What should a toolkit to aid the delivery of therapeutic exercise for hip and knee osteoarthritis look like? Qualitative analysis of an international survey of 318 researchers, clinicians, and consumers by the OARSI Rehabilitation Discussion Group.
Lawford, Belinda J; Master, Hiral; Larsen, Jesper Bet al.
exercise; implementation; osteoarthritis; qualitative; rehabilitation; toolkit; Rheumatology; Chiropractics; Orthopedics and Sports Medicine; Physical Therapy, Sports Therapy and Rehabilitation; Nursing (miscellaneous)
Abstract :
[en] ("[en] BACKGROUND: We aimed to identify important components of, and practical resources relevant for inclusion in, a toolkit to aid exercise delivery for people with hip/knee osteoarthritis.
METHOD: An online international multi-disciplinary survey was conducted across 43 countries (139 clinicians, 44 people with hip/knee osteoarthritis and 135 osteoarthritis researchers). Participants were presented with the seeding statement 'Practical resources to aid the implementation of exercise for people with hip/knee osteoarthritis should…' and asked to provide up to 10 open text responses. Responses underwent refinement and qualitative content analysis to create domains and categories.
RESULTS: Refinement of 551 open text responses yielded 72 unique statements relevant for analysis. Statements were organised into nine broad domains, suggesting that resources to aid exercise delivery should: (1) be easily accessible; (2) be of high quality; (3) be developed by, and for, stakeholders; (4) include different ways of delivering information; (5) include different types of resources to support exercise and non-exercise components of self-management; (6) include resources on recommended exercises and how to perform/progress them; (7) include tools to support motivation and track progress; (8) include resources to enable tailoring of the programme to the individual and; (9) facilitate access to professional and peer support.
CONCLUSION: Our findings identified important components of, and practical resources to include within, a toolkit to aid delivery of exercise for people with hip/knee osteoarthritis. These findings have implications for exercise providers and lay the foundation for the development of a toolkit to help ensure exercise provision aligns with current international recommendations.","[en] ","")
Research Center/Unit :
CIRM - Centre Interdisciplinaire de Recherche sur le Médicament - ULiège
Disciplines :
Rheumatology
Author, co-author :
Lawford, Belinda J ; Department of Physiotherapy, Centre for Health, Exercise and Sports Medicine, School of Health Sciences, The University of Melbourne, Melbourne, Parkville, Australia
Master, Hiral; Vanderbilt Institute of Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA
Larsen, Jesper B ; Department of Health Science and Technology, Musculoskeletal Health and Implementation, Aalborg University, Aalborg, Denmark
Bartholdy, Cecilie; The Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark
Corrigan, Patrick; Department of Physical Therapy and Athletic Training, Doisy College of Health Sciences, Saint Louis University, St. Louis, Missouri, USA
Ginnerup-Nielsen, Elisabeth; The Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark
Le, Christina; University of Alberta in Edmonton, Edmonton, Alberta, Canada
Teoli, Anthony; School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada ; Centre for Interdisciplinary Research in Rehabilitation (CRIR), Montreal, Quebec, Canada
Bennell, Kim L; Department of Physiotherapy, Centre for Health, Exercise and Sports Medicine, School of Health Sciences, The University of Melbourne, Melbourne, Parkville, Australia
Metcalf, Ben; Department of Physiotherapy, Centre for Health, Exercise and Sports Medicine, School of Health Sciences, The University of Melbourne, Melbourne, Parkville, Australia
Hinman, Rana S; Department of Physiotherapy, Centre for Health, Exercise and Sports Medicine, School of Health Sciences, The University of Melbourne, Melbourne, Parkville, Australia
Button, Kate; School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
Collins, Natalie J; School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland, Australia
Cottrell, Elizabeth; Primary Care Centre Versus Arthritis, School of Medicine, David Weatherall Building, Keele University, Staffordshire, UK
Henrotin, Yves ; Université de Liège - ULiège > Département des sciences de la motricité > Pathologie générale et physiopathologie - Techniques particulières de kinésithérapie ; Department of Physical Therapy and Rehabilitation, Princess Paola Hospital, Marche-en-Famenne, Belgium ; The Osteoarthritis Foundation, Boncelles, Belgium
Skou, Søren T ; Department of Sports Science and Clinical Biomechanics, Research Unit for Musculoskeletal Function and Physiotherapy, University of Southern Denmark, Odense, Denmark ; Department of Physiotherapy and Occupational Therapy, The Research Unit PROgrez, Naestved-Slagelse-Ringsted Hospitals, Slagelse, Denmark
Thoma, Louise M; Division of Physical Therapy, Department of Health Sciences, School of Medicine, Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Wellsandt, Elizabeth; Department of Health and Rehabilitation Sciences, College of Allied Health Professions, University of Nebraska Medical Center, Omaha, Nebraska, USA
White, Daniel K; Department of Physical Therapy, College of Health Sciences, University of Delaware, Newark, Delaware, USA
Holden, Melanie A ; Primary Care Centre Versus Arthritis, School of Medicine, David Weatherall Building, Keele University, Staffordshire, UK
What should a toolkit to aid the delivery of therapeutic exercise for hip and knee osteoarthritis look like? Qualitative analysis of an international survey of 318 researchers, clinicians, and consumers by the OARSI Rehabilitation Discussion Group.
NHMRC - National Health and Medical Research Council
Funding text :
STS has received personal fees from Munksgaard, TrustMe‐Ed and Nestlé Health Science, all of which are outside the submitted work. He is co‐founder of Good Life with Osteoarthritis in Denmark (GLA:D®), a not‐for‐profit initiative hosted at University of Southern Denmark aimed at implementing clinical guidelines for osteoarthritis in clinical practice. YH is associate editor of Therapeutic Advance in Musculoskeletal Diseases, has received grants from the Fond National de la Recherche Scientific in Belgium and from Walloon government. He is also the founder and President of The Osteoarthritis Foundation a not‐for‐profit association of patient and supporting research initiative. He also received personal fees from industry all of which are out of the scope of this research work. KB received personal fees from Wolters Kluwer for production of UpToDate kneeOA guidelines.This study is funded by a National Health and Medical Research Council (NHMRC) Centre of Research Excellence (APP1079078). RSH is supported by a National Health and Medical Research Council Fellowship (#1154217) and KLB by a NHMRC Investigator grant (#1174431). STS is funded by a grant from Region Zealand (Exercise First) and two grants from the European Union's Horizon 2020 Research and Innovation Programme, one from the European Research Council (MOBILISE, grant agreement No 801790) and the other under grant agreement No. 945377 (ESCAPE). DKW is funded by the National Institutes of Health (1R56AR080060) and the Rheumatology Research Foundation. PC is supported by a Rheumatology Research Foundation Scientist Development Award. EW is supported by the National Institutes of Health (Great Plains IDeA‐CTR (2U54GM115458) Scholar Programme).
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