My joint pain, a web-based resource, effects on education and quality of care at 24 months

BMC Musculoskeletal Disorders

Chris Dickson¹  Kim L. Bennell²  Fiona Dobson²  Marlene Fransen³  Hema Urban⁴  David J. Hunter⁴  Xia Wang⁴  Graeme Jones⁵ 

[1] Arthritis Australia;Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne;Discipline of Physiotherapy, Clinical and Rehabilitation Sciences Research Group, Faculty of Health Sciences, University of Sydney;Institute of Bone and Joint Research, The Kolling Institute, University of Sydney, Royal North Shore Hospital;Menzies Institute for Medical Research, University of Tasmania;

关键词: Quality of care;    Digital health;    eHealth;    Self-care;    Osteoarthritis;    Internet interventions;   

DOI  :  10.1186/s12891-020-3074-2

来源: DOAJ

【 摘 要 】

Abstract Objective To evaluate the effects of the updated version of an evidence-based osteoarthritis (OA) resource and consumer hub, ‘My Joint Pain’ website, on health education and quality of care over 12 months. Methods Using a classic quasi-experimental design, participants with symptomatic hip or knee OA were recruited across Australia to evaluate the ‘My Joint Pain’ website, compared to a control group of non-users from 12 to 24 months. Outcome measures included the Health Education Impact Questionnaire (HEIQ) and the OA Quality Indicator (OAQI) questionnaire. The changes from 12 to 24 months in the HEIQ were evaluated using a generalised linear model. The differences between users and non-users in the OAQI were evaluated using a chi-square test. Results A total of 277 eligible participants with symptomatic hip or knee OA were recruited at baseline, and 122 participants completed the 24-month surveys (users: n = 35, non-users: n = 87). There was no significant difference between users and non-users for the HEIQ scores at 24 months after adjustments for age, sex and body mass index (BMI). Users had higher emotional distress scores than non-users in univariable analysis. When compared with non-users in the OAQI, users showed favourable changes in receiving information about “self-management” and “acetaminophen” and “non-steroidal anti-inflammatory drugs (NSAIDs)” from 12 to 24 months. Conclusion The evaluation of the updated ‘My Joint Pain’ website didn’t find significant improvements in terms of health education, but it may help delivering useful information about self-management and appropriate use of pharmacological treatments. More strategies are needed to facilitate the uptake of evidence-based self-management and education online resources for OA consumers.

【 授权许可】

Unknown