Literature DB >> 21801537

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

Nefyn H Williams1, Elvis Amoakwa, John Belcher, Rhiannon T Edwards, Hossein Hassani, Maggie Hendry, Kim Burton, Ruth Lewis, Kerenza Hood, Jeremy Jones, Paul Bennett, Pat Linck, Richard D Neal, Clare Wilkinson.   

Abstract

BACKGROUND: The 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. AIM: To assess the feasibility of conducting a definitive randomised controlled trial (RCT) of this evidence-based booklet in people with hip or knee osteoarthritis.
DESIGN: Phase II feasibility randomised controlled trial (RCT).
METHOD: Computerised searches of patients' record databases identified people with osteoarthritis of the hip or knee, who were invited to participate in the RCT comparing the new booklet with a control booklet. Outcomes were measured at baseline, 1 month, and 3 months, and included: beliefs about hip and knee pain, exercise, and fear avoidance; level of physical activity; and health service use.
RESULTS: The trial methods were feasible in terms of recruitment, randomisation, and follow-up, but most participants recruited had longstanding established symptoms. After one and 3 months, there was a small relative improvement in illness, exercise, and fear-avoidance beliefs and physical activity level in The Hip & Knee Book group (n = 59) compared with the control group (n = 60), which provides some proof of principle for using these outcomes in future trials.
CONCLUSION: This feasibility study provided proof of principle for testing The Hip & Knee Book in a larger definitive RCT.

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Year:  2011        PMID: 21801537      PMCID: PMC3145528          DOI: 10.3399/bjgp11X588411

Source DB:  PubMed          Journal:  Br J Gen Pract        ISSN: 0960-1643            Impact factor:   5.386


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