Effectiveness of a telehealth-delivered clinician-supported exercise and weight loss program for hip osteoarthritis – protocol for the Better Hip randomised controlled trial
Abstract Background Hip osteoarthritis (OA) is a leading cause of chronic pain and disability worldwide. Self-management is vital with education, exercise and weight loss core recommended treatments. However, evidence-practice gaps exist, and service models that increase patient accessibility to cli...
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-02-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-023-07131-0 |
| _version_ | 1797276214585458688 |
|---|---|
| author | Kim L. Bennell Catherine Keating Belinda Lawford Bridget Graham Michelle Hall Julie A. Simpson Fiona McManus Brinley Hosking Priya Sumithran Anthony Harris Maame Esi Woode Jill J. Francis Jennifer Marlow Sharon Poh Rana S. Hinman |
| author_facet | Kim L. Bennell Catherine Keating Belinda Lawford Bridget Graham Michelle Hall Julie A. Simpson Fiona McManus Brinley Hosking Priya Sumithran Anthony Harris Maame Esi Woode Jill J. Francis Jennifer Marlow Sharon Poh Rana S. Hinman |
| author_sort | Kim L. Bennell |
| collection | DOAJ |
| description | Abstract Background Hip osteoarthritis (OA) is a leading cause of chronic pain and disability worldwide. Self-management is vital with education, exercise and weight loss core recommended treatments. However, evidence-practice gaps exist, and service models that increase patient accessibility to clinicians who can support lifestyle management are needed. The primary aim of this study is to determine the effectiveness of a telehealth-delivered clinician-supported exercise and weight loss program (Better Hip) on the primary outcomes of hip pain on walking and physical function at 6 months, compared with an information-only control for people with hip OA. Methods A two-arm, parallel-design, superiority pragmatic randomised controlled trial. 212 members from a health insurance fund aged 45 years and over, with painful hip OA will be recruited. Participants will be randomly allocated to receive: i) Better Hip; or ii) web-based information only (control). Participants randomised to the Better Hip program will have six videoconferencing physiotherapist consultations for education about OA, prescription of individualised home-based strengthening and physical activity programs, behaviour change support, and facilitation of other self-management strategies. Those with a body mass index > 27 kg/m2, aged < 80 years and no specific health conditions, will also be offered six videoconferencing dietitian consultations to undertake a weight loss program. Participants in the control group will be provided with similar educational information about managing hip OA via a custom website. All participants will be reassessed at 6 and 12 months. Primary outcomes are hip pain on walking and physical function. Secondary outcomes include measures of pain; hip function; weight; health-related quality of life; physical activity levels; global change in hip problem; willingness to undergo hip replacement surgery; rates of hip replacement; and use of oral pain medications. A health economic evaluation at 12 months will be conducted and reported separately. Discussion Findings will determine whether a telehealth-delivered clinician-supported lifestyle management program including education, exercise/physical activity and, for those with overweight or obesity, weight loss, is more effective than information only in people with hip OA. Results will inform the implementation of such programs to increase access to core recommended treatments. Trial registration Australia New Zealand Clinical Trials Registry (ACTRN12622000461796). |
| first_indexed | 2024-03-07T15:25:10Z |
| format | Article |
| id | doaj.art-c26aa76fb33348c9b21fc5c8423dc517 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-07T15:25:10Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-c26aa76fb33348c9b21fc5c8423dc5172024-03-05T17:24:09ZengBMCBMC Musculoskeletal Disorders1471-24742024-02-0125112410.1186/s12891-023-07131-0Effectiveness of a telehealth-delivered clinician-supported exercise and weight loss program for hip osteoarthritis – protocol for the Better Hip randomised controlled trialKim L. Bennell0Catherine Keating1Belinda Lawford2Bridget Graham3Michelle Hall4Julie A. Simpson5Fiona McManus6Brinley Hosking7Priya Sumithran8Anthony Harris9Maame Esi Woode10Jill J. Francis11Jennifer Marlow12Sharon Poh13Rana S. Hinman14Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of MelbourneMedibank PrivateCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of MelbourneCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of MelbourneCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of MelbourneCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of MelbourneCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of MelbourneMedibank PrivateDepartment of Medicine, The University of MelbourneCentre for Health Economics, Monash UniversityCentre for Health Economics, Monash UniversitySchool of Health Sciences, The University of MelbourneCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of MelbourneCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of MelbourneCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of MelbourneAbstract Background Hip osteoarthritis (OA) is a leading cause of chronic pain and disability worldwide. Self-management is vital with education, exercise and weight loss core recommended treatments. However, evidence-practice gaps exist, and service models that increase patient accessibility to clinicians who can support lifestyle management are needed. The primary aim of this study is to determine the effectiveness of a telehealth-delivered clinician-supported exercise and weight loss program (Better Hip) on the primary outcomes of hip pain on walking and physical function at 6 months, compared with an information-only control for people with hip OA. Methods A two-arm, parallel-design, superiority pragmatic randomised controlled trial. 212 members from a health insurance fund aged 45 years and over, with painful hip OA will be recruited. Participants will be randomly allocated to receive: i) Better Hip; or ii) web-based information only (control). Participants randomised to the Better Hip program will have six videoconferencing physiotherapist consultations for education about OA, prescription of individualised home-based strengthening and physical activity programs, behaviour change support, and facilitation of other self-management strategies. Those with a body mass index > 27 kg/m2, aged < 80 years and no specific health conditions, will also be offered six videoconferencing dietitian consultations to undertake a weight loss program. Participants in the control group will be provided with similar educational information about managing hip OA via a custom website. All participants will be reassessed at 6 and 12 months. Primary outcomes are hip pain on walking and physical function. Secondary outcomes include measures of pain; hip function; weight; health-related quality of life; physical activity levels; global change in hip problem; willingness to undergo hip replacement surgery; rates of hip replacement; and use of oral pain medications. A health economic evaluation at 12 months will be conducted and reported separately. Discussion Findings will determine whether a telehealth-delivered clinician-supported lifestyle management program including education, exercise/physical activity and, for those with overweight or obesity, weight loss, is more effective than information only in people with hip OA. Results will inform the implementation of such programs to increase access to core recommended treatments. Trial registration Australia New Zealand Clinical Trials Registry (ACTRN12622000461796).https://doi.org/10.1186/s12891-023-07131-0OsteoarthritisRehabilitationHipTelehealthDietPhysiotherapy |
| spellingShingle | Kim L. Bennell Catherine Keating Belinda Lawford Bridget Graham Michelle Hall Julie A. Simpson Fiona McManus Brinley Hosking Priya Sumithran Anthony Harris Maame Esi Woode Jill J. Francis Jennifer Marlow Sharon Poh Rana S. Hinman Effectiveness of a telehealth-delivered clinician-supported exercise and weight loss program for hip osteoarthritis – protocol for the Better Hip randomised controlled trial BMC Musculoskeletal Disorders Osteoarthritis Rehabilitation Hip Telehealth Diet Physiotherapy |
| title | Effectiveness of a telehealth-delivered clinician-supported exercise and weight loss program for hip osteoarthritis – protocol for the Better Hip randomised controlled trial |
| title_full | Effectiveness of a telehealth-delivered clinician-supported exercise and weight loss program for hip osteoarthritis – protocol for the Better Hip randomised controlled trial |
| title_fullStr | Effectiveness of a telehealth-delivered clinician-supported exercise and weight loss program for hip osteoarthritis – protocol for the Better Hip randomised controlled trial |
| title_full_unstemmed | Effectiveness of a telehealth-delivered clinician-supported exercise and weight loss program for hip osteoarthritis – protocol for the Better Hip randomised controlled trial |
| title_short | Effectiveness of a telehealth-delivered clinician-supported exercise and weight loss program for hip osteoarthritis – protocol for the Better Hip randomised controlled trial |
| title_sort | effectiveness of a telehealth delivered clinician supported exercise and weight loss program for hip osteoarthritis protocol for the better hip randomised controlled trial |
| topic | Osteoarthritis Rehabilitation Hip Telehealth Diet Physiotherapy |
| url | https://doi.org/10.1186/s12891-023-07131-0 |
| work_keys_str_mv | AT kimlbennell effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT catherinekeating effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT belindalawford effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT bridgetgraham effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT michellehall effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT julieasimpson effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT fionamcmanus effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT brinleyhosking effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT priyasumithran effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT anthonyharris effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT maameesiwoode effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT jilljfrancis effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT jennifermarlow effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT sharonpoh effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial AT ranashinman effectivenessofatelehealthdeliveredcliniciansupportedexerciseandweightlossprogramforhiposteoarthritisprotocolforthebetterhiprandomisedcontrolledtrial |