A Poster Summarizing the American Academy of Orthopaedic Surgeons Knee Osteoarthritis Clinical Practice Guideline Is a Powerful Tool for Patient Education: A Randomized Controlled Trial

Squiers, Monte; Nelms, Nathaniel J.; Davis, Alan T.; Halsey, David; Slauterbeck, James R.; Blankstein, Michael

doi:10.1016/j.arth.2020.07.007

Cited by 3 publications

(4 citation statements)

References 21 publications

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“…We believe that the likelihood to recommend their physician by both groups at 1 month reflects the influence of the time and attention given to each participant. SDM tools that have been developed for the treatment of early-stage osteoarthritis range from providing basic information and questions or questionnaires in print, video, computer tablet, or website[ 18 25 26 27 ] to using computerized modeling. [ 28 29 ] Dolan et al .…”

Section: Discussionmentioning

confidence: 99%

Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women

Jones

Maurer

Parks

et al. 2022

Journal of Family Medicine and Primary Care

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Background: Patients with chronic knee pain are often unaware of treatment options and likely outcomes—information that is critical to decision-making. A consistent framework for communicating patient-personalized information enables clinicians to provide consistent, targeted, and relevant information. Our objective was to user-test a shared decision-making (SDM) tool for chronic knee pain. Methods: A cross-functional team developed a Markov-based health economics model and tested the model outputs with patient panels, patient and clinician focus groups, and clinical specialists. The resulting SDM tool was user-tested in a parallel-designed, randomized controlled study with 52 African American and 52 Latina women from geographically representative areas of the US. Participants were randomized to counseling with or without the SDM tool. Feedback was collected at intervention and at 1 month after intervention and analyzed with Student’s t-tests and Chi-squared analyses (alpha = 0.05). Results: Qualitative results indicated patients understood the material, rated the overall experience highly, and were likely to recommend the physician. The SDM group reported high satisfaction with the tool. A greater proportion of the SDM group (56%) reported increased physical activity over baseline at 1 month compared with the control group (33%) ( P = 0.0005). New use of medications for knee pain (58% SDM; 49% control) did not differ significantly between groups ( P = 0.15). Conclusion: Use of this innovative SDM tool was associated with high satisfaction and a significant increase in self-reported physical activity level at 1 month. The SDM tool may elicit behavioral changes to promote musculoskeletal health.

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Section: Discussionmentioning

confidence: 99%

Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women

Jones

Maurer

Parks

et al. 2022

Journal of Family Medicine and Primary Care

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“…The secondary outcome measures will track patient satisfaction with the consultation, the eHealth patient education tool, and their trust of the physiotherapist. Maintaining a similar format as the adopted survey [ 27 ], the questionnaire comprises 6 closed questions and 2 open questions for participants in both groups and details of the questionnaire could be found in Additional file 4 .…”

Section: Methodsmentioning

confidence: 99%

“…Sample size calculation was conducted based on the between-group difference on primary outcome, assuming that participants in the intervention group will have a correct response rate of 55.3% compared to that of 39.5% in the control group [ 27 ]. Based on a power of 95% and a 5% significance level (two-sided test), a value of 0.5 SD was used to ensure a large enough sample size.…”

Section: Methodsmentioning

confidence: 99%

An evidence-based tailored eHealth patient education tool for patients with knee osteoarthritis: protocol for a randomized controlled trial

Song

Zhu

Xiang

et al. 2022

BMC Musculoskelet Disord

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Background Osteoarthritis is a common and disabling condition that places heavy burden to individuals and healthcare systems. Patient education is a facilitator in the treatment decision making process, aiming to develop a treatment plan for the disease management. Electronic health (eHealth) is an alternative forum for the delivery of patient education and given the prevailing of eHealth in healthcare, introducing patient education programs using the technology has the potential to improve patient engagement, self-management and outcomes in patients with osteoarthritis. The study will evaluate the efficacy of eHealth patient education tool on patients’ perception of knee osteoarthritis and treatment options, satisfaction and compliance to treatments. Methods This study is a prospective randomized controlled trial with a 1:1 allocation in two groups. We will recruit 216 patients diagnosed with knee osteoarthritis from the outpatient physiatry/physiotherapy clinic at West China Hospital, Sichuan University in Southwest China. Both groups will receive usual care and additionally, the intervention group will use eHealth patient education tool during the process. Measurements will be taken at baseline, post-intervention, 1 month, 3- and 6-months follow-up. Primary outcome will be patients’ knowledge about disease and treatment options, measured by the validated osteoarthritis patient knowledge questionnaire. Secondary outcomes include patients’ satisfaction with the consultation, the eHealth patient education tool, and their trust of the physiotherapist. Discussion The eHealth patient education tool is designed to provide participants with an innovative model of care delivery and this trial will assess the efficacy of the tool and whether this new model of patient education will have the potential to increase patient knowledge and empower self-management. Results collected from this study will further inform future research employing eHealth tool as interventions for the management of a range of other chronic conditions and help participants in communities or rural areas having the equal access to health care services. Trial registration This study was prospectively registered on the Chinese Clinical Trials Registry (ChiCTR2100051083) registered 12.09.2021.

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“…Patients need to be educated to make sound, informed decisions. In a new prospective study, patients exposed to a poster outlining the American Academy of Orthopaedic Surgeons (AAOS) Knee Osteoarthritis Clinical Practice Guideline significantly improved their comprehensive knowledge assessment when compared with patients who were not exposed to the poster 7 .…”

Section: Osteoarthritis Of the Knee: Nonoperative Managementmentioning

confidence: 99%

What’s New in Adult Reconstructive Knee Surgery

Villa

Pannu

Higuera-Rueda

2021

Journal of Bone and Joint Surgery

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The global rebound from the COVID-19 pandemic may be on its way. Despite the difficulties, the orthopaedic community has demonstrated during the last year its commitment to the improvement of health care through innovation and the constant evaluation of practices and treatments for knee conditions. Health Policy and EconomicsA large nationwide insurance database study revealed that net losses were greater for patients with higher Elixhauser Comorbidity Index (ECI) scores 1 . The U.S. Bundled Payments for Care Improvement (BPCI) and Comprehensive Care for Joint Replacement (CJR) payment models may deincentivize the treatment of sicker patients. As more insurance companies adopt bundled payment models such as CJR, it is important to note that Medicare risk-adjustment equations involving patient-reported outcomes cannot be applied without caution to patient-reported outcomes of commercially insured patients undergoing total knee arthroplasty (TKA). Significant differences in outcomes have been shown between Medicare and commercially insured patients when using Medicare risk-adjustment algorithms 2 . Although the volume of revisions has increased, the Medicare orthopaedic physician fee reimbursement for aseptic and septic TKA revision has not kept up with inflation. After adjusting for it, from 2002 to 2019, the mean aseptic revision reimbursement declined 24.83% for 2-component revision and 24.21% for 1-component revision, and septic revision reimbursement decreased even further, by 23.29% for explantation and 33.47% for reimplantation 3 . Lastly, it appears that the public reporting of TKA and total hip arthroplasty (THA) risk-standardized readmission and complication rates is associated with improved outcomes after the surgical procedure 4 .Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJS/G781).

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A Poster Summarizing the American Academy of Orthopaedic Surgeons Knee Osteoarthritis Clinical Practice Guideline Is a Powerful Tool for Patient Education: A Randomized Controlled Trial

Cited by 3 publications

References 21 publications

Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women

Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women

An evidence-based tailored eHealth patient education tool for patients with knee osteoarthritis: protocol for a randomized controlled trial

What’s New in Adult Reconstructive Knee Surgery

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