To investigate the effectiveness of an internet physical activity / self-management program (artroseinbeweging.nl).
ID
Source
Brief title
Condition
- Joint disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Main study parameters/endpoints: Primary outcome measures are the amount of
physical activity (PASE and accelerometer), physical function (HOOS/KOOS) and
self perceived change.
Secondary outcome
Secondary outcome measures are pain (VAS) , self-efficacy (Arthritis
self-efficacy scale) , depression (HADS), and use of care.
Background summary
Osteoarthritis (OA) is a common joint disorder, threatening mobility and an
active lifestyle. Among patients with OA of hip or knee a large group is not
regularly using health care; in this study we call this group *outside-care
patients* and define them as those patients who did not have a treatment for
their OA (next to their medication and/or consult of their GP) in the last half
year. Since many of these patients believe nothing can be done for their
complaints, these patients do not know how to manage their OA. Therefore, there
is an urgent need for an intervention which is specifically developed for
outside-care patients.
Study objective
To investigate the effectiveness of an internet physical activity /
self-management program (artroseinbeweging.nl).
Study design
A randomized, wait-list controlled single blind clinical trial.
Intervention
The internet program artroseinbeweging.nl consists of two elements, physical
activity and self-management. Each element will be explained next. The total
duration of the program is 8 weeks. Each week, the participant is asked to log
in to the program, to receive his/her next week assignment. As a reminder,
emails will be sent to the participants at the beginning of each week. The
physical activity program consists of an individually-tailored training program
for the participants. Each week the participant receives new physical activity
assignments which need to be performed at 3 days during the next week. Each
week the level of the physical activity assignment increases stepwise until a
short-term goal has been reached (after 8 weeks). Next to this, information on
self-management topics is given to the patients. The following topics will be
discussed: pain during performance of physical activity, becoming a
self-manager, use of medication, coping with negative feelings, coping with
sleeping problems, arthritis caregivers, healthy eating habits, healthy body
weight and coping with social environment. Each time, the participants log
into the computer program a new topic appears at the homepage.
Study burden and risks
Since the study has low demands on the participants, and selection criteria are
used to exclude participants with a contra indication for physical activity,
the risks for participation are very low. Since all activities (assessment and
the program artroseinbeweging.nl) are spread through internet, the burden of
the study is also minimal.
Postbus 1568
3500 BN Utrecht
NL
Postbus 1568
3500 BN Utrecht
NL
Listed location countries
Age
Inclusion criteria
-Inclusion criteria:
* Participants are 'outside care' patients with osteoarthritis, which is defined as: they did not receive a treatment from medical caregivers, such as medical specialist and physiotherapist, for their OA in the last half year. Exceptions are consults with GP and medical treatment.
* Age between 50 and 70 years.
* Patient has self-reported osteoarthritis of hip or knee
* Patient does not fulfill recommendations of physical activity (5 days a week, 30 minutes a day)
Exclusion criteria
Exclusion criteria are:
* Other pathology explaining their complaints
* Contra-indication for physical activity
* No accessibility of internet
* Inability to understand the Dutch language;Patients will be asked about their comorbidities in relation to performing physical activity by using the PAR-Q (The Physical Activity Readiness Questionnaire) (Cardinal et al, 1996). In case they have a potential contraindication for physical activity (e.g. cardiovascular disorder, diabetes), they are advised to consult their GP about their participation of the internet program.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| Other | 2483 |
| CCMO | NL33759.029.10 |