Knee osteoarthritis Musculoskeletal Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Men and women > 50 years referred to specialist healthcare for knee OA management
Exclusion criteria
Exclusion criteria: 1. Received joint replacement or are under consideration for revision in the referred joint 2. Have undergone joint replacement surgery in the opposite knee 3. Have uncontrolled serious comorbidities 4. Have cognitive deficits 5. Are seeking care for recent knee trauma conditions (less than 6 months after trauma) or mainly psoriatic/rheumatoid arthritis 6. Unable to understand Norwegian 7. Do not possess a smartphone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Osteoarthritis and treatment options measured using the Knee OsteoArthritis Knowledge Scale (KOAKS), at baseline, 8 weeks and post consultation 2.The patient's uncertainty with treatment options will be measured using the Decisional Conflict Scale (DCS), post consultation | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures are assessed post consultation: 1. Concordance between preferences and treatment decision, measured with one question from the Decision Conflict Scale (DSC) 2. Decisional quality, measured with section 3 (decision process scale) in the Decision Quality Index for Knee Osteoarthritis (K-DQI) 3. Level of shared decision-making, measured with the CollaboRATE questionnaire 4. Satisfaction with treatment choice, measured on a numeric rating scale (0–10, with a higher score indicating more satisfaction) Other outcome measures: 5. Motivation for exercise, measured on a numeric rating scale from 0 to 10 with higher score indicating higher motivation, at baseline, 4 weeks (only intervention group), and 8 weeks 6. Motivation for surgery, measured on a numeric rating scale from 0 to 10 with higher score indicating higher motivation, at baseline, 4 weeks (only intervention group), and 8 weeks 7. Assessment of knee-related pain, measured with the Knee Injury and Osteoarthritis Outcome Score (pain section), at baseline, 4 weeks (only intervention group), 8 weeks, 1 and 2 years 8. Assessment of knee-related function, measured with the Knee Injury and Osteoarthritis Outcome Score (function section), at baseline, 4 weeks (only intervention group), 8 weeks, 1 and 2 years 9. Assessment of knee-related quality of life, measured with the Knee Injury and Osteoarthritis Outcome Score (quality of life section), at baseline, 4 weeks (only intervention group), 8 weeks, 1 and 2 years 10. Health-related quality of life, measured with EQ-5D-5L, and a Visual Analog Scale (VAS) from 0 to 100, with 100 indicating best health, at baseline, 1 and 2 years 11. Level of shared decision-making therapist, measured with 7 statements from the MAPPIN'SDM Therapist, post consultation 12. Preferred decision-making role, measured with the Control Preference Scale, post consultation 13. Illness perception, measured with the Brief Illness Perception Questionnaire (B-I | — |
Countries
Norway