Knee and hip osteoarthritis Musculoskeletal Diseases
Conditions
Interventions
Intervention Name: TIPTOE personalised living well support intervention
Intervention Details: The trial intervention is a self-management-based approach described as TIPTOE living well support. It wi
Sponsors
Cardiff University
Eligibility
Sex/Gender
All
Age
65 Years to 100 Years
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 10/10/2024: 1. Aged 65 years or older 2. Living in the community independently, or with carer support, or in assisted living 3. With self-reported knee and/or hip joint pain in the osteoarthritis affected joint, with an average pain severity in the past week of 4 or greater on a 0-10 numerical rating scale 4. Osteoarthritis and at least one other co-morbidity identified using the self-administered co-morbidity questionnaire or 5. Osteoarthritis and mild to moderate clinical frailty on the CHSA Clinical Frailty Scale (for clinician referral routes only) Previous inclusion criteria: 1. Aged 70 years or older 2. Living in the community independently, or with carer support, or in assisted living 3. With self-reported knee and/or hip joint pain in the osteoarthritis-affected joint, with an average pain severity in the past week of 4 or greater on a 0-10 numerical rating scale 4. Osteoarthritis and at least one other co-morbidity identified using the self-administered co-morbidity questionnaire or 5. Osteoarthritis and mild to moderate clinical frailty on the CHSA Clinical Frailty Scale (for clinician referral routes only)
Exclusion criteria
Exclusion criteria: 1. Joint pain attributed to a palliative condition or fracture 2. Knee and/or hip surgery or joint replacement in the last 12 months 3. Living in a care home (residential or nursing care)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Musculoskeletal Health Questionnaire (MSK-HQ) measured at baseline, 6- and 12-month follow up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Chronic disease self-efficacy as measured on the Self-Efficacy Scale for managing Chronic Diseases (SESMCD) at baseline, 6- and 12-months follow up. 2. Directly measured step count, using an ActivPAL physical activity monitor. Physical activity monitoring will be completed at baseline, and at 12-months follow-up. 3. Aspects of health related QoL as measured on the EQ-5D-5L questionnaire at baseline, 6- and 12-month follow up. 4. Self-Assessment of frailty as measured on the Pictorial Fit-Frail Scale (PFFS) at baseline, 6- and 12-month follow up. 5. Number of falls recorded using a Falls History Questionnaire at baseline and at 6- and 12-months follow-up. 6. Healthcare resource use, obtained through consented linkage to NHS Digital and SAIL. Datasets will include primary care (where available), hospital admissions, surgery, outpatient, and emergency care. A CSRI will also be used to capture additional healthcare resource use, which cannot be obtained through NHS Digital or SAIL in the detail required (e.g., primary care data, social care data, prescription data). Completed at baseline, 6- and 12-month follow up. 7. Health literacy as measured on the Health Literacy Questionnaire (HLQ). The HLQ evaluates the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in a way that promotes and maintains good health. We will be employing a sub-set of domains from the HLQ which cover basic/functional health literacy and communicative/interactive health literacy. The HLQ will only be completed at baseline only. | — |
Countries
England, United Kingdom, Wales
Outcome results
None listed