Arthrosis Osteoarthritis
Conditions
Interventions
The intervention group will receive the 12-week E-Exercise program. E-Exercise
a combination of four to five face-to-face sessions with a physical therapist
and a web-based intervention. The content
various topics will be discussed (e.g. OA, physical activity,
pain, medication, nutrition etc.) through texts and videos.( ii) Graded
Activity
a selected activity will be increased on a weekly basis. Based on a
short term goal, a tailored schedule of modules is generated on a
time-contingent basis. The gradual increase of the selected acti
each module contains specific exercises which
are provided through videos.
When a patient visits, for the first time, the physical therapy practice the
therapists will carry out an anamnesis, physi
Sponsors
Universiteit van Tilburg
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patient inclusion criteria: 1) Osteoarthritis of the knee and/or hip according to the clinical criteria of the American College of Rheumatology. For knee OA: (i.e. (Altman et al, 1986).Diagnosis knee OA: knee pain and at least three of the following six: age > 50 years, morning stiffness 50 years 2) Not meeting the recommendations of the Dutch Norm for Health-enhancing Physical Activity (Thirty minutes or more of at least moderate-intensity aerobic physical activity on at least five days each week) 3) age between 40 and 80 years 4) No participation in exercise therapy and/or physical activity program in the in the last 6 months
Exclusion criteria
Exclusion criteria: Exclusion criteria patients: 1) Being on a waiting list for a knee or hip replacement surgery 2) Contra-indication for physical activity without supervision (such as cardiovascular diseases) 3) No access to internet 4) Inability to understand the Dutch language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Physical functioning will be assessed with the subscale *function in daily living* of the Hip Osteoarthritis Outcome Score (HOOS) and/or the Knee Injury and Osteoarthritis Outcome Score (KOOS). The HOOS and the KOOS assess 5 indicators: pain, symptoms, physical function, sport and recreation function and quality of life, in relation to patients* hip or knee complaint. Each indicator is scored on a 5-point Likert scale (0=extreme symptoms; 4=no symptoms) Physical activity will be measured with the SQUASH. The questionnaire measures habitual physical activity during a normal week over the last few months. The total score is reproduced as minutes per week , but data can also be analysed according to whether the activity is light, moderate or intense. Objective physical activity will be measured through ActiGraph GT3X tri-axial accelerometers. Patients will be instructed to wear the monitor on a belt around their waist for five executive days, except during sleeping, showering or swimming. In addition, participants will be requested to fill out a short activity diary. This diary contains questions about wearing time, unusual activities and reasons for device removal. When accelerometers and diaries are returned by post, data can be downloaded, processed and subsequently analyzed. In order to determine the actual physical activity thresholds, the widely accepted thresholds by Freedson et al. will ge used: 0-99 counts for sedentary activities, 100-1951 for light PA, 1952-5724 moderate physical activity, 5725-9498 for vigorous PA and 9499- max for very vigorous activities. The total time spent in light, moderate and (very) vigorous physical activity was summed and subsequently divided by the number of days worn to compute the daily average time spent in total activity. For analysis, data were recorded at 1-minute intervals. | — |
Secondary
| Measure | Time frame |
|---|---|
| OA related costs made by the patients will be registered with an online cost diary. Patients will be asked to register their direct costs of OA within and outside the health care sector and on the indirect costs of productivity loss. The cost diary will cover the full 12 months of the program. Health Related Quality Of Life will be measured with the EuroQol-5D (EQ-5D).(35) This questionnaire comprises 5 dimensions i.e., mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Patients are asked to indicate their health state on a 3-point Likert scale (1=no problems; 3=extreme problems). The questionnaire enables 245 different health states. Each health state can be ranked and transformed to a score which is defined as utility. The utility score is an expression of the quality adjusted life years (QALY*s). Self-perceived effect will be assessed by a single question about the degree of change in physical functioning since their previous assessment. Patients can score this effect on a 7-point Likert scale (1=much worse; 7= much better). Pain and tiredness will be measured with a numeric rating scale(NRS; 0 is no pain/not tired and 10 is worst possible pain/very tired) (NRS; 0=no problems; 10=extremely problems). Furthermore, pain will be assessed with the pain subscale of the HOOS and/or the KOOS. Self-efficacy will be measured by the Arthritis Self-efficacy Scale (ASES).(36) Subscales for the ASES are pain, symptoms and physical functioning, the 19 statements can be scored on a 5 point-Likert scale (1=fully disagree; 5=fully agree). Self-management skills will be measured through the Health Education Impact Questionnaire (HeiQ).(37) The questionnaire consists of 40 questions statments subdivided in 8 scales i.e., health directed behaviour, positive and active engagement in life, emotional well-being, self-monitoring and insight, constructive attitudes and approaches, skill and technique acquisition, social integration | — |
Countries
Netherlands
Outcome results
None listed