Measuring adherence to unsupervised, conservative treatment for knee osteoarthritis: A systematic review

Objective To describe the measurement of adherence to unsupervised, conservative treatments for knee osteoarthritis (OA), including the methods of adherence measurement, parameters for assessing adherence and any values used to quantify adherence. Methods A systematic review with search terms relat...

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Main Authors: Duong, V, Daniel, MS, Ferreira, ML, Fritsch, CG, Hunter, DJ, Wang, X, Wei, N, Nicolson, PJA
Format: Journal article
Language:English
Published: Elsevier 2021
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author Duong, V
Daniel, MS
Ferreira, ML
Fritsch, CG
Hunter, DJ
Wang, X
Wei, N
Nicolson, PJA
author_facet Duong, V
Daniel, MS
Ferreira, ML
Fritsch, CG
Hunter, DJ
Wang, X
Wei, N
Nicolson, PJA
author_sort Duong, V
collection OXFORD
description Objective To describe the measurement of adherence to unsupervised, conservative treatments for knee osteoarthritis (OA), including the methods of adherence measurement, parameters for assessing adherence and any values used to quantify adherence. Methods A systematic review with search terms related to knee OA, conservative treatments and adherence was conducted. The protocol was registered with the International Prospective Register of Systematic Reviews (registration number CRD42020158188). Seven electronic databases (MEDLINE, AMED, EMBASE, CINAHL, SportDiscus, PsychINFO, PEDro) were searched from inception to February 02, 2021. Studies that included unsupervised, conservative treatment(s) for knee OA measuring adherence were eligible. Studies were independently screened for inclusion by two researchers. Data was extracted by one researcher and verified by a second researcher. Extracted data included: study type, population, type of treatment, adherence measurement methods, time-points, recall, parameters and values used to quantify adherence. Results Of 5033 references identified, 242 studies comprising of 261 treatments were included in the review. The majority of studies were randomised controlled trials investigating therapeutic exercise (n ​= ​107, 41.0%). The most common adherence measurement across all treatments was through self-reported diary (n ​= ​137, 52.5%) and the most common parameter was assessing the frequency of the treatment (n ​= ​79, 30.3%). Only a small number of studies provided values for quantifying satisfactory adherence (n ​= ​26, 9.3%). Conclusion There is a wide variety in the reporting of adherence to conservative treatments for knee OA and standardised methods for measuring and reporting adherence are needed. Developing a tool to measure adherence to conservative treatments for knee OA is a priority.
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spelling oxford-uuid:702990dd-b16e-45b4-ba09-f7db416a80192022-03-26T19:35:22ZMeasuring adherence to unsupervised, conservative treatment for knee osteoarthritis: A systematic reviewJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:702990dd-b16e-45b4-ba09-f7db416a8019EnglishSymplectic ElementsElsevier2021Duong, VDaniel, MSFerreira, MLFritsch, CGHunter, DJWang, XWei, NNicolson, PJAObjective To describe the measurement of adherence to unsupervised, conservative treatments for knee osteoarthritis (OA), including the methods of adherence measurement, parameters for assessing adherence and any values used to quantify adherence. Methods A systematic review with search terms related to knee OA, conservative treatments and adherence was conducted. The protocol was registered with the International Prospective Register of Systematic Reviews (registration number CRD42020158188). Seven electronic databases (MEDLINE, AMED, EMBASE, CINAHL, SportDiscus, PsychINFO, PEDro) were searched from inception to February 02, 2021. Studies that included unsupervised, conservative treatment(s) for knee OA measuring adherence were eligible. Studies were independently screened for inclusion by two researchers. Data was extracted by one researcher and verified by a second researcher. Extracted data included: study type, population, type of treatment, adherence measurement methods, time-points, recall, parameters and values used to quantify adherence. Results Of 5033 references identified, 242 studies comprising of 261 treatments were included in the review. The majority of studies were randomised controlled trials investigating therapeutic exercise (n ​= ​107, 41.0%). The most common adherence measurement across all treatments was through self-reported diary (n ​= ​137, 52.5%) and the most common parameter was assessing the frequency of the treatment (n ​= ​79, 30.3%). Only a small number of studies provided values for quantifying satisfactory adherence (n ​= ​26, 9.3%). Conclusion There is a wide variety in the reporting of adherence to conservative treatments for knee OA and standardised methods for measuring and reporting adherence are needed. Developing a tool to measure adherence to conservative treatments for knee OA is a priority.
spellingShingle Duong, V
Daniel, MS
Ferreira, ML
Fritsch, CG
Hunter, DJ
Wang, X
Wei, N
Nicolson, PJA
Measuring adherence to unsupervised, conservative treatment for knee osteoarthritis: A systematic review
title Measuring adherence to unsupervised, conservative treatment for knee osteoarthritis: A systematic review
title_full Measuring adherence to unsupervised, conservative treatment for knee osteoarthritis: A systematic review
title_fullStr Measuring adherence to unsupervised, conservative treatment for knee osteoarthritis: A systematic review
title_full_unstemmed Measuring adherence to unsupervised, conservative treatment for knee osteoarthritis: A systematic review
title_short Measuring adherence to unsupervised, conservative treatment for knee osteoarthritis: A systematic review
title_sort measuring adherence to unsupervised conservative treatment for knee osteoarthritis a systematic review
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