Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People With Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial
Background.: Exercise and physical activity are a core component of knee osteoarthritis (OA) care, yet access to physical therapists is limited for many people. Telephone service delivery models may increase access. Objective.: Determine the effectiveness of incorporating exercise advice and behavio...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Journal Article |
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American Physical Therapy Association
2017
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| Online Access: | http://hdl.handle.net/20.500.11937/52677 |
| _version_ | 1848758984717107200 |
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| author | Hinman, R. Lawford, B. Campbell, P. Briggs, Andrew Gale, J. Bills, C. French, S. Kasza, J. Forbes, A. Harris, A. Bunker, S. Delany, C. Bennell, K. |
| author_facet | Hinman, R. Lawford, B. Campbell, P. Briggs, Andrew Gale, J. Bills, C. French, S. Kasza, J. Forbes, A. Harris, A. Bunker, S. Delany, C. Bennell, K. |
| author_sort | Hinman, R. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background.: Exercise and physical activity are a core component of knee osteoarthritis (OA) care, yet access to physical therapists is limited for many people. Telephone service delivery models may increase access. Objective.: Determine the effectiveness of incorporating exercise advice and behaviour change support by physical therapists into an existing Australian nurse-led musculoskeletal telephone service for adults with knee OA. Design.: Randomized controlled trial with nested qualitative studies. Setting.: Community, Australia-wide. Participants.: 175 people =45 years with knee symptoms consistent with a clinical diagnosis of knee OA. Eight musculoskeletal physical therapists will provide exercise advice and support. Intervention.: Random allocation to receive existing care or exercise advice in addition to existing care. Existing care is a minimum of one phone call from a nurse for advice on OA self-management. Exercise advice involves 5-10 calls over 6 months from a physical therapist trained in behaviour change support to prescribe, monitor and progress a strengthening exercise program and physical activity plan. Measurements.: Outcomes will be measured at baseline, 6 and 12 months. Primary outcomes are knee pain and physical function. Secondary outcomes include other measures of knee pain, self-efficacy, physical activity and its mediators, kinesiophobia, health service usage, work productivity, participant-perceived change and satisfaction. Additional measures include adherence, adverse events, therapeutic alliance, satisfaction with telephone-delivered therapy and expectation of outcome. Semi-structured interviews with participants with knee OA and therapists will be conducted. Limitations.: Physical therapists cannot be blinded. Conclusions.: This study will determine if incorporating exercise advice and behaviour change support by physical therapists into a nurse-led musculoskeletal telephone service improves outcomes for people with knee OA. Findings will inform development and implementation of telerehabilitation services. |
| first_indexed | 2025-11-14T09:52:40Z |
| format | Journal Article |
| id | curtin-20.500.11937-52677 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:52:40Z |
| publishDate | 2017 |
| publisher | American Physical Therapy Association |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-526772017-09-13T15:48:51Z Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People With Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial Hinman, R. Lawford, B. Campbell, P. Briggs, Andrew Gale, J. Bills, C. French, S. Kasza, J. Forbes, A. Harris, A. Bunker, S. Delany, C. Bennell, K. Background.: Exercise and physical activity are a core component of knee osteoarthritis (OA) care, yet access to physical therapists is limited for many people. Telephone service delivery models may increase access. Objective.: Determine the effectiveness of incorporating exercise advice and behaviour change support by physical therapists into an existing Australian nurse-led musculoskeletal telephone service for adults with knee OA. Design.: Randomized controlled trial with nested qualitative studies. Setting.: Community, Australia-wide. Participants.: 175 people =45 years with knee symptoms consistent with a clinical diagnosis of knee OA. Eight musculoskeletal physical therapists will provide exercise advice and support. Intervention.: Random allocation to receive existing care or exercise advice in addition to existing care. Existing care is a minimum of one phone call from a nurse for advice on OA self-management. Exercise advice involves 5-10 calls over 6 months from a physical therapist trained in behaviour change support to prescribe, monitor and progress a strengthening exercise program and physical activity plan. Measurements.: Outcomes will be measured at baseline, 6 and 12 months. Primary outcomes are knee pain and physical function. Secondary outcomes include other measures of knee pain, self-efficacy, physical activity and its mediators, kinesiophobia, health service usage, work productivity, participant-perceived change and satisfaction. Additional measures include adherence, adverse events, therapeutic alliance, satisfaction with telephone-delivered therapy and expectation of outcome. Semi-structured interviews with participants with knee OA and therapists will be conducted. Limitations.: Physical therapists cannot be blinded. Conclusions.: This study will determine if incorporating exercise advice and behaviour change support by physical therapists into a nurse-led musculoskeletal telephone service improves outcomes for people with knee OA. Findings will inform development and implementation of telerehabilitation services. 2017 Journal Article http://hdl.handle.net/20.500.11937/52677 10.1093/ptj/pzx021 American Physical Therapy Association restricted |
| spellingShingle | Hinman, R. Lawford, B. Campbell, P. Briggs, Andrew Gale, J. Bills, C. French, S. Kasza, J. Forbes, A. Harris, A. Bunker, S. Delany, C. Bennell, K. Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People With Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial |
| title | Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People With Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial |
| title_full | Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People With Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial |
| title_fullStr | Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People With Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial |
| title_full_unstemmed | Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People With Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial |
| title_short | Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People With Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial |
| title_sort | telephone-delivered exercise advice and behavior change support by physical therapists for people with knee osteoarthritis: protocol for the telecare randomized controlled trial |
| url | http://hdl.handle.net/20.500.11937/52677 |