Engaging in an evidence-based osteoarthritis management program: Referrer and patient perspectives
Barton C1,2, Sherwood J3, Ackerman I3,4, Brusco T3, Jennings S3, Young K3 Crossley K1, Kemp J1, Wallis J1,3
1La Trobe Sports and Exercise Medicine Research Centre, 2Department of Surgery, St Vincent’s Hospital, University of Melbourne, 3Cabrini Hospital, 4University of Southern Denmark.
Aim: To explore barriers and enablers (from referrer and patient perspectives) to engagement with an evidence-based, 8-week physiotherapy-led education and exercise program for knee osteoarthritis (OA).
Method: Semi-structured individual interviews were conducted with people with knee OA and potential referrers (GPs, surgeons, rheumatologists) to physiotherapy care. We explored barriers and enablers to participation in a specific 8-week OA education and exercise program – Good Life with osteoArthritis from Denmark (GLA:D®), as well as other non-surgical and surgical care for knee OA. Initial framework analysis was followed by an inductive and grounded approach, supported by NVivo software, until no new themes emerged.
Results: Twenty people with knee OA (including 10 who had completed GLA:D®), and 15 doctors (5 GPs, 5 surgeons, 5 Rheumatologists) participated in the interviews. Key barriers to education and exercise participation perceived by both patients and referrers included financial and physical access issues, available time to attend, and beliefs that other treatments would be more beneficial or accessible (pharmaceuticals, surgery). Key enablers perceived by both patients and referrers included a doctors’ recommendation, enhanced program availability, and improved funding. Patients also highlighted that understanding OA and the potential benefits of exercise would be key enablers.
Significance of the findings: Uptake of evidence-based knee OA programs such as GLA:D® may be increased by (i) Improved funding for participation; (ii) increased service availability – greater number of times and geographical locations; and (iii) educational resources and initiatives for patients and doctors to highlight the value of education and exercise-therapy.
[pdf-embedder url=”https://opus-tjr.org.au/wp-content/uploads/2019/04/Barton-C_poster-1.pdf” title=”Barton C_poster 1″]
For more information about this abstract, please contact:
Christian Barton, Sports and Exercise Medicine Research Centre, La Trobe University
- OPUS Forum 2019 Poster Presentations
-
- The combined effect of physiotherapy, intra-articular steroid injection and bracing on knee OA
- Telehealth v face-to-face physiotherapy for knee OA: a contingent valuation preference exercise
- Effectiveness of behavioural interventions on physical activity levels after joint replacement
- Opioid use prior to elective surgery is strongly associated with persistent use following surgery. An analysis of 14,354 Medicare patients
- Design of a text message intervention to support home exercise for people with knee osteoarthritis
- Candidacy and the Pathway to Total Knee Replacement: A Qualitative Study
- Community Osteoarthritis Hip and Knee Services may be a solution to keeping patients out of hospital
- Are illness perceptions a barrier to uptake of evidence-based interventions for knee osteoarthritis?
- How do patients appraise satisfaction, and pain and function outcomes after total knee replacement?
- Quality of Life Trajectories in Total Knee Replacement Patients: What can they tell us?
- Engaging in an evidence-based osteoarthritis management program: Referrer and patient perspectives
- Implementing evidence based education and exercise for knee osteoarthritis
- Does adding hip to quadriceps exercises improve outcomes for people with knee osteoarthritis?
- The utilisation of total knee replacement exceeds that predicted by population growth and obesity