Optimizing osteoarthritis care through clinical and community partnership: Results of an exploratory trial
Background/Purpose: To conduct an exploratory trial of a clinic-community care model (OA CARE) for managing osteoarthritis (OA). Design: Participants (n = 60) with symptomatic knee or hip OA and overweight/obesity were randomized to OA CARE or a usual care control group (UC). Participants in the O...
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| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
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| Series: | Osteoarthritis and Cartilage Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266591312500024X |
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| Summary: | Background/Purpose: To conduct an exploratory trial of a clinic-community care model (OA CARE) for managing osteoarthritis (OA). Design: Participants (n = 60) with symptomatic knee or hip OA and overweight/obesity were randomized to OA CARE or a usual care control group (UC). Participants in the OA CARE group received a 12-month medical membership to a local YMCA, which included a 12-week weight loss program and access to exercise programming, as well as referrals to rehabilitation, nutrition, sleep-related and psychological services. Participants’ primary care clinicians were given a video-based summary of OA treatment guidelines. Feasibility metrics included engagement with the weight loss program and exercise resources. Outcomes were assessed at baseline, 6-months and 12-months. The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Outcomes were analyzed between groups across time points using general linear mixed models. Results: Eighty-seven percent of the OA CARE group participated in the weight loss program, with a mean attendance of 9.2 sessions; 57 % participated in an exercise class. At 6-months, there was a statistically significant between-group difference in change in WOMAC total scores, with the OA CARE group showing greater improvement (−11.0, 95 % Confidence Interval −20.1, −1.9). At 12-months, the between-group change in WOMAC score was not statistically significant, though there was a small difference in favor of OA CARE Group (−4.9, 95 % Confidence Interval −14.1, 4.3). Conclusion: Feasibility metrics were positive, but effects of OA CARE were modest, and a more intensive approach may be needed to enhance impacts. |
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| ISSN: | 2665-9131 |