Effectiveness of internet-delivered education and home exercise supported by behaviour change SMS on pain and function for people with knee osteoarthritis: a randomised controlled trial protocol

Abstract Background Knee osteoarthritis (OA) is a prevalent and chronic condition with no known cure. Exercise is advocated in all clinical guidelines due to its positive effects on symptoms. Despite this, exercise participation is often poor in people with knee OA with access to exercise treatments...

Full description

Bibliographic Details
Main Authors: Rachel K. Nelligan, Rana S. Hinman, Jessica Kasza, Kim L. Bennell
Format: Article
Language:English
Published: BMC 2019-07-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12891-019-2714-x
_version_ 1818851260254650368
author Rachel K. Nelligan
Rana S. Hinman
Jessica Kasza
Kim L. Bennell
author_facet Rachel K. Nelligan
Rana S. Hinman
Jessica Kasza
Kim L. Bennell
author_sort Rachel K. Nelligan
collection DOAJ
description Abstract Background Knee osteoarthritis (OA) is a prevalent and chronic condition with no known cure. Exercise is advocated in all clinical guidelines due to its positive effects on symptoms. Despite this, exercise participation is often poor in people with knee OA with access to exercise treatments a known barrier. Internet-delivered exercise interventions have the potential to improve access to evidence-based exercise treatments and can benefit OA outcomes, although non-usage and low adherence potentially limit their effectiveness. Short message services (SMS) show promise in facilitating exercise adherence and may be one solution to improve adherence to internet-delivered exercise interventions. The combination of internet-delivered exercise and SMS adherence support has not been specifically evaluated in people with knee OA. Methods This protocol reports a two-arm parallel-design, assessor- and participant-blinded randomised controlled trial. This trial is recruiting 206 people aged 45 years and older, with a clinical diagnosis of knee OA from the Australian-wide community. Eligible and consenting participants are enrolled and randomised to receive access to either i) ‘My Knee Education’, an education control website containing OA and exercise information only or ii) a combined intervention that includes a website, ‘My Knee Exercise’, containing the same educational information as the control, guidance to increase general physical activity, and the prescription of a 24-week self-directed home-based lower-limb strengthening program in addition to a 24-week behaviour change SMS exercise adherence program. Outcome measures are being collected at baseline and 24-weeks. Primary outcomes are self-reported knee pain and physical function. Secondary outcomes include another self-reported measure of knee pain, function in sport and recreation, quality-of-life, physical activity, self-efficacy, participant satisfaction and perceived global change. Discussion This randomised controlled trial will provide evidence about the effectiveness of a combined intervention of internet-delivered OA and exercise education, physical activity guidance and prescription of a 24-week lower-limb strengthening exercise program supported by a behaviour change SMS program compared to internet delivered OA and exercise education alone. Trial registration ACTRN12618001167257/13th July 2018.
first_indexed 2024-12-19T07:02:12Z
format Article
id doaj.art-3ebd10bafade4f5cb2cc4a71a15fe96e
institution Directory Open Access Journal
issn 1471-2474
language English
last_indexed 2024-12-19T07:02:12Z
publishDate 2019-07-01
publisher BMC
record_format Article
series BMC Musculoskeletal Disorders
spelling doaj.art-3ebd10bafade4f5cb2cc4a71a15fe96e2022-12-21T20:31:22ZengBMCBMC Musculoskeletal Disorders1471-24742019-07-0120111110.1186/s12891-019-2714-xEffectiveness of internet-delivered education and home exercise supported by behaviour change SMS on pain and function for people with knee osteoarthritis: a randomised controlled trial protocolRachel K. Nelligan0Rana S. Hinman1Jessica Kasza2Kim L. Bennell3Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of MelbourneCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of MelbourneSchool of Public Health and Preventive Medicine, Monash UniversityCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of MelbourneAbstract Background Knee osteoarthritis (OA) is a prevalent and chronic condition with no known cure. Exercise is advocated in all clinical guidelines due to its positive effects on symptoms. Despite this, exercise participation is often poor in people with knee OA with access to exercise treatments a known barrier. Internet-delivered exercise interventions have the potential to improve access to evidence-based exercise treatments and can benefit OA outcomes, although non-usage and low adherence potentially limit their effectiveness. Short message services (SMS) show promise in facilitating exercise adherence and may be one solution to improve adherence to internet-delivered exercise interventions. The combination of internet-delivered exercise and SMS adherence support has not been specifically evaluated in people with knee OA. Methods This protocol reports a two-arm parallel-design, assessor- and participant-blinded randomised controlled trial. This trial is recruiting 206 people aged 45 years and older, with a clinical diagnosis of knee OA from the Australian-wide community. Eligible and consenting participants are enrolled and randomised to receive access to either i) ‘My Knee Education’, an education control website containing OA and exercise information only or ii) a combined intervention that includes a website, ‘My Knee Exercise’, containing the same educational information as the control, guidance to increase general physical activity, and the prescription of a 24-week self-directed home-based lower-limb strengthening program in addition to a 24-week behaviour change SMS exercise adherence program. Outcome measures are being collected at baseline and 24-weeks. Primary outcomes are self-reported knee pain and physical function. Secondary outcomes include another self-reported measure of knee pain, function in sport and recreation, quality-of-life, physical activity, self-efficacy, participant satisfaction and perceived global change. Discussion This randomised controlled trial will provide evidence about the effectiveness of a combined intervention of internet-delivered OA and exercise education, physical activity guidance and prescription of a 24-week lower-limb strengthening exercise program supported by a behaviour change SMS program compared to internet delivered OA and exercise education alone. Trial registration ACTRN12618001167257/13th July 2018.http://link.springer.com/article/10.1186/s12891-019-2714-xKnee osteoarthritisWebsiteInternetExerciseSMSMobile phone
spellingShingle Rachel K. Nelligan
Rana S. Hinman
Jessica Kasza
Kim L. Bennell
Effectiveness of internet-delivered education and home exercise supported by behaviour change SMS on pain and function for people with knee osteoarthritis: a randomised controlled trial protocol
BMC Musculoskeletal Disorders
Knee osteoarthritis
Website
Internet
Exercise
SMS
Mobile phone
title Effectiveness of internet-delivered education and home exercise supported by behaviour change SMS on pain and function for people with knee osteoarthritis: a randomised controlled trial protocol
title_full Effectiveness of internet-delivered education and home exercise supported by behaviour change SMS on pain and function for people with knee osteoarthritis: a randomised controlled trial protocol
title_fullStr Effectiveness of internet-delivered education and home exercise supported by behaviour change SMS on pain and function for people with knee osteoarthritis: a randomised controlled trial protocol
title_full_unstemmed Effectiveness of internet-delivered education and home exercise supported by behaviour change SMS on pain and function for people with knee osteoarthritis: a randomised controlled trial protocol
title_short Effectiveness of internet-delivered education and home exercise supported by behaviour change SMS on pain and function for people with knee osteoarthritis: a randomised controlled trial protocol
title_sort effectiveness of internet delivered education and home exercise supported by behaviour change sms on pain and function for people with knee osteoarthritis a randomised controlled trial protocol
topic Knee osteoarthritis
Website
Internet
Exercise
SMS
Mobile phone
url http://link.springer.com/article/10.1186/s12891-019-2714-x
work_keys_str_mv AT rachelknelligan effectivenessofinternetdeliverededucationandhomeexercisesupportedbybehaviourchangesmsonpainandfunctionforpeoplewithkneeosteoarthritisarandomisedcontrolledtrialprotocol
AT ranashinman effectivenessofinternetdeliverededucationandhomeexercisesupportedbybehaviourchangesmsonpainandfunctionforpeoplewithkneeosteoarthritisarandomisedcontrolledtrialprotocol
AT jessicakasza effectivenessofinternetdeliverededucationandhomeexercisesupportedbybehaviourchangesmsonpainandfunctionforpeoplewithkneeosteoarthritisarandomisedcontrolledtrialprotocol
AT kimlbennell effectivenessofinternetdeliverededucationandhomeexercisesupportedbybehaviourchangesmsonpainandfunctionforpeoplewithkneeosteoarthritisarandomisedcontrolledtrialprotocol