Konings-Pijnappels A P M, van der Steen M C, Seetsen-van Schelven H, Hoogendoorn I, Vliet Vlieland T P M, Janssen R P A
Department of Health Innovations and Technology, Fontys University of Applied Sciences, Eindhoven, the Netherlands.
Department of Orthopaedic Surgery & Trauma, Máxima Medical Centre, Eindhoven-Veldhoven, the Netherlands.
Osteoarthr Cartil Open. 2025 Apr 25;7(3):100617. doi: 10.1016/j.ocarto.2025.100617. eCollection 2025 Sep.
While exercise therapy generally yields positive outcomes in patients with hip or knee osteoarthritis (HOA or KOA), individual results vary. Expectations may influence treatment results, but research on this topic is scarce. Therefore, this study aimed to describe methods to assess pre-treatment expectations of patients with HOA or KOA with respect to exercise therapy.
Scoping review, with the Pubmed, Embase, CINAHL and Cochrane databases searched for original clinical studies of any design reporting a method or instrument to assess expectations of exercise therapy in patients with HOA or KOA. Data extraction from selected studies concerned study characteristics and the method or instrument used, as well as their content, categorized into expectations of structure, process or outcomes of exercise therapy treatment.
Twenty-nine studies met the inclusion criteria. Twenty-three different methods used to address expectations were identified, 3 of which had a qualitative nature (interviews) and 20 concerned questionnaires. There was a large variation in number of items and measurement scales in the identified methods. Nine methods addressed expectations of outcomes of treatment, 7 addressed both outcomes and the process/structure of treatment. One instrument was found to measure willingness to receive exercise rather than expectations. For the remaining 6 instruments no content nor aspects measured were reported.
In the literature, apart from interviews, mainly quantitative methods have been used to measure expectations with regard to exercise therapy in patients with HOA or KOA. Most of their content concerned the outcomes of care, rather than its structure and/or process.
虽然运动疗法通常能使髋或膝骨关节炎（HOA或KOA）患者取得积极疗效，但个体结果存在差异。期望可能会影响治疗效果，但关于这一主题的研究较少。因此，本研究旨在描述评估HOA或KOA患者对运动疗法的治疗前期望的方法。
范围综述，检索了PubMed、Embase、CINAHL和Cochrane数据库，以查找任何设计的原始临床研究，这些研究报告了评估HOA或KOA患者对运动疗法期望的方法或工具。从选定研究中提取的数据涉及研究特征、所使用的方法或工具及其内容，分为对运动疗法治疗的结构、过程或结果的期望。
29项研究符合纳入标准。确定了23种用于处理期望的不同方法，其中3种具有定性性质（访谈），20种涉及问卷。所确定的方法在项目数量和测量量表方面存在很大差异。9种方法涉及对治疗结果的期望，7种方法涉及对治疗结果以及治疗过程/结构的期望。发现一种工具用于测量接受运动的意愿而非期望。对于其余6种工具，未报告其内容或所测量的方面。
在文献中，除了访谈外，主要使用定量方法来测量HOA或KOA患者对运动疗法的期望。它们的大部分内容涉及护理结果，而非其结构和/或过程。
