Occupational Therapist-Delivered Cognitive-Behavioral Therapy for Knee Osteoarthritis: A Randomized Pilot Study

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
Susan L MurphyDavid A Williams

Abstract

This study assessed the feasibility and preliminary efficacy of an online-assisted, occupational therapist-delivered, cognitive-behavioral therapy intervention to promote physical function in patients with knee osteoarthritis (KOA). Fifty-seven participants with KOA were randomized 2:1 to the Engage program (eight clinic-based sessions supported by online modules) or usual care. Using analysis of covariance, we estimated Engage's effect on physical function (Western Ontario and McMaster Universities Osteoarthritis Index's Physical Function subscale [WOMAC-PF]) at 6 mo. Data were analyzed on 46 completers. Engage was associated with a small effect (η² = 0.01) on the WOMAC-PF. More Engage participants than controls reported much or very much improvement (45% vs. 13%; p = .03). Satisfaction was high, and 30 of 31 participants attended six sessions or more. An online-supported cognitive-behavioral program for people with KOA delivered by occupational therapists is feasible and may contribute to improved physical function.

References

Apr 20, 2001·JAMA : the Journal of the American Medical Association·D MoherUNKNOWN CONSORT Group (Consolidated Standards of Reporting Trials)
Aug 24, 2004·The Clinical Journal of Pain·San KellerCharles S Cleeland
Nov 10, 2004·Current Opinion in Clinical Nutrition and Metabolic Care·Klaas R Westerterp, Guy Plasqui
May 16, 2007·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Kim E DixonAmy P Abernethy
Jun 7, 2007·Journal of Rehabilitation Research and Development·Ronald J GirondaRobyn L Walker
Aug 4, 2009·Rheumatic Diseases Clinics of North America·David A Williams, Stephen Schilling
Sep 22, 2010·Pain·David A WilliamsDaniel J Clauw
Dec 3, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Aman DhawanBrian J Cole

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Citations

Sep 5, 2019·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Sharon B Pape, Sherry Muir
Mar 30, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Mary JanevicJohn D Piette

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