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    Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People With Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial

    Access Status
    Fulltext not available
    Authors
    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.
    Date
    2017
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Hinman, R. and Lawford, B. and Campbell, P. and Briggs, A. and Gale, J. and Bills, C. and French, S. et al. 2017. Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People With Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial. Physical Therapy. 97 (5): pp. 524-536.
    Source Title
    Physical Therapy
    DOI
    10.1093/ptj/pzx021
    ISSN
    1538-6724
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/52677
    Collection
    • Curtin Research Publications
    Abstract

    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.

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