Institute of Bone and Joint Research, The Kolling Institute, University of Sydney, Royal North Shore Hospital, Reserve Road, Level 10, Kolling Building, St. Leonards, Sydney, NSW, 2065, Australia.
Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia.
BMC Musculoskelet Disord. 2020 Feb 6;21(1):79. doi: 10.1186/s12891-020-3074-2.
To evaluate the effects of the updated version of an evidence-based osteoarthritis (OA) resource and consumer hub, 'My Joint Pain' website, on health education and quality of care over 12 months.
Using a classic quasi-experimental design, participants with symptomatic hip or knee OA were recruited across Australia to evaluate the 'My Joint Pain' website, compared to a control group of non-users from 12 to 24 months. Outcome measures included the Health Education Impact Questionnaire (HEIQ) and the OA Quality Indicator (OAQI) questionnaire. The changes from 12 to 24 months in the HEIQ were evaluated using a generalised linear model. The differences between users and non-users in the OAQI were evaluated using a chi-square test.
A total of 277 eligible participants with symptomatic hip or knee OA were recruited at baseline, and 122 participants completed the 24-month surveys (users: n = 35, non-users: n = 87). There was no significant difference between users and non-users for the HEIQ scores at 24 months after adjustments for age, sex and body mass index (BMI). Users had higher emotional distress scores than non-users in univariable analysis. When compared with non-users in the OAQI, users showed favourable changes in receiving information about "self-management" and "acetaminophen" and "non-steroidal anti-inflammatory drugs (NSAIDs)" from 12 to 24 months.
The evaluation of the updated 'My Joint Pain' website didn't find significant improvements in terms of health education, but it may help delivering useful information about self-management and appropriate use of pharmacological treatments. More strategies are needed to facilitate the uptake of evidence-based self-management and education online resources for OA consumers.
评估经过更新的循证骨关节炎（OA）资源和消费者中心“我的关节疼痛”网站在 12 个月以上的健康教育和护理质量方面的效果。
使用经典的准实验设计，在澳大利亚招募了有症状的髋或膝关节 OA 患者，以评估“我的关节疼痛”网站，与 12 至 24 个月的非使用者对照组进行比较。评估的结果包括健康教育培训影响问卷（HEIQ）和 OA 质量指标（OAQI）问卷。使用广义线性模型评估 HEIQ 从 12 个月到 24 个月的变化。使用卡方检验评估用户和非用户在 OAQI 之间的差异。
在基线时共招募了 277 名有症状的髋或膝关节 OA 合格参与者，122 名参与者完成了 24 个月的调查（使用者：n=35，非使用者：n=87）。调整年龄、性别和体重指数（BMI）后，24 个月时用户和非用户的 HEIQ 评分无显著差异。在单变量分析中，使用者的情绪困扰评分高于非使用者。与 OAQI 中的非使用者相比，使用者在接受关于“自我管理”、“对乙酰氨基酚”和“非甾体抗炎药（NSAIDs）”的信息方面显示出从 12 个月到 24 个月的有利变化。
对更新后的“我的关节疼痛”网站的评估没有发现健康教育方面的显著改善，但它可能有助于提供有关自我管理和适当使用药物治疗的有用信息。需要采取更多策略来促进 OA 消费者对循证自我管理和教育在线资源的接受。
