Non-pharmacological care for patients with generalized osteoarthritis: design of a randomized clinical trial

Hoogeboom, Thomas J.; Stukstette, M.J.; Bie, Rob A. de; Cornelissen, Jessica; Broeder, Alfons A den; Ende, C.H.M. van den

doi:10.1186/1471-2474-11-142

Cited by 19 publications

(20 citation statements)

References 59 publications

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“…We estimated that a sample size of 170 patients was needed to provide a power of 80% to show superiority of the face-to-face treatment by at least 0.26 points on the HAQ-DI 32 , assuming a standard deviation (SD) of 0.66, a significance level of 0.05 and a 15% drop-out rate 17 .…”

Section: Discussionmentioning

confidence: 99%

“…The effectiveness over 1 year was examined. Details of the trial development and design have been published previously 17 . The protocol adhered to the CONSORT guidelines for non-pharmacological interventions 21 .…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, our research group systematically developed a non-pharmacological, multidisciplinary face-to-face treatment program for individuals with GOA based on recommendations for the management of hip and knee OA 14 and tailored to the needs of patients with GOA 17 . Treatment components of the program included education, selfmanagement and exercises.…”

Section: Introductionmentioning

confidence: 99%

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Randomized trial of the effectiveness of a non-pharmacological multidisciplinary face-to-face treatment program on daily function compared to a telephone-based treatment program in patients with generalized osteoarthritis

Cuperus

Hoogeboom

Kersten

et al. 2015

Osteoarthritis and Cartilage

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Randomized trial of the effectiveness of a non-pharmacological multidisciplinary face-to-face treatment program on daily function compared to a telephone-based treatment program in patients with generalized osteoarthritis

Cuperus

Hoogeboom

Kersten

et al. 2015

Osteoarthritis and Cartilage

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“…Participants were allocated to either a multidisciplinary supervised group-based self-management program or a telephone-delivered self-management program. The complete study design has been described previously [15]. The Institutional Review Board of the Radboud University Medical Nijmegen Centre approved the study and all patients signed informed consent.…”

Section: Designmentioning

confidence: 99%

The clinical burden of generalized osteoarthritis represented by self-reported health-related quality of life and activity limitations: a cross-sectional study

et al. 2014

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The involvement of multiple joints is common in osteoarthritis (OA), often referred to as generalized osteoarthritis (GOA). However, since research and practice mainly focus on a specific OA localization, the health status of patients with GOA is largely unknown. Therefore, we aimed to describe the clinical burden of GOA in terms of self-reported health-related quality of life (HRQoL) and activity limitations. In this cross-sectional study, individuals clinically diagnosed with GOA and referred to multidisciplinary treatment, completed questionnaires on socio-demographics, joint involvement, HRQoL (SF-36) and activity limitations (HAQ-DI). SF-36 physical (PCS) and mental component summary scores (MCS) were calculated using norm-based data. The patient's specific most important activity limitations were linked to the International Classification of Functioning, Disability and Health. A total of 147 patients participated [85 % female; mean (SD) age 60 (8) years]. The majority (93 %) had symptomatic OA in both the upper and lower extremities. Predominant joints with symptomatic OA were the hands (85 %) and knees (82 %). Mean (SD) SF-36 PCS and MCS scores were 37 (7) and 48 (10), respectively, showing a broad impact of GOA on the physical component of health. The mean (SD) HAQ-DI score was 1.27 (0.50) indicating moderate to severe functional limitations. Activities concerning mobility and domestic life were considered most important activity limitations, especially walking. The results show a high clinical burden of GOA in terms of HRQoL and activity limitations. This study points to the need of developing non-pharmacological interventions for patients with GOA that should target on improving the physical component of health and mobility limitations.

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“…15 Individuals were excluded from participation in the intervention if: (1) they were awaiting joint replacement surgery, (2) they had already participated unsuccessfully in a self-management programme for their GOA complaints, (3) their therapists suspected that they were having high levels of distress, (4) they did not master the Dutch language or (5) they were illiterate. Recruitment and treatment of patients took place at the rheumatology outpatient department at the Maartenskliniek Woerden (the Netherlands).…”

Section: Participantsmentioning

confidence: 99%

Feasibility and potential effectiveness of a non-pharmacological multidisciplinary care programme for persons with generalised osteoarthritis: a randomised, multiple-baseline single-case study

et al. 2012

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ObjectivesTo evaluate the feasibility and potential effectiveness of a 12-week, non-pharmacological multidisciplinary intervention in patients with generalised osteoarthritis (GOA).DesignA randomised, concurrent, multiple-baseline single-case design. During the baseline period, the intervention period and the postintervention period, all participants completed several health outcomes twice a week on Visual Analogue Scales.SettingRheumatology outpatient department of a specialised hospital in the Netherlands.Participants1 man and four women (aged 51–76 years) diagnosed with GOA.Primary outcome measuresTo assess feasibility, the authors assessed the number of dropouts and adverse events, adherence rates and patients' satisfaction.Secondary outcome measuresTo assess the potential effectiveness, the authors assessed pain and self-efficacy using visual data inspection and randomisation tests.ResultsThe intervention was feasible in terms of adverse events (none) and adherence rate but not in terms of participants' satisfaction with the intervention. Visual inspection of the data and randomisation testing demonstrated no effects on pain (p=0.93) or self-efficacy (p=0.85).ConclusionsThe results of the present study indicate that the proposed intervention for patients with GOA was insufficiently feasible and effective. The data obtained through this multiple-baseline study have highlighted several areas in which the therapy programme can be optimised.

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Non-pharmacological care for patients with generalized osteoarthritis: design of a randomized clinical trial

Cited by 19 publications

References 59 publications

Randomized trial of the effectiveness of a non-pharmacological multidisciplinary face-to-face treatment program on daily function compared to a telephone-based treatment program in patients with generalized osteoarthritis

Randomized trial of the effectiveness of a non-pharmacological multidisciplinary face-to-face treatment program on daily function compared to a telephone-based treatment program in patients with generalized osteoarthritis

The clinical burden of generalized osteoarthritis represented by self-reported health-related quality of life and activity limitations: a cross-sectional study

Feasibility and potential effectiveness of a non-pharmacological multidisciplinary care programme for persons with generalised osteoarthritis: a randomised, multiple-baseline single-case study

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