Improving osteoarthritis care by digital means - Effects of a digital self-management program after 24- or 48-weeks of treatment

PloS One
Leif E DahlbergHåkan Nero

Abstract

Osteoarthritis (OA) is highly prevalent in older adults and a growing cause of disability. Easily accessible first-line treatment of OA is increasingly important. Digital self-management programs have in recent years become available. Evidence of short-term effects of such programs are abundant, yet reports on long-term benefits and adherence to treatment are scarce. The current study's objective was to investigate the long-term pain and function outcomes of people with hip or knee OA participating in a digital self-management programme. In this longitudinal cohort study, individuals with hip and knee OA, from the register of a digital self-management program and with 0-24-week (n = 499) or 0-48-week adherence (n = 138), were included. The treatment effect in terms of monthly pain (NRS, 0-10 worst to best) and physical function (30-second chair stand test (30CST), number of repetitions) change were investigated using a mixed model, controlling for the effect of age, body mass index (BMI), gender and index joint. For the 24-week sub-sample, pain NRS decreased monthly by -0.43 units (95% CI -0.51, -0.35, mean knee pain from 5.6 to 3.1, and hip pain from 5.9 to 3.8) and 30CST repetitions increased monthly by 0.76 repetitions (95% ...Continue Reading

References

Jul 8, 2005·Journal of Clinical Nursing·Amelia Williamson, Barbara Hoggart
Jul 17, 2012·The Medical Journal of Australia·William B RuncimanJeffrey Braithwaite
Apr 19, 2013·Annals of the Rheumatic Diseases·Linda FernandesUNKNOWN European League Against Rheumatism (EULAR)
Apr 24, 2014·The Cochrane Database of Systematic Reviews·Marlene FransenStephan Reichenbach
Jan 9, 2015·The Cochrane Database of Systematic Reviews·Marlene FransenKim L Bennell
Jun 18, 2015·Journal of Evaluation in Clinical Practice·Martin Basedow, Adrian Esterman
Nov 26, 2016·Best Practice & Research. Clinical Rheumatology·Kelli D AllenJackie L Whittaker
Aug 16, 2017·Proceedings of the National Academy of Sciences of the United States of America·Ian J WallaceDaniel E Lieberman
Dec 16, 2017·Arthritis Care & Research·Marcela A FerradaJames D Katz
Dec 19, 2017·Current Opinion in Rheumatology·Elizabeth Wellsandt, Yvonne Golightly
Dec 20, 2017·Journal of Medical Internet Research·Håkan NeroLeif E Dahlberg
Jan 13, 2018·The Journal of Orthopaedic and Sports Physical Therapy·Jodi L YoungSuzanne J Snodgrass
Jan 24, 2018·Osteoarthritis and Cartilage·P J A NicolsonK L Bennell
Jul 7, 2019·Osteoarthritis and Cartilage·R R BannuruT E McAlindon

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Citations

Jan 7, 2021·Current Reviews in Musculoskeletal Medicine·Sara Miriam GoldchmitGiancarlo Cavalli Polesello
Jul 14, 2021·Journal of Medical Internet Research·Johanna Theresia BieblAndreas Lorenz
Sep 2, 2021·Nature Reviews. Rheumatology·Armaghan MahmoudianFrank P Luyten
Aug 31, 2021·Osteoarthritis and Cartilage·G A Hawker, L S Lohmander

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