitions of each exercise and complete each program three times a week for eight weeks, for a total of 24 weeks. Each session should take approximately 30 minutes to complete (90 minutes per week). Programs 2 and 3 offer progressions of Program 1 exercises (adding ankle weights, resistance bands, single leg variations, etc). Each program includes a BORG scale, and participants are asked to work at a rate of perceived exertion of 5-6/10. Both the intervention and control groups will be informed of the general physical activity guidelines (150-300 minutes of moderate intensity aerobic physical activity per week) in the education section of the website. Videos are embedded throughout the website sections with educational content and information from those with lived experience of hip osteoarthritis. The website also contains instructions for downloading the exercise adherence support app. Participants will be asked to log the number of completed exercise sessions in the app. Each week (or fortnight as they progress through the program), they will receive a notification prompting them to record their sessions and any obstacles they encountered. Users will then receive tailored messages to support their exercise adherence. Users also receive extra push notifications throughout the week to remind and support them to achieve their exercise target of three times per week. Primary and secondary outcomes will be collected by web-based survey at baseline and 24 weeks post randomisation.
Sponsors
The University of Melbourne
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
45 Years to No maximum
Healthy volunteers
No
Inclusion criteria
i) Meet the National Institute for Health and Care Excellence (NICE) osteoarthritis clinical criteria (age 45 years and over, activity-related hip joint pain, hip joint morning stiffness less than or equal to 30 minutes or no hip joint morning stiffness); ii) Report hip pain for at least 3 months; iii) Report hip pain on most days in the past month; iv) Report average hip pain during walking in past week as at least 4 out of 10 on an 11-point numeric rating scale (NRS); v) Have a home Internet connection, a computer/tablet device that enables access to the Internet and a suitable phone to download an app; and vi) Able to give informed consent and to participate fully in the interventions and assessment procedures.
Exclusion criteria
i) Have undergone a hip joint replacement in the most painful hip; ii) Planning to undergo a hip joint replacement in the next 6 months; iii) Have participated in regular leg strengthening exercise over the past 6 weeks (one or more times per week for each week); iv) Self-reported diagnosis of rheumatoid arthritis or other inflammatory arthritis; v) Have had a fall within the last 12 months and do not receive clearance from a general practitioner to participate in an unsupervised home exercise program; vi) Are housebound requiring assistance from another person to leave the house in the previous month and do not receive medical clearance from a general practitioner to participate in an unsupervised home exercise program; vii) Have a health condition(s) listed on the Exercise and Sports Science Australia stage 1 pre-exercise screening questionnaire that might compromise exercise safety, and do not receive medical clearance from a general practitioner to participate in an unsupervised home exercise program; and/or viii) Unable to speak or read English.
Outcome results
None listed