Cargando…

The AktiWeb study: feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis

BACKGROUND: Patient organisations may be an under-utilised resource in follow-up of patients requiring long-term exercise as part of their disease management. The purpose of this study was to explore the feasibility of a web-based exercise program delivered by a patient organisation to patients with...

Descripción completa

Detalles Bibliográficos
Autores principales: Joseph, Kenth Louis, Dagfinrud, Hanne, Hagen, Kåre Birger, Nordén, Kristine Røren, Fongen, Camilla, Wold, Ole-Martin, Hinman, Rana S., Nelligan, Rachel K., Bennell, Kim L., Tveter, Anne Therese
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9296765/
https://www.ncbi.nlm.nih.gov/pubmed/35859065
http://dx.doi.org/10.1186/s40814-022-01110-3
_version_ 1784750328766267392
author Joseph, Kenth Louis
Dagfinrud, Hanne
Hagen, Kåre Birger
Nordén, Kristine Røren
Fongen, Camilla
Wold, Ole-Martin
Hinman, Rana S.
Nelligan, Rachel K.
Bennell, Kim L.
Tveter, Anne Therese
author_facet Joseph, Kenth Louis
Dagfinrud, Hanne
Hagen, Kåre Birger
Nordén, Kristine Røren
Fongen, Camilla
Wold, Ole-Martin
Hinman, Rana S.
Nelligan, Rachel K.
Bennell, Kim L.
Tveter, Anne Therese
author_sort Joseph, Kenth Louis
collection PubMed
description BACKGROUND: Patient organisations may be an under-utilised resource in follow-up of patients requiring long-term exercise as part of their disease management. The purpose of this study was to explore the feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis (OA). METHODS: In this pre–post feasibility study, patients aged 40–80 years with hip and/or knee OA were recruited from Diakonhjemmet Hospital. The 12-week intervention was delivered through a patient organisation’s digital platform. Feasibility was evaluated by proportion of eligible patients enrolled, proportion of enrolled patients who provided valid accelerometer data at baseline, and proportion completing the cardiorespiratory exercise test according to protocol at baseline and completed follow-up assessments. Patient acceptability was evaluated for website usability, satisfaction with the initial exercise level and comprehensibility of the exercise program. Change in clinical outcomes were assessed for physical activity, cardiorespiratory fitness and patient-reported variables. RESULTS: In total, 49 eligible patients were identified and 35 were enrolled. Thirty (86%) of these attended baseline assessments and provided valid accelerometer data and 18 (51%) completed the maximal cardiorespiratory exercise test according to protocol. Twenty-two (63%) patients completed the follow-up questionnaire, and they rated the website usability as ‘acceptable’ [median 77.5 out of 100 (IQR 56.9, 85.6)], 19 (86%) reported that the initial exercise level was ‘just right’ and 18 (82%) that the exercise program was ‘very easy’ or ’quite easy’ to comprehend. Improvement in both moderate to vigorous physical activity (mean change 16.4 min/day; 95% CI 6.9 to 25.9) and cardiorespiratory fitness, VO(2peak) (mean change 1.83 ml/kg/min; 95% CI 0.29 to 3.36) were found in a subgroup of 8 patients completing these tests. Across all patient-reported outcomes 24–52% of the patients had a meaningful improvement (n = 22). CONCLUSION: A web-based exercise program delivered by a patient organisation was found to be feasible and acceptable in patients with hip and/or knee OA. TRIAL REGISTRATION: ClinicalTrials.gov, NCT04084834 (registered 10 September 2019). The Regional Committee for Medical and Health Research Ethics south-east, 2018/2198. URL: Prosjekt #632074 - Aktiv med web-basert støtte. - Cristin (registered 7 June 2019). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40814-022-01110-3.
format Online
Article
Text
id pubmed-9296765
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-92967652022-07-20 The AktiWeb study: feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis Joseph, Kenth Louis Dagfinrud, Hanne Hagen, Kåre Birger Nordén, Kristine Røren Fongen, Camilla Wold, Ole-Martin Hinman, Rana S. Nelligan, Rachel K. Bennell, Kim L. Tveter, Anne Therese Pilot Feasibility Stud Research BACKGROUND: Patient organisations may be an under-utilised resource in follow-up of patients requiring long-term exercise as part of their disease management. The purpose of this study was to explore the feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis (OA). METHODS: In this pre–post feasibility study, patients aged 40–80 years with hip and/or knee OA were recruited from Diakonhjemmet Hospital. The 12-week intervention was delivered through a patient organisation’s digital platform. Feasibility was evaluated by proportion of eligible patients enrolled, proportion of enrolled patients who provided valid accelerometer data at baseline, and proportion completing the cardiorespiratory exercise test according to protocol at baseline and completed follow-up assessments. Patient acceptability was evaluated for website usability, satisfaction with the initial exercise level and comprehensibility of the exercise program. Change in clinical outcomes were assessed for physical activity, cardiorespiratory fitness and patient-reported variables. RESULTS: In total, 49 eligible patients were identified and 35 were enrolled. Thirty (86%) of these attended baseline assessments and provided valid accelerometer data and 18 (51%) completed the maximal cardiorespiratory exercise test according to protocol. Twenty-two (63%) patients completed the follow-up questionnaire, and they rated the website usability as ‘acceptable’ [median 77.5 out of 100 (IQR 56.9, 85.6)], 19 (86%) reported that the initial exercise level was ‘just right’ and 18 (82%) that the exercise program was ‘very easy’ or ’quite easy’ to comprehend. Improvement in both moderate to vigorous physical activity (mean change 16.4 min/day; 95% CI 6.9 to 25.9) and cardiorespiratory fitness, VO(2peak) (mean change 1.83 ml/kg/min; 95% CI 0.29 to 3.36) were found in a subgroup of 8 patients completing these tests. Across all patient-reported outcomes 24–52% of the patients had a meaningful improvement (n = 22). CONCLUSION: A web-based exercise program delivered by a patient organisation was found to be feasible and acceptable in patients with hip and/or knee OA. TRIAL REGISTRATION: ClinicalTrials.gov, NCT04084834 (registered 10 September 2019). The Regional Committee for Medical and Health Research Ethics south-east, 2018/2198. URL: Prosjekt #632074 - Aktiv med web-basert støtte. - Cristin (registered 7 June 2019). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40814-022-01110-3. BioMed Central 2022-07-20 /pmc/articles/PMC9296765/ /pubmed/35859065 http://dx.doi.org/10.1186/s40814-022-01110-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Joseph, Kenth Louis
Dagfinrud, Hanne
Hagen, Kåre Birger
Nordén, Kristine Røren
Fongen, Camilla
Wold, Ole-Martin
Hinman, Rana S.
Nelligan, Rachel K.
Bennell, Kim L.
Tveter, Anne Therese
The AktiWeb study: feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis
title The AktiWeb study: feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis
title_full The AktiWeb study: feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis
title_fullStr The AktiWeb study: feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis
title_full_unstemmed The AktiWeb study: feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis
title_short The AktiWeb study: feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis
title_sort aktiweb study: feasibility of a web-based exercise program delivered by a patient organisation to patients with hip and/or knee osteoarthritis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9296765/
https://www.ncbi.nlm.nih.gov/pubmed/35859065
http://dx.doi.org/10.1186/s40814-022-01110-3
work_keys_str_mv AT josephkenthlouis theaktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT dagfinrudhanne theaktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT hagenkarebirger theaktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT nordenkristinerøren theaktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT fongencamilla theaktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT woldolemartin theaktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT hinmanranas theaktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT nelliganrachelk theaktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT bennellkiml theaktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT tveterannetherese theaktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT josephkenthlouis aktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT dagfinrudhanne aktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT hagenkarebirger aktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT nordenkristinerøren aktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT fongencamilla aktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT woldolemartin aktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT hinmanranas aktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT nelliganrachelk aktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT bennellkiml aktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis
AT tveterannetherese aktiwebstudyfeasibilityofawebbasedexerciseprogramdeliveredbyapatientorganisationtopatientswithhipandorkneeosteoarthritis