Patient informationSmart phone application based exercisesWeb based exercisesGroup based informationSupervised rehabilitationSelf-monitoringMotivational notificationsHome based rehabilitation
Patient information: Patient education according to national guidelines, with information about e.g. disease progression, symptoms, treatment, exercise, self-care techniques and dietary information
Smart phone application based exercises: Individually based exercise programs individualized exercises where instructions are given through real-time video or pictures in combination with written descriptions.
Web based exercises: Generic osteoarthritis exercise, including about 20 different exercises, provided by real-time videos and written description
Group based information: Osteoarthritis specific information at three different group meeting (physical or digital) led by a physiotherapist, an occupational therapist and / or dietitian (each rehab clinic makes its own arrangement).
Supervised rehabilitation: The patient is offered to regularly exercise at the clinic, individually or in a group under supervision from a physiotherapist.
Self-monitoring: Patients will be followed by validated questionnaires and function tests (30 sec Chair-to-stand test) every six months until three years after the start of treatment. The patients will get a report of the results and a research coordinator will contact the patients if their symptoms/function has worsen and discuss further treatment
Motivational notifications: Automatic and daily reminders and / or motivational notifications
Home based rehabilitation: Individualized exercises that the patient performs on their own, i.e. at home or at a gym.
Study summary
The overall aim of this study is to compare three different care models for patients with hip- and knee osteoarthritis. The primary aim is to evaluate whether an app-based care model is more beneficial for improving function in daily life than a web-based care model and standard care for patients with hip and / or knee osteoarthritis
Eligibility
Sex
ALL
Min age
20 Years
Max age
90 Years
Healthy volunteers
No
Inclusion Criteria:
The participant:
* has given their written consent to participate in the study
* has been referred to the orthopaedic clinic at Sahlgrenska University Hospital /Mölndal for primary hip- and or knee osteoarthritis
* has a positive attitude in using digital tools
* has access to a smart phone / tablet
* has been assessed not to be in need of hip or knee surgery trough triage based on a patient reported outcome (the Osteoarthritis Guidelines Instrument)
Exclusion Criteria:
Patients:
* with secondary osteoarthritis (due to osteonecrosis)
* referred to a specific orthopaedic surgeon
* with impaired mental ability, reluctance or language difficulties that make it difficult to understand the meaning of participating in the study
* who undergo treatment, have disability or illness that according to the research group can affect the treatment or the study result
Primary outcome measure(s)
Hip dysfunction/Knee Osteoarthritis Outcome Score (HOOS/KOOS) subscale Function in daily living (ADL) — baseline to 12 months after inclusion The KOOS/HOOS questionnaires were developed as instruments to assess the patient's opinion about their knee and associated problems. KOOS consists of 5 subscales: Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport/Rec) and knee related Quality of life (QOL). The previous week is the time period considered when answering the questions. Standardized answer options are given (5 Likert boxes) and each question is assigned a score from 0 to 4. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale (scoring instructions are available in a separate document).
Hip dysfunction/Knee Osteoarthritis Outcome Score (HOOS/KOOS) subscale Function in daily living (ADL) — baseline to 36 months after inclusion The KOOS/HOOS questionnaires were developed as instruments to assess the patient's opinion about their knee and associated problems. KOOS consists of 5 subscales: Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport/Rec) and knee related Quality of life (QOL). The previous week is the time period considered when answering the questions. Standardized answer options are given (5 Likert boxes) and each question is assigned a score from 0 to 4. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale (scoring instructions are available in a separate document).
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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