Knee Osteoarthritis
Conditions
Keywords
knee osteoarthritis, digital support tool, app, evidence-based treatment, information, self-management
Brief summary
The primary aim of the trial is to assess if an information- and self-management app provided in the period between referral and consultation in specialist healthcare can improve knowledge about osteoarthritis and decision quality during consultation in patients with knee osteoarthritis. 204 patients will be randomized to either being on the waiting list for consultation, accessing publically available information about osteoarthritis (control group) or getting access to an 8-week information- and self-management intervention delivered through the Genus app prior to consultation. Pasients with answer questionnaires at baseline, 4 weeks (intervention group only), 8 weeks, post consultation and 1 and 2 years after consultation. The Genus app contains information videos, exercise videos, quizzes, feedback and questionnaires provided in a progressive order over an 8 week period.
Interventions
DEVICEInformation- and self-management app
An information- and self-management intervention delivered through the Genus app, including information videos, exercise videos, questionnaires, quizzes and feedback provided over an 8 week period prior to consultation in specialist healthcare
OTHERControl
Information on where to access publically available information about knee osteoarthritis
Sponsors
Diakonhjemmet Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Men and women \> 50 years referred to specialist healthcare for knee OA management
Exclusion criteria
* Received joint replacement or are under consideration for revision in the referred joint * Have undergone joint replacement surgery in opposite knee * Have uncontrolled serious comorbidities * Have cognitive deficits * Are seeking care for recent knee trauma conditions (less than 6 months after trauma) or mainly psoriatic/rheumatoid arthritis * Unable to understand Norwegian * Do not possess a smartphone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knee Osteoathritis Knowlegde Scale (KOAKS) | Baseline, 8 weeks, approx. 2-4 months after baseline (1 day after consultation (post consultation)) | 11 statements about osteoarthritis and treatment options, answered on a 5-point scale from 1 (=true) to 5 (=not true), summed up to a scale from 11 to 55 |
| Decision Conflict Scale (DCS) | approx. 2-4 months after baseline (1 day after consultation (post consultation)) | 16 statements with 5 response categories about the patients uncertainty with treatment options. The total score range from 0 (no decisional conflict) to 100 (extreme decisional conflict). The DCS also has five subscales (all 0-100): 1) uncertainty, 2) informed, 3) values clarity, 4) support, and 5) effective decision. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Concordance between preferences and treatment decision | approx. 2-4 months after baseline (1 day after consultation (post consultation)) | Measured with one qustion form the Decision Conflict Scale (DSC), 5 response options. |
| Decisional quality | approx. 2-4 months after baseline (1 day after consultation (post consultation)) | Measured with section 3 (decision process scale) in the Decision Quality Index for Knee Osteoarthritis (K-DQI) which consists of 5 questions. Four of these questions are summed to a 0-4 score with higher score indicating more shared decision-making. |
| Level of shared decision-making | approx. 2-4 months after baseline (1 day after consultation (post consultation)) | Mesured with the CollaboRATE questionnaire, comprising 3 questions measured on a 0-9 scale, with a higher score indicating better experience. Scores are calculated using the top score method indicating the percentage of patients scoring top score for all three questions, or |
| Satisfaction with treatment choice | approx. 2-4 months after baseline (1 day after consultation (post consultation)) | Measured on a numeric rating scale (0-10, with higher score indicating more satisfaction) |
Countries
Norway
Contacts
CONTACTAnne Therese Tveter, PhD
Outcome results
None listed