Novel uses of healthcare technology for individuals with mild to moderate hip or knee osteoarthritis: The technology, exercise and activity prescription for enhanced mobility (TEAM) study randomized controlled trial protocol
Objectives: Patient education, physical activity, and exercise are recommended as first-line treatments for mild to moderate hip and knee osteoarthritis (OA). We developed two novel healthcare interventions: an electronic medical record-embedded physical activity prescription tool (PARx) for physici...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Osteoarthritis and Cartilage Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2665913125000226 |
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| author | Jane Thornton Kristen I. Barton Laura Churchill Jenna M. Schulz Dianne Bryant Ashley Ambrose Harvi F. Hart Daryl Stephenson Guangyong Zou Susana Correa Steven J. MacDonald Ryan Degen Merrick Zwarenstein Alan Getgood |
| author_facet | Jane Thornton Kristen I. Barton Laura Churchill Jenna M. Schulz Dianne Bryant Ashley Ambrose Harvi F. Hart Daryl Stephenson Guangyong Zou Susana Correa Steven J. MacDonald Ryan Degen Merrick Zwarenstein Alan Getgood |
| author_sort | Jane Thornton |
| collection | DOAJ |
| description | Objectives: Patient education, physical activity, and exercise are recommended as first-line treatments for mild to moderate hip and knee osteoarthritis (OA). We developed two novel healthcare interventions: an electronic medical record-embedded physical activity prescription tool (PARx) for physicians, and a free, online educational platform (Joint Management (JM)) with exercise programming and optional telerehabilitation with a physiotherapist for patients. Objectives: 1) Determine the effectiveness of PARx ± JM on patient-reported outcomes, physical activity levels, and performance-based functional outcomes in individuals with mild to moderate hip or knee OA, versus usual care; 2) evaluate engagement and adherence to PARx + JM; and 3) explore the feasibility of PARx and PARx + JM. Registration: NCT04544904. Methods: Randomized controlled trial (type 1 hybrid implementation effectiveness). We will recruit 339 (113/group) participants ≥40 years old with mild to moderate hip or knee OA and randomize them into three groups: PARx, PARx + JM, or control (usual care). Follow-up appointments will be completed at 2-, 6-, and 12-months. Primary outcome: Knee Injury/Hip Disability and OA Outcome Score. Secondary outcomes: physical activity levels, anthropometric measurements, physical function, and other patient-reported outcomes. We will assess intervention feasibility and hold focus groups with patients and providers to explore perceptions of the interventions. Conclusion: Two novel healthcare interventions will be used to provide physical activity and exercise programming for individuals with mild-moderate knee and hip OA. This study will allow us to determine the effectiveness of these interventions on patient-reported outcomes, physical activity levels, and performance-based functional outcomes. |
| format | Article |
| id | doaj-art-b3df429d90f14e56acfb3c10eeb3f7c3 |
| institution | OA Journals |
| issn | 2665-9131 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Osteoarthritis and Cartilage Open |
| spelling | doaj-art-b3df429d90f14e56acfb3c10eeb3f7c32025-08-20T02:32:54ZengElsevierOsteoarthritis and Cartilage Open2665-91312025-06-017210058610.1016/j.ocarto.2025.100586Novel uses of healthcare technology for individuals with mild to moderate hip or knee osteoarthritis: The technology, exercise and activity prescription for enhanced mobility (TEAM) study randomized controlled trial protocolJane Thornton0Kristen I. Barton1Laura Churchill2Jenna M. Schulz3Dianne Bryant4Ashley Ambrose5Harvi F. Hart6Daryl Stephenson7Guangyong Zou8Susana Correa9Steven J. MacDonald10Ryan Degen11Merrick Zwarenstein12Alan Getgood13Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada; Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada; Fowler Kennedy Sport Medicine Clinic, Western University, London, ON, Canada; Bone and Joint Institute, Western University, London, ON, CanadaOrthopaedic Surgery, London Health Sciences Centre, London, ON, Canada; School of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, CanadaSchool of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada; University of Colorado School of Medicine, Department of Physical Medicine and Rehabililtation, Physical Therapy Program, Colorado University, Denver, CO, United StatesCentre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada; Fowler Kennedy Sport Medicine Clinic, Western University, London, ON, Canada; Bone and Joint Institute, Western University, London, ON, Canada; Corresponding author. Fowler Kennedy Sport Medicine Clinic 3M Centre, Western University 1151 Richmond Street London, ON N6A 2K7, Canada.School of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada; Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, CanadaFowler Kennedy Sport Medicine Clinic, Western University, London, ON, CanadaBone and Joint Institute, Western University, London, ON, Canada; School of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada; Department of Kinesiology, Michigan State University, East Lansing, MI, United StatesHealth and Rehabilitation Sciences Graduate Program, Faculty of Health Sciences, Western University, London, ON, CanadaDepartment of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON, CanadaFowler Kennedy Sport Medicine Clinic, Western University, London, ON, CanadaHealth and Rehabilitation Sciences Graduate Program, Faculty of Health Sciences, Western University, London, ON, CanadaFowler Kennedy Sport Medicine Clinic, Western University, London, ON, Canada; Bone and Joint Institute, Western University, London, ON, Canada; Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, CanadaCentre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada; Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON, CanadaFowler Kennedy Sport Medicine Clinic, Western University, London, ON, Canada; Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, CanadaObjectives: Patient education, physical activity, and exercise are recommended as first-line treatments for mild to moderate hip and knee osteoarthritis (OA). We developed two novel healthcare interventions: an electronic medical record-embedded physical activity prescription tool (PARx) for physicians, and a free, online educational platform (Joint Management (JM)) with exercise programming and optional telerehabilitation with a physiotherapist for patients. Objectives: 1) Determine the effectiveness of PARx ± JM on patient-reported outcomes, physical activity levels, and performance-based functional outcomes in individuals with mild to moderate hip or knee OA, versus usual care; 2) evaluate engagement and adherence to PARx + JM; and 3) explore the feasibility of PARx and PARx + JM. Registration: NCT04544904. Methods: Randomized controlled trial (type 1 hybrid implementation effectiveness). We will recruit 339 (113/group) participants ≥40 years old with mild to moderate hip or knee OA and randomize them into three groups: PARx, PARx + JM, or control (usual care). Follow-up appointments will be completed at 2-, 6-, and 12-months. Primary outcome: Knee Injury/Hip Disability and OA Outcome Score. Secondary outcomes: physical activity levels, anthropometric measurements, physical function, and other patient-reported outcomes. We will assess intervention feasibility and hold focus groups with patients and providers to explore perceptions of the interventions. Conclusion: Two novel healthcare interventions will be used to provide physical activity and exercise programming for individuals with mild-moderate knee and hip OA. This study will allow us to determine the effectiveness of these interventions on patient-reported outcomes, physical activity levels, and performance-based functional outcomes.http://www.sciencedirect.com/science/article/pii/S2665913125000226OsteoarthritisPhysical activityMusculoskeletal healthChronic diseasePrimary careDigital health |
| spellingShingle | Jane Thornton Kristen I. Barton Laura Churchill Jenna M. Schulz Dianne Bryant Ashley Ambrose Harvi F. Hart Daryl Stephenson Guangyong Zou Susana Correa Steven J. MacDonald Ryan Degen Merrick Zwarenstein Alan Getgood Novel uses of healthcare technology for individuals with mild to moderate hip or knee osteoarthritis: The technology, exercise and activity prescription for enhanced mobility (TEAM) study randomized controlled trial protocol Osteoarthritis and Cartilage Open Osteoarthritis Physical activity Musculoskeletal health Chronic disease Primary care Digital health |
| title | Novel uses of healthcare technology for individuals with mild to moderate hip or knee osteoarthritis: The technology, exercise and activity prescription for enhanced mobility (TEAM) study randomized controlled trial protocol |
| title_full | Novel uses of healthcare technology for individuals with mild to moderate hip or knee osteoarthritis: The technology, exercise and activity prescription for enhanced mobility (TEAM) study randomized controlled trial protocol |
| title_fullStr | Novel uses of healthcare technology for individuals with mild to moderate hip or knee osteoarthritis: The technology, exercise and activity prescription for enhanced mobility (TEAM) study randomized controlled trial protocol |
| title_full_unstemmed | Novel uses of healthcare technology for individuals with mild to moderate hip or knee osteoarthritis: The technology, exercise and activity prescription for enhanced mobility (TEAM) study randomized controlled trial protocol |
| title_short | Novel uses of healthcare technology for individuals with mild to moderate hip or knee osteoarthritis: The technology, exercise and activity prescription for enhanced mobility (TEAM) study randomized controlled trial protocol |
| title_sort | novel uses of healthcare technology for individuals with mild to moderate hip or knee osteoarthritis the technology exercise and activity prescription for enhanced mobility team study randomized controlled trial protocol |
| topic | Osteoarthritis Physical activity Musculoskeletal health Chronic disease Primary care Digital health |
| url | http://www.sciencedirect.com/science/article/pii/S2665913125000226 |
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