NCT05584410

Digitalization of Osteoarthritis Care

Digitalization of the Care for Patients With Hip and Knee Osteoarthritis

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 315 (estimated)
• Sponsor: Vastra Gotaland Region · Other Government
• Sex: All
• Age: 20 Years – 90 Years
• Healthy volunteers: Not accepted

Summary

The overall aim of this study is to compare three different care models for patients with hip- and knee osteoarthritis. The primary aim is to evaluate whether an app-based care model is more beneficial for improving function in daily life than a web-based care model and standard care for patients with hip and / or knee osteoarthritis

Detailed description

The primary aim of this study is to evaluate whether an app-based care model is more beneficial for improving function in daily life than a web-based care model and standard care for patients with hip and / or knee osteoarthritis. The secondary aims are to evaluate how 1) patient-related outcome measures regarding the ability of the patient to "forget" about their problematic joint after treatment, quality of life, pain-related self-efficacy, and level of physical activity and 2) care consumption, cost-effectiveness, and carbon footprint differ between the three care models in a short-term (three months) and long-term perspective (one and three years respectively). Further aims are to evaluate how patient experience of the benefits provided by the two digital care models differs, how patient experience with respect to work alliance differs between the three care models, describe the adherence to using the app in the app-based care model and to describe what patient characteristics are associated with clinically meaningful improvements in function in daily life among patients recieving app-based care. The primary hypothesis is that patients who are randomized to an app-based care model will improve significantly more in terms of function in daily life from baseline to one year compared with patients who are randomized to a web-based model and usual care. The secondary hypothesis is that patients randomized to the app-based care model change equivalently from baseline to one year in terms of patient-reported measures, but that the app-based care model is more cost-effective compared with the other two care models at one and three years, respectively.

Conditions

• Osteoarthritis, Knee
• Osteoarthritis, Hip

Interventions

Type	Name	Description
OTHER	Patient information	Patient education according to national guidelines, with information about e.g. disease progression, symptoms, treatment, exercise, self-care techniques and dietary information
OTHER	Smart phone application based exercises	Individually based exercise programs individualized exercises where instructions are given through real-time video or pictures in combination with written descriptions.
OTHER	Web based exercises	Generic osteoarthritis exercise, including about 20 different exercises, provided by real-time videos and written description
OTHER	Group based information	Osteoarthritis specific information at three different group meeting (physical or digital) led by a physiotherapist, an occupational therapist and / or dietitian (each rehab clinic makes its own arrangement).
OTHER	Supervised rehabilitation	The patient is offered to regularly exercise at the clinic, individually or in a group under supervision from a physiotherapist.
OTHER	Self-monitoring	Patients will be followed by validated questionnaires and function tests (30 sec Chair-to-stand test) every six months until three years after the start of treatment. The patients will get a report of the results and a research coordinator will contact the patients if their symptoms/function has worsen and discuss further treatment
BEHAVIORAL	Motivational notifications	Automatic and daily reminders and / or motivational notifications
OTHER	Home based rehabilitation	Individualized exercises that the patient performs on their own, i.e. at home or at a gym.

Timeline

• Start date: 2022-12-05
• Primary completion: 2025-12-31
• Completion: 2028-12-31
• First posted: 2022-10-18
• Last updated: 2025-05-31

Locations

1 site across 1 country: Sweden