Online osteoarthritis training programme for community-based clinicians: Mixed methods cohort study
Background: Core osteoarthritis interventions are ideally delivered in community-based settings. However, many community-based clinicians lack confidence and/or competence to effectively deliver high-quality, culturally-safe, evidence-based osteoarthritis care. Objective: Assess changes in community...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Osteoarthritis and Cartilage Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2665913125000469 |
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| author | Ben Darlow Melanie Brown Alison Pask Andrew M. Briggs Ben Hudson Eileen McKinlay Gareth Frew J. Haxby Abbott Jane Clark Loren Vincent Rawiri Keenan Rebecca Grainger Sarah Dean Shirley Simmonds James Stanley |
| author_facet | Ben Darlow Melanie Brown Alison Pask Andrew M. Briggs Ben Hudson Eileen McKinlay Gareth Frew J. Haxby Abbott Jane Clark Loren Vincent Rawiri Keenan Rebecca Grainger Sarah Dean Shirley Simmonds James Stanley |
| author_sort | Ben Darlow |
| collection | DOAJ |
| description | Background: Core osteoarthritis interventions are ideally delivered in community-based settings. However, many community-based clinicians lack confidence and/or competence to effectively deliver high-quality, culturally-safe, evidence-based osteoarthritis care. Objective: Assess changes in community-based dietitians', pharmacists', and physiotherapists’ knowledge and confidence to treat people with knee osteoarthritis after completing online KneeCAPS training, and explore perceptions of usefulness, what clinicians learned, and how this influenced their ability to provide osteoarthritis care. Design: Mixed methods cohort study with quantitative measures and qualitative free-text and focus group interviews. Results: 158 clinicians completed baseline measures, of which 121 completed all required training modules and 68 provided 3-month follow-up; 17 participated in focus groups. Osteoarthritis Knowledge Scale scores (mean change 6.7; 95 % CI 5.1, 8.3) and Confidence in Osteoarthritis Skills scores (mean change 11.8; 95 % CI 9.4, 14.3) increased across the cohort. Clinicians considered the training was thorough, helpful, and clinically applicable. Clinicians reported increased confidence to manage osteoarthritis, and gaining knowledge and skills to help patients. Three themes reflected areas of learning or professional growth: the importance of culturally-safe relationship-building to engage all patients in care; helpful ways to think about osteoarthritis based on best evidence; and the focus and structure of consultations to support sustainable health behaviours. An integrative theme reflected new awareness of the impact of language and communication on patient relationships and outcomes. Conclusion: KneeCAPS osteoarthritis training improved knowledge about and confidence in skills to manage knee osteoarthritis, particularly regarding culturally-safe relationships, paradigms for making sense of OA, supporting behaviour change, and communication to support participation. |
| format | Article |
| id | doaj-art-bed9017dd60e47299e24e1634e95bf6a |
| institution | OA Journals |
| issn | 2665-9131 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Osteoarthritis and Cartilage Open |
| spelling | doaj-art-bed9017dd60e47299e24e1634e95bf6a2025-08-20T02:32:54ZengElsevierOsteoarthritis and Cartilage Open2665-91312025-06-017210061010.1016/j.ocarto.2025.100610Online osteoarthritis training programme for community-based clinicians: Mixed methods cohort studyBen Darlow0Melanie Brown1Alison Pask2Andrew M. Briggs3Ben Hudson4Eileen McKinlay5Gareth Frew6J. Haxby Abbott7Jane Clark8Loren Vincent9Rawiri Keenan10Rebecca Grainger11Sarah Dean12Shirley Simmonds13James Stanley14University of Otago Wellington, Aotearoa New Zealand; Corresponding author. Department of Primary Health Care and General Practice, University of Otago. PO Box 7343, Wellington South, Wellington 6242, New Zealand.University of Otago Wellington, Aotearoa New ZealandTū Ora Compass Health, Wellington, Aotearoa New ZealandCurtin University, Perth, AustraliaUniversity of Otago Christchurch, Aotearoa New ZealandUniversity of Otago Wellington, Aotearoa New ZealandCanterbury Community Pharmacy Group, Christchurch, Aotearoa New ZealandUniversity of Otago, Aotearoa New ZealandLived Experience Research Partner, Wellington, Aotearoa New ZealandCommunity Pharmacist, Christchurch, Aotearoa New ZealandUniversity of Otago Wellington, Aotearoa New ZealandUniversity of Otago Wellington, Aotearoa New ZealandUniversity of Exeter, United KingdomUniversity of Otago Wellington, Aotearoa New ZealandUniversity of Otago Wellington, Aotearoa New ZealandBackground: Core osteoarthritis interventions are ideally delivered in community-based settings. However, many community-based clinicians lack confidence and/or competence to effectively deliver high-quality, culturally-safe, evidence-based osteoarthritis care. Objective: Assess changes in community-based dietitians', pharmacists', and physiotherapists’ knowledge and confidence to treat people with knee osteoarthritis after completing online KneeCAPS training, and explore perceptions of usefulness, what clinicians learned, and how this influenced their ability to provide osteoarthritis care. Design: Mixed methods cohort study with quantitative measures and qualitative free-text and focus group interviews. Results: 158 clinicians completed baseline measures, of which 121 completed all required training modules and 68 provided 3-month follow-up; 17 participated in focus groups. Osteoarthritis Knowledge Scale scores (mean change 6.7; 95 % CI 5.1, 8.3) and Confidence in Osteoarthritis Skills scores (mean change 11.8; 95 % CI 9.4, 14.3) increased across the cohort. Clinicians considered the training was thorough, helpful, and clinically applicable. Clinicians reported increased confidence to manage osteoarthritis, and gaining knowledge and skills to help patients. Three themes reflected areas of learning or professional growth: the importance of culturally-safe relationship-building to engage all patients in care; helpful ways to think about osteoarthritis based on best evidence; and the focus and structure of consultations to support sustainable health behaviours. An integrative theme reflected new awareness of the impact of language and communication on patient relationships and outcomes. Conclusion: KneeCAPS osteoarthritis training improved knowledge about and confidence in skills to manage knee osteoarthritis, particularly regarding culturally-safe relationships, paradigms for making sense of OA, supporting behaviour change, and communication to support participation.http://www.sciencedirect.com/science/article/pii/S2665913125000469OsteoarthritisOnline professional educationPrimary health careKnowledgeClinical competenceCultural competency |
| spellingShingle | Ben Darlow Melanie Brown Alison Pask Andrew M. Briggs Ben Hudson Eileen McKinlay Gareth Frew J. Haxby Abbott Jane Clark Loren Vincent Rawiri Keenan Rebecca Grainger Sarah Dean Shirley Simmonds James Stanley Online osteoarthritis training programme for community-based clinicians: Mixed methods cohort study Osteoarthritis and Cartilage Open Osteoarthritis Online professional education Primary health care Knowledge Clinical competence Cultural competency |
| title | Online osteoarthritis training programme for community-based clinicians: Mixed methods cohort study |
| title_full | Online osteoarthritis training programme for community-based clinicians: Mixed methods cohort study |
| title_fullStr | Online osteoarthritis training programme for community-based clinicians: Mixed methods cohort study |
| title_full_unstemmed | Online osteoarthritis training programme for community-based clinicians: Mixed methods cohort study |
| title_short | Online osteoarthritis training programme for community-based clinicians: Mixed methods cohort study |
| title_sort | online osteoarthritis training programme for community based clinicians mixed methods cohort study |
| topic | Osteoarthritis Online professional education Primary health care Knowledge Clinical competence Cultural competency |
| url | http://www.sciencedirect.com/science/article/pii/S2665913125000469 |
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