职业治疗师提供的针对膝关节骨关节炎的认知行为疗法：一项随机试点研究。
Occupational Therapist-Delivered Cognitive-Behavioral Therapy for Knee Osteoarthritis: A Randomized Pilot Study.
作者信息
Murphy Susan L, Janevic Mary R, Lee Pearl, Williams David A
机构信息
Susan L. Murphy, ScD, OTR, is Associate Professor, Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, and Geriatric Research Education and Clinical Center, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI;
Mary R. Janevic, PhD, MPH, is Assistant Research Scientist, Center for Managing Chronic Disease, Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor.
出版信息
Am J Occup Ther. 2018 Sep/Oct;72(5):7205205040p1-7205205040p9. doi: 10.5014/ajot.2018.027870.
OBJECTIVE
This study assessed the feasibility and preliminary efficacy of an online-assisted, occupational therapist-delivered, cognitive-behavioral therapy intervention to promote physical function in patients with knee osteoarthritis (KOA).
METHOD
Fifty-seven participants with KOA were randomized 2:1 to the Engage program (eight clinic-based sessions supported by online modules) or usual care. Using analysis of covariance, we estimated Engage's effect on physical function (Western Ontario and McMaster Universities Osteoarthritis Index's Physical Function subscale [WOMAC-PF]) at 6 mo.
RESULTS
Data were analyzed on 46 completers. Engage was associated with a small effect (η² = 0.01) on the WOMAC-PF. More Engage participants than controls reported much or very much improvement (45% vs. 13%; p = .03). Satisfaction was high, and 30 of 31 participants attended six sessions or more.
CONCLUSION
An online-supported cognitive-behavioral program for people with KOA delivered by occupational therapists is feasible and may contribute to improved physical function.
目的
本研究评估了一种由职业治疗师提供的、在线辅助的认知行为疗法干预措施对促进膝骨关节炎（KOA）患者身体功能的可行性和初步疗效。
方法
57名KOA患者按2:1随机分为参与Engage项目组（8次基于诊所的课程，并辅以在线模块）或常规护理组。使用协方差分析，我们估计了Engage项目在6个月时对身体功能（西安大略和麦克马斯特大学骨关节炎指数身体功能子量表[WOMAC-PF]）的影响。
结果
对46名完成者的数据进行了分析。Engage项目与WOMAC-PF的微小效应（η² = 0.01）相关。与对照组相比，更多参与Engage项目的参与者报告有很大或非常大的改善（45%对13%；p = 0.03）。满意度很高，31名参与者中有30人参加了6次或更多次课程。
结论
由职业治疗师为KOA患者提供的在线支持认知行为项目是可行的，可能有助于改善身体功能。
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