Activity Increase Despite Arthritis (AÏDA): phase II randomised controlled trial of an active management booklet for hip and knee osteoarthritis in primary care

Williams, Nefyn; Amoakwa, Elvis; Belcher, John; Edwards, Rhiannon; Hassani, Hossein; Hendry, Maggie; Burton, Kim; Lewis, Ruth; Hood, Kerenza; Jones, Jeremy; Bennett, Paul; Linck, Pat; Neal, Richard D; Wilkinson, Clare

doi:10.3399/bjgp11x588411

Cited by 20 publications

(28 citation statements)

References 27 publications

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“…Although some research has demonstrated it is possible to increase physical activity levels in those with chronic LBP [49] or OA [50,52], an understanding of which components are effective, i.e. the ‘active ingredients’ is necessary.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of interventions aimed at increasing physical activity in adults with chronic musculoskeletal pain—protocol

et al. 2014

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BackgroundChronic musculoskeletal pain is highly prevalent, affecting around one in five people across Europe. Osteoarthritis, low back pain, neck pain and other musculoskeletal disorders are leading causes of disability worldwide and the most common source of chronic pain. Exercise and/or physical activity interventions have the potential to address not only the pain and disability associated with chronic pain but also the increased risk of morbidity and mortality seen in this population. Although exercise and/or physical activity is widely recommended, there is currently a paucity of research that offers an evidence base upon which the development or optimisation of interventions can be based. This systematic review will investigate the components of interventions associated with changes in physical activity levels in adults with chronic musculoskeletal pain.Methods/DesignThis systematic review will be reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidance. Randomised and quasi-randomised controlled trials of interventions aimed at increasing physical activity in adults with chronic musculoskeletal pain will be included. Articles will be identified through a comprehensive search of the following databases: CENTRAL in the Cochrane Library, the Cochrane Database of Systematic Reviews (CDSR), MEDLINE, Embase, CINAHL, PsycINFO and AMED. Two review authors will independently screen articles retrieved from the search for eligibility, extract relevant data on methodological issues and code interventions according to the behaviour change technique taxonomy (v1) of 93 hierarchically clustered techniques. As complex healthcare interventions can be modified by a wide variety of factors, data will be summarised statistically when the data are available, are sufficiently similar and are of sufficient quality. A narrative synthesis will be completed if there is insufficient data to permit a formal meta-analysis.DiscussionThis review will be of value to clinicians working in chronic pain services and to researchers involved in designing and evaluating interventions.Systematic review registrationPROSPERO reference: CRD42014010640.

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Section: Introductionmentioning

confidence: 99%

A systematic review of interventions aimed at increasing physical activity in adults with chronic musculoskeletal pain—protocol

et al. 2014

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“…The two papers reported in this issue of the Journal 5,6 point to an expanding evidence base that rejects the idea that primary care for osteoarthritis is about waiting until it is time to refer for a joint replacement. Not only are there simple positive approaches to reduce joint pain and disability in older people, but joint replacements, valuable and important as they are, will not be needed or wanted by everyone with osteoarthritis, and remain in need of a better evidence base to clarify optimal patient selection and timing of surgery.…”

Section: The Question Of When To Refermentioning

confidence: 99%

“…Results of their proofof-principle study suggest that a large trial to investigate this question would be feasible, but that any benefits in terms of extra numbers starting and maintaining exercise are likely to be modest, and that ways to repeat or reinforce advice over time need to be tested. 6 Why is it important, as Williams et al propose, to pursue the investigation of such small effects? One answer relates to GPs' responsibility for their population as well as their concern to help the individual.…”

Section: The Question Of Exercisementioning

confidence: 99%

“…The topic of the paper by Williams et al 6 is exercise for people with osteoarthritis. There is little doubt that exercise is beneficial in reducing pain and improving mobility in older patients with chronic joint pain, especially in the knee.…”

Section: The Question Of Exercisementioning

confidence: 99%

“…Yet there is evidence that many patients are not being offered the core treatments in primary care, 4 that surgeons continue to offer treatments that have no evidence base, 5 and that disability levels in the older population have not been shifted by joint replacement surgery. Two papers in this issue of the British Journal of General Practice 5,6 neatly highlight that a straightforward separation of patients into 'give this person with mild symptoms the core advice' and 'send this person with severe symptoms to the orthopaedic surgeon' may not have the intended results. Life is not quite as simple as that.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Managing osteoarthritis in primary care: the GP as public health physician and surgical gatekeeper

Croft¹,

Porcheret²,

Peat³

2011

Br J Gen Pract

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How Does Osteoarthritis Education Influence Knowledge, Beliefs, and Behavior in People With Knee and Hip Osteoarthritis? A Systematic Review

Simick Behera,

Duong,

Eyles

et al. 2024

Arthritis Care & Research

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ObjectiveTo inform the design and implementation of osteoarthritis (OA) education for people with knee and hip OA, this review investigated: i) the impact of OA education on knowledge, beliefs and behavior, ii) how and why these changes occur.MethodsFive databases ‐ MEDLINE, Excerpta Medica Database (Embase), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, Physiotherapy Evidence Database (PEDro) ‐ were searched in August 2023. Eligible studies were quantitative, qualitative and mixed‐methods, involving OA education interventions, assessing knowledge, beliefs and/or behavioral outcomes. An interpretivist analytic process guided data evaluation, synthesis and description of meta‐themes.ResultsNinety‐eight studies were included (80 quantitative, 12 qualitative, 6 mixed‐methods). OA education was heterogeneous in content and delivery. Outcome measures varied, with poor distinction between knowledge, beliefs and behavior constructs. Trends toward short‐term knowledge improvement were observed, but there were no clear trends in beliefs or behavior change. Intrinsic factors (e.g. pre‐existing beliefs) and extrinsic factors (e.g. socioeconomic factors) appeared to influence change. Three meta‐themes described how and why changes may occur: i) Engagement ‐ how individuals relate with education content and delivery, ii) Embodiment – the role of experiential factors in learning, and iii) Empowerment ‐ the level of agency education generates.ConclusionBeyond the provision of information and instruction, OA education is a complex, relational process influenced by multidimensional factors. This review identifies potentially important strategies at individual, interpersonal and community levels to support the design and delivery of engaging education that promotes holistic, embodied learning, and facilitates meaningful, empowering change.image

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Activity Increase Despite Arthritis (AÏDA): phase II randomised controlled trial of an active management booklet for hip and knee osteoarthritis in primary care

Abstract: BackgroundThe Hip & Knee Book: Helping you cope with osteoarthritis was developed to change disadvantageous beliefs and encourage physical activity in people with hip or knee osteoarthritis.

Cited by 20 publications

References 27 publications

A systematic review of interventions aimed at increasing physical activity in adults with chronic musculoskeletal pain—protocol

A systematic review of interventions aimed at increasing physical activity in adults with chronic musculoskeletal pain—protocol

Managing osteoarthritis in primary care: the GP as public health physician and surgical gatekeeper

How Does Osteoarthritis Education Influence Knowledge, Beliefs, and Behavior in People With Knee and Hip Osteoarthritis? A Systematic Review

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