Patient and provider interventions for managing osteoarthritis in primary care: protocols for two randomized controlled trials.
| dc.contributor.author | Allen, Kelli D | |
| dc.contributor.author | Bosworth, Hayden B | |
| dc.contributor.author | Brock, Dorothea S | |
| dc.contributor.author | Chapman, Jennifer G | |
| dc.contributor.author | Chatterjee, Ranee | |
| dc.contributor.author | Coffman, Cynthia J | |
| dc.contributor.author | Datta, Santanu K | |
| dc.contributor.author | Dolor, Rowena J | |
| dc.contributor.author | Jeffreys, Amy S | |
| dc.contributor.author | Juntilla, Karen A | |
| dc.contributor.author | Kruszewski, Jennifer | |
| dc.contributor.author | Marbrey, Laurie E | |
| dc.contributor.author | McDuffie, Jennifer | |
| dc.contributor.author | Oddone, Eugene Z | |
| dc.contributor.author | Sperber, Nina | |
| dc.contributor.author | Sochacki, Mary P | |
| dc.contributor.author | Stanwyck, Catherine | |
| dc.contributor.author | Strauss, Jennifer L | |
| dc.contributor.author | Yancy, William S | |
| dc.date.accessioned | 2024-02-01T16:48:20Z | |
| dc.date.available | 2024-02-01T16:48:20Z | |
| dc.date.issued | 2012-04 | |
| dc.description.abstract | BackgroundOsteoarthritis (OA) of the hip and knee are among the most common chronic conditions, resulting in substantial pain and functional limitations. Adequate management of OA requires a combination of medical and behavioral strategies. However, some recommended therapies are under-utilized in clinical settings, and the majority of patients with hip and knee OA are overweight and physically inactive. Consequently, interventions at the provider-level and patient-level both have potential for improving outcomes. This manuscript describes two ongoing randomized clinical trials being conducted in two different health care systems, examining patient-based and provider-based interventions for managing hip and knee OA in primary care.Methods / designOne study is being conducted within the Department of Veterans Affairs (VA) health care system and will compare a Combined Patient and Provider intervention relative to usual care among nā=ā300 patients (10 from each of 30 primary care providers). Another study is being conducted within the Duke Primary Care Research Consortium and will compare Patient Only, Provider Only, and Combined (Patient + Provider) interventions relative to usual care among nā=ā560 patients across 10 clinics. Participants in these studies have clinical and / or radiographic evidence of hip or knee osteoarthritis, are overweight, and do not meet current physical activity guidelines. The 12-month, telephone-based patient intervention focuses on physical activity, weight management, and cognitive behavioral pain management. The provider intervention involves provision of patient-specific recommendations for care (e.g., referral to physical therapy, knee brace, joint injection), based on evidence-based guidelines. Outcomes are collected at baseline, 6-months, and 12-months. The primary outcome is the Western Ontario and McMasters Universities Osteoarthritis Index (self-reported pain, stiffness, and function), and secondary outcomes are the Short Physical Performance Test Protocol (objective physical function) and the Patient Health Questionnaire-8 (depressive symptoms). Cost effectiveness of the interventions will also be assessed.DiscussionResults of these two studies will further our understanding of the most effective strategies for improving hip and knee OA outcomes in primary care settings.Trial registrationNCT01130740 (VA); NCT 01435109 (NIH). | |
| dc.identifier | 1471-2474-13-60 | |
| dc.identifier.issn | 1471-2474 | |
| dc.identifier.issn | 1471-2474 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Springer Science and Business Media LLC | |
| dc.relation.ispartof | BMC musculoskeletal disorders | |
| dc.relation.isversionof | 10.1186/1471-2474-13-60 | |
| dc.rights.uri | ||
| dc.subject | Humans | |
| dc.subject | Osteoarthritis, Knee | |
| dc.subject | Osteoarthritis, Hip | |
| dc.subject | Arthrography | |
| dc.subject | Treatment Outcome | |
| dc.subject | Clinical Protocols | |
| dc.subject | Motor Activity | |
| dc.subject | Health Status | |
| dc.subject | Recovery of Function | |
| dc.subject | Research Design | |
| dc.subject | Middle Aged | |
| dc.subject | Managed Care Programs | |
| dc.subject | Primary Health Care | |
| dc.subject | Female | |
| dc.subject | Male | |
| dc.subject | Veterans Health | |
| dc.subject | Pain Management | |
| dc.subject | Weight Reduction Programs | |
| dc.title | Patient and provider interventions for managing osteoarthritis in primary care: protocols for two randomized controlled trials. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Bosworth, Hayden B|0000-0001-6188-9825 | |
| duke.contributor.orcid | Coffman, Cynthia J|0000-0002-4554-1463 | |
| duke.contributor.orcid | Dolor, Rowena J|0000-0001-7317-9468 | |
| duke.contributor.orcid | Sperber, Nina|0000-0001-6640-2510 | |
| pubs.begin-page | 60 | |
| pubs.issue | 1 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Faculty | |
| pubs.organisational-group | Basic Science Departments | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | Biostatistics & Bioinformatics | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences | |
| pubs.organisational-group | Medicine, General Internal Medicine | |
| pubs.organisational-group | Duke Cancer Institute | |
| pubs.organisational-group | Duke Clinical Research Institute | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | Psychiatry, Child & Family Mental Health & Community Psychiatry | |
| pubs.organisational-group | Center for the Study of Aging and Human Development | |
| pubs.organisational-group | Initiatives | |
| pubs.organisational-group | Duke Science & Society | |
| pubs.organisational-group | Population Health Sciences | |
| pubs.organisational-group | Duke Innovation & Entrepreneurship | |
| pubs.organisational-group | Head and Neck Surgery & Communication Sciences | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences | |
| pubs.organisational-group | Duke - Margolis Center For Health Policy | |
| pubs.organisational-group | Biostatistics & Bioinformatics, Division of Biostatistics | |
| pubs.publication-status | Published | |
| pubs.volume | 13 |
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