Telephone Coaching to Enhance a Home-Based Physical Activity Program for Knee Osteoarthritis: A Randomized Clinical Trial

被引：110

作者：

Bennell, Kim L. ^{[1
]}

Campbell, Penny K. ^{[1
]}

Egerton, Thorlene ^{[1
]}

Metcalf, Ben ^{[1
]}

Kasza, Jessica ^{[2
]}

Forbes, Andrew ^{[2
]}

Bills, Caroline ^{[3
]}

Gale, Janette ^{[3
]}

Harris, Anthony ^{[2
]}

Kolt, Gregory S. ^{[4
]}

Bunker, Stephen J. ^{[2
,5
]}

Hunter, David J. ^{[6
,7
]}

Brand, Caroline A. ^{[2
,8
]}

Hinman, Rana S. ^{[1
]}

机构：

[1] Univ Melbourne, Melbourne, Vic, Australia

[2] Monash Univ, Melbourne, Vic, Australia

[3] HealthChange Australia, Sydney, NSW, Australia

[4] Univ Western Sydney, Sydney, NSW, Australia

[5] Medibank, Docklands, Vic, Australia

[6] Royal North Shore Hosp, Sydney, NSW, Australia

[7] Univ Sydney, Inst Bone & Joint Res, Kolling Inst, Sydney, NSW, Australia

[8] Univ Melbourne, Melbourne Hlth, Melbourne EpiCtr, Melbourne, Vic, Australia

来源：

ARTHRITIS CARE & RESEARCH | 2017年 / 69卷 / 01期

基金：

澳大利亚研究理事会; 英国医学研究理事会;

关键词：

QUALITY-OF-LIFE; HIP OSTEOARTHRITIS; SELF-MANAGEMENT; OSTEO-ARTHRITIS; EXERCISE; INTERVENTION; BEHAVIOR; OUTCOMES; PEOPLE; WOMAC;

D O I：

10.1002/acr.22915

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

ObjectiveTo investigate whether simultaneous telephone coaching improves the clinical effectiveness of a physiotherapist-prescribed home-based physical activity program for knee osteoarthritis (OA). MethodsA total of 168 inactive adults ages 50 years with knee pain on a numeric rating scale 4 (NRS; range 0-10) and knee OA were recruited from the community and randomly assigned to a physiotherapy (PT) and coaching group (n=84) or PT-only (n=84) group. All participants received five 30-minute consultations with a physiotherapist over 6 months for education, home exercise, and physical activity advice. PT+coaching participants also received 6-12 telephone coaching sessions by clinicians trained in behavioral-change support for exercise and physical activity. Primary outcomes were pain (NRS) and physical function (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC; score range 0-68]) at 6 months. Secondary outcomes were these same measures at 12 and 18 months, as well as physical activity, exercise adherence, other pain and function measures, and quality of life. Analyses were intent-to-treat with multiple imputation for missing data. ResultsA total of 142 (85%), 136 (81%), and 128 (76%) participants completed 6-, 12-, and 18-month measurements, respectively. The change in NRS pain (mean difference 0.4 unit [95% confidence interval (95% CI) -0.4, 1.3]) and in WOMAC function (1.8 [95% CI -1.9, 5.5]) did not differ between groups at 6 months, with both groups showing clinically relevant improvements. Some secondary outcomes related to physical activity and exercise behavior favored PT+coaching at 6 months but generally not at 12 or 18 months. There were no between-group differences in most other outcomes. ConclusionThe addition of simultaneous telephone coaching did not augment the pain and function benefits of a physiotherapist-prescribed home-based physical activity program.

引用

页码：84 / 94

页数：11

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