Measurement of expectations regarding exercise therapy of patients with hip and knee osteoarthritis: A scoping review

Objective: 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-tr...

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Main Authors: A.P.M. Konings-Pijnappels, M.C. van der Steen, H. Seetsen-van Schelven, I. Hoogendoorn, T.P.M. Vliet Vlieland, R.P.A. Janssen
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Osteoarthritis and Cartilage Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2665913125000536
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author A.P.M. Konings-Pijnappels
M.C. van der Steen
H. Seetsen-van Schelven
I. Hoogendoorn
T.P.M. Vliet Vlieland
R.P.A. Janssen
author_facet A.P.M. Konings-Pijnappels
M.C. van der Steen
H. Seetsen-van Schelven
I. Hoogendoorn
T.P.M. Vliet Vlieland
R.P.A. Janssen
author_sort A.P.M. Konings-Pijnappels
collection DOAJ
description Objective: 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. Design: 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. Results: 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. Conclusion: 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.
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spelling doaj-art-988aa9ccddba445f8606ea8884651d3f2025-08-20T03:09:42ZengElsevierOsteoarthritis and Cartilage Open2665-91312025-09-017310061710.1016/j.ocarto.2025.100617Measurement of expectations regarding exercise therapy of patients with hip and knee osteoarthritis: A scoping reviewA.P.M. Konings-Pijnappels0M.C. van der Steen1H. Seetsen-van Schelven2I. Hoogendoorn3T.P.M. Vliet Vlieland4R.P.A. Janssen5Department 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; Leiden University Medical Center (LUMC), Leiden, the Netherlands; Corresponding author. Fontys University of Applied Sciences, Rachelsmolen 1, 5612 MA Eindhoven, Building R13, room 3.14, Post-box 347, 5600 Eindhoven, AH, the Netherlands.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; Department of Orthopaedic Surgery & Trauma, Catharina Hospital, Eindhoven, the NetherlandsDepartment of Health Innovations and Technology, Fontys University of Applied Sciences, Eindhoven, the NetherlandsDepartment Research and Medical Innovation, Máxima Medical Centre, Eindhoven-Veldhoven, the NetherlandsLeiden University Medical Center (LUMC), Leiden, the NetherlandsDepartment 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; Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, the NetherlandsObjective: 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. Design: 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. Results: 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. Conclusion: 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.http://www.sciencedirect.com/science/article/pii/S2665913125000536Hip osteoarthritisKnee osteoarthritisExpectationsExercise therapy
spellingShingle A.P.M. Konings-Pijnappels
M.C. van der Steen
H. Seetsen-van Schelven
I. Hoogendoorn
T.P.M. Vliet Vlieland
R.P.A. Janssen
Measurement of expectations regarding exercise therapy of patients with hip and knee osteoarthritis: A scoping review
Osteoarthritis and Cartilage Open
Hip osteoarthritis
Knee osteoarthritis
Expectations
Exercise therapy
title Measurement of expectations regarding exercise therapy of patients with hip and knee osteoarthritis: A scoping review
title_full Measurement of expectations regarding exercise therapy of patients with hip and knee osteoarthritis: A scoping review
title_fullStr Measurement of expectations regarding exercise therapy of patients with hip and knee osteoarthritis: A scoping review
title_full_unstemmed Measurement of expectations regarding exercise therapy of patients with hip and knee osteoarthritis: A scoping review
title_short Measurement of expectations regarding exercise therapy of patients with hip and knee osteoarthritis: A scoping review
title_sort measurement of expectations regarding exercise therapy of patients with hip and knee osteoarthritis a scoping review
topic Hip osteoarthritis
Knee osteoarthritis
Expectations
Exercise therapy
url http://www.sciencedirect.com/science/article/pii/S2665913125000536
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