基于应用程序的针对髋或膝关节骨关节炎患者的身体活动和教育计划的可用性和初步效果 - 一项试点随机对照试验。
Usability and preliminary effectiveness of an app-based physical activity and education program for people with hip or knee osteoarthritis - a pilot randomized controlled trial.
机构信息
Department of Applied Health Sciences, Division of Physiotherapy, Hochschule für Gesundheit, University of Applied Health Sciences, Gesundheitscampus 6-8, Bochum, 44801, Germany.
Department of Rehabilitation, Physiotherapy Science & Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
出版信息
Arthritis Res Ther. 2024 Apr 10;26(1):83. doi: 10.1186/s13075-024-03291-z.
BACKGROUND
Hip and knee osteoarthritis (OA) are highly prevalent worldwide. The guidelines recommend physical activity and education as the core treatments for osteoarthritis. Digital health has the potential to engage people in physical activity and disease management. Therefore, we conducted a pilot trial to assess the usability and preliminary effectiveness of an app-based physical activity and education program (Join2Move) compared to usual care for people with hip and/or knee OA in Germany.
METHODS
A randomized controlled pilot study was conducted. Individuals with diagnosed or self-reported knee and hip OA were included. Allocation to the intervention or control group was randomized. The intervention group received the Join2Move program. The Join2Move program was previously developed as a website and evaluated in the Netherlands. For the current study, the program was translated and adapted to the German context and adjusted from a website to an app. The control group received usual care. The primary outcomes were usability and preliminary effectiveness (pain and physical functioning). Measurements were taken at baseline and at twelve weeks. The data analysis was performed using SPSS (IBM SPSS Statistics 29.0).
RESULTS
Sixty participants, with a mean age of 61.9 (SD ± 7.2) years, were allocated to the intervention (n = 32) or the control group (n = 28) and included in the analysis. The majority of participants had knee OA (68%), and 12% had hip and knee OA. The dropout rate was n = 11 (18%). No adverse events were reported. Usability was rated as acceptable (mean System Usability Scale = 71.3/100) with a wide range (32.5 to 100). Statistically significant between-group differences were found only for pain (mean difference 8.52 (95% CI 1.01 to 16.04), p = 0.027).
CONCLUSIONS
Join2Move demonstrated acceptable usability. The preliminary results of the pilot trial indicate the potential of a stand-alone app for the treatment of patients with hip or knee OA. However, the acceptable usability of Join2Move limits its recommendation for everyone. There appears to be room for improvement in app usability and in identifying patients for whom the app is suitable and the right time to use a stand-alone app.
TRIAL REGISTRATION
German Clinical Trials Register DRKS00027164 .
背景
髋和膝关节骨关节炎（OA）在全球范围内高发。指南建议将身体活动和教育作为 OA 的核心治疗方法。数字健康有可能使人们参与到身体活动和疾病管理中。因此，我们进行了一项试点试验，以评估基于应用程序的身体活动和教育计划（Join2Move）与德国髋和/或膝关节 OA 患者的常规护理相比的可用性和初步疗效。
方法
这是一项随机对照的试点研究。纳入了确诊或自我报告有膝和髋 OA 的个体。参与者被随机分配到干预组或对照组。干预组接受 Join2Move 计划。Join2Move 计划之前是在荷兰开发并进行了评估。针对本研究，对该计划进行了翻译和调整，以适应德国国情，并从网站改为应用程序。对照组接受常规护理。主要结局是可用性和初步疗效（疼痛和身体功能）。在基线和 12 周时进行测量。数据分析使用 SPSS（IBM SPSS Statistics 29.0）进行。
结果
共有 60 名参与者（平均年龄 61.9±7.2 岁）被分配到干预组（n=32）或对照组（n=28）并纳入分析。大多数参与者有膝 OA（68%），12%有髋和膝 OA。失访率为 n=11（18%）。未报告不良事件。可用性被评为可接受（平均系统可用性量表为 71.3/100），范围很广（32.5 到 100）。仅在疼痛方面发现了组间有统计学显著差异（平均差值 8.52（95%CI 1.01 到 16.04），p=0.027）。
结论
Join2Move 表现出可接受的可用性。试点试验的初步结果表明，对于髋或膝 OA 患者，独立应用程序具有治疗潜力。然而，Join2Move 的可接受可用性限制了其对所有人的推荐。在提高应用程序可用性以及确定适合应用程序的患者和使用独立应用程序的正确时间方面似乎还有改进的空间。
试验注册
德国临床试验注册处 DRKS00027164。
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