Osteoarthritis physical activity care pathway (OA-PCP): results of a feasibility trial

BMC Musculoskeletal Disorders

Maihan B. Vu¹  Yvonne M. Golightly²  Anne E. Wandishin³  Ida Griesemer⁴  Kimberlea Grimm⁵  Abigail L. Gilbert⁵  Katie Huffman⁵  Amanda E. Nelson⁵  Rebecca J. Cleveland⁵  David G. Hu⁵  Kelli Allen⁵  Derek P. Hales⁶  Zachary D. Rethorn⁷  Leigh F. Callahan⁸  Ami Pathak⁹  Jennifer Rees^1,10 

[1] Center for Health Promotion and Disease Prevention, University of North Carolina;Department of Epidemiology, Injury Prevention Research Center, Division of Physical Therapy and Thurston Arthritis Research Center,

[2] University of North Carolina;Department of Exercise and Sport Science and Thurston Arthritis Research Center, University of North Carolina;Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina;Department of Medicine and Thurston Arthritis Research Center, University of North Carolina;Department of Nutrition Gillings School of Global Public Health and Center for Health Promotion and Disease Prevention, University of North Carolina;Department of Orthopedic Surgery, Duke University;Departments of Medicine, Orthopaedics and Social Medicine and Thurston Arthritis Research Center, University of North Carolina;Medical Facilities of North Carolina;North Carolina Translational and Clinical Sciences Institute, School of Medicine, University of North Carolina;

关键词: Osteoarthritis;    Physical activity;    Pain;    Function;   

DOI  :  10.1186/s12891-020-03339-6

来源: DOAJ

【 摘 要 】

Abstract Background To obtain information on feasibility and acceptability, as well as preliminary data on efficacy, of an Osteoarthritis Physical activity Care Pathway (OA-PCP). Methods This was a single group pilot study involving 60 participants with symptomatic, physician diagnosed knee or hip OA, recruited from primary care clinics. Participants self-reported completing less than 150 min per week of moderate-to-vigorous physical activity (MVPA) at baseline. The 3-month OA-PCP intervention involved 3 physical activity (PA) coaching calls (focused on goal setting), three check-in emails and linkage with community-based or online resources to support PA. Efficacy outcomes were collected at baseline and 4-month follow-up. The primary efficacy outcome was minutes of MVPA, assessed via accelerometer. Secondary outcomes included minutes of light intensity activity, sedentary minutes, step counts, and Western Ontario and McMaster Universities (WOMAC) pain and function subscales. Participants were also asked to rate the helpfulness of the OA-PCP intervention on a scale of 0–10. Differences in efficacy outcomes between baseline and 4-month follow-up were assessed using paired t-tests. Results Among participants beginning the study, 88% completed follow-up assessments and ≥ 90% completed each of the intervention calls. Average daily minutes of MVPA was 8.0 at baseline (standard deviation (SD) = 9.9) and 8.9 at follow-up (SD = 12.1, p = 0.515). There were no statistically significant changes in light intensity activity, sedentary time or step counts. The mean WOMAC pain score improved from 8.1 (SD = 3.6) at baseline to 6.2 (SD = 3.8) at follow-up (p < 0.001); the mean WOMAC function score improved from 26.2 (SD = 13.2) to 20.2 (SD = 12.5; p < 0.001). The mean rating of helpfulness was 7.6 (SD = 2.5). Conclusions Results supported the feasibility and acceptability of the study, and participants reported clinically relevant improvements in pain and function. PA metrics did not improve substantially. Based on these results and participant feedback, modifications including enhanced self-monitoring are being made to increase the impact of the OA-PCP intervention on PA behavior. Trial registration NCT03780400 , December 19, 2018.

【 授权许可】

Unknown