National Osteoarthritis Strategy brief report: Living well with osteoarthritis

Eyles, Jillian; Hunter, David J.; Briggs, Andrew M.; Hinman, Rana S; Fitzpatrick, Jane; March, Lyn; Cicuttini, Flavia Maria; McNaughton, Sarah A.; Ewald, Dan; Nicholas, Michael; Feng, Yingyu; Filocamo, Karen; Bennell, Kim L

doi:10.31128/ajgp-08-19-5051-02

Cited by 14 publications

(9 citation statements)

References 28 publications

(35 reference statements)

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“…Strategies are therefore needed to address barriers that impede alignment of GP practice with OA guideline recommendations. Australia's National OA Strategy 8 has outlined an implementation plan to increase uptake of high-value care by Australians with OA and to support primary care practitioners to deliver high-value care. Valuable evidence-based clinician and patient resources exist including the 2018 update of the RACGP knee and hip OA clinical guidelines, 4 the Osteoarthritis of the Knee Clinical Care Standards from the Australian Commission for Quality and Safety in Health Care, 29 While clinical guidelines and resources may be available, it is apparent that passive dissemination needs to be supplemented with other implementation strategies.…”

Section: Discussionmentioning

confidence: 99%

“…7 It is important to examine if GP management has changed since then to better direct effort s to close existing evidence-practice gaps and improve outcomes for people with OA, as highlighted by Australian's National OA Strategy. 8 This study aimed to utilise data from the BEACH program to describe trends in the management of knee and hip OA by Australian GPs over two consecutive periods spanning more than a decade.…”

Section: Introductionmentioning

confidence: 99%

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Trends in management of hip and knee osteoarthritis in general practice in Australia over an 11-year window: a nationwide cross-sectional survey

Bennell

Bayram

Harrison

et al. 2021

The Lancet Regional Health - Western Pacific

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trends in management of hip and knee osteoarthritis in general practice in Australia over an 11-year window: a nationwide cross-sectional survey

Bennell

Bayram

Harrison

et al. 2021

The Lancet Regional Health - Western Pacific

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“…However, physiotherapists often feel underprepared to manage OA, lacking knowledge about evidence-based practice and confidence in implementing recommendations into routine care [31][32][33][34]. The development and evaluation of training programs to upskill health care professionals in OA management has thus been identified as an important priority for improving OA care [35][36][37]. Telephone-and videoconference-based telehealth interventions have been shown to be effective and acceptable [14,[38][39][40] modes of service delivery for exercise-based interventions aimed at relieving chronic knee pain and improving physical dysfunction and are as effective as in-person care for adults with musculoskeletal pain [41].…”

Section: Introduction Backgroundmentioning

confidence: 99%

Evaluation of a Novel e-Learning Program for Physiotherapists to Manage Knee Osteoarthritis via Telehealth: Qualitative Study Nested in the PEAK (Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis) Randomized Controlled Trial

Jones¹,

Campbell²,

Kimp³

et al. 2021

J Med Internet Res

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Background:The delivery of physiotherapy via telehealth could provide more equitable access to services for patients. Videoconference-based telehealth has been shown to be an effective and acceptable mode of service delivery for exercise-based interventions for chronic knee pain; however, specific training in telehealth is required for physiotherapists to effectively and consistently deliver care using telehealth. The development and evaluation of training programs to upskill health care professionals in the management of osteoarthritis (OA) has also been identified as an important priority to improve OA care delivery.Objective: This study aims to explore physiotherapists' experiences with and perceptions of an e-learning program about best practice knee OA management (focused on a structured program of education, exercise, and physical activity) that includes telehealth delivery via videoconferencing. Methods:We conducted a qualitative study using individual semistructured telephone interviews, nested within the Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis randomized controlled trial, referred to as the PEAK trial. A total of 15 Australian physiotherapists from metropolitan and regional private practices were interviewed following the completion of an e-learning program. The PEAK trial e-learning program involved self-directed learning modules, a mock video consultation with a researcher (simulated patient), and 4 audited practice video consultations with pilot patients with chronic knee pain. Interviews were audio recorded and transcribed verbatim. Data were thematically analyzed.Results: A total of five themes (with associated subthemes) were identified: the experience of self-directed e-learning (physiotherapists were more familiar with in-person learning; however, they valued the comprehensive, self-paced web-based modules. Unwieldy technological features could be frustrating); practice makes perfect (physiotherapists benefited from the mock consultation with the researcher and practice sessions with pilot patients alongside individualized performance feedback, resulting in confidence and preparedness to implement new skills); the telehealth journey (although inexperienced with telehealth before training, physiotherapists were confident and able to deliver remote care following training; however, they still experienced some technological challenges); the whole package (the combination of self-directed learning modules, mock consultation, and practice consultations with pilot patients was felt to be an effective learning approach, and patient information booklets supported the

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“…2 The second part of this series focuses on priorities for action for people living with OA. 3 This article, part three, focuses on 'advanced care'.…”

Section: Discussionmentioning

confidence: 99%

“…There is a substantial need for clinicians to provide or refer to optimal conservative care as per evidence-based guidelines 10,11 pre-operatively, even after a patient has been scheduled for surgery (refer to part two of the Strategy series on 'living well with OA' for examples of existing non-surgical OA management services). 3…”

Section: Perceived Insufficient Non-operative Alternativesmentioning

confidence: 99%