Rehabilitation Medicine Center, Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, PR China.
School of Rehabilitation Sciences, West China School of Medicine, Sichuan University, Chengdu, China.
BMC Musculoskelet Disord. 2022 Mar 22;23(1):274. doi: 10.1186/s12891-022-05212-0.
Osteoarthritis is a common and disabling condition that places heavy burden to individuals and healthcare systems. Patient education is a facilitator in the treatment decision making process, aiming to develop a treatment plan for the disease management. Electronic health (eHealth) is an alternative forum for the delivery of patient education and given the prevailing of eHealth in healthcare, introducing patient education programs using the technology has the potential to improve patient engagement, self-management and outcomes in patients with osteoarthritis. The study will evaluate the efficacy of eHealth patient education tool on patients' perception of knee osteoarthritis and treatment options, satisfaction and compliance to treatments.
This study is a prospective randomized controlled trial with a 1:1 allocation in two groups. We will recruit 216 patients diagnosed with knee osteoarthritis from the outpatient physiatry/physiotherapy clinic at West China Hospital, Sichuan University in Southwest China. Both groups will receive usual care and additionally, the intervention group will use eHealth patient education tool during the process. Measurements will be taken at baseline, post-intervention, 1 month, 3- and 6-months follow-up. Primary outcome will be patients' knowledge about disease and treatment options, measured by the validated osteoarthritis patient knowledge questionnaire. Secondary outcomes include patients' satisfaction with the consultation, the eHealth patient education tool, and their trust of the physiotherapist.
The eHealth patient education tool is designed to provide participants with an innovative model of care delivery and this trial will assess the efficacy of the tool and whether this new model of patient education will have the potential to increase patient knowledge and empower self-management. Results collected from this study will further inform future research employing eHealth tool as interventions for the management of a range of other chronic conditions and help participants in communities or rural areas having the equal access to health care services.
This study was prospectively registered on the Chinese Clinical Trials Registry ( ChiCTR2100051083 ) registered 12.09.2021.
骨关节炎是一种常见且致残的疾病，给个人和医疗保健系统带来了沉重的负担。患者教育是治疗决策过程中的促进因素，旨在为疾病管理制定治疗计划。电子健康（eHealth）是提供患者教育的替代论坛，鉴于 eHealth 在医疗保健中的流行，引入使用该技术的患者教育计划有可能改善骨关节炎患者的参与度、自我管理和结局。本研究将评估电子健康患者教育工具对患者对膝关节骨关节炎和治疗选择的认知、对治疗的满意度和依从性的疗效。
这是一项前瞻性随机对照试验，两组采用 1:1 分配。我们将从中国西南地区四川大学华西医院的门诊物理治疗/物理疗法诊所招募 216 名被诊断为膝关节骨关节炎的患者。两组均接受常规护理，此外，干预组将在治疗过程中使用电子健康患者教育工具。测量将在基线、干预后、1 个月、3 个月和 6 个月随访时进行。主要结局是患者对疾病和治疗选择的知识，通过经过验证的骨关节炎患者知识问卷进行测量。次要结局包括患者对咨询、电子健康患者教育工具和物理治疗师的满意度。
电子健康患者教育工具旨在为参与者提供一种创新的护理提供模式，本试验将评估该工具的疗效，以及这种新的患者教育模式是否有可能增加患者的知识和增强自我管理能力。本研究收集的结果将进一步为未来使用电子健康工具作为管理一系列其他慢性疾病的干预措施提供信息，并帮助社区或农村地区的参与者获得平等的医疗保健服务。
本研究于 2021 年 9 月 12 日在中国临床试验注册中心（ ChiCTR2100051083 ）前瞻性注册。
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