Telephone coaching to enhance a home-based physical activity program for knee osteoarthritis : a randomized clinical trial

Kim L. Bennell; Penny K. Campbell; Thorlene Egerton; Ben Metcalf; Jessica Kasza; Andrew Forbes; Caroline Bills; Janette Gale; Anthony Harris; Gregory S. Kolt; Stephen J. Bunker; David J. Hunter; Caroline A. Brand; Rana S. Hinman

doi:10.1002/acr.22915

Telephone coaching to enhance a home-based physical activity program for knee osteoarthritis : a randomized clinical trial

Kim L. Bennell, Penny K. Campbell, Thorlene Egerton, Ben Metcalf, Jessica Kasza, Andrew Forbes, Caroline Bills, Janette Gale, Anthony Harris, Gregory S. Kolt, Stephen J. Bunker, David J. Hunter, Caroline A. Brand, Rana S. Hinman

Western Sydney University

Research output: Contribution to journal › Article › peer-review

Abstract

Objective. To investigate whether simultaneous telephone coaching improves the clinical effectiveness of a physiotherapist-prescribed home-based physical activity program for knee osteoarthritis (OA). Methods. A total of 168 inactive adults ages ≥50 years with knee pain on a numeric rating scale ≥4 (NRS; range 0–10) and knee OA were recruited from the community and randomly assigned to a physiotherapy (PT) and coaching group (n=84) or PT-only (n=84) group. All participants received five 30-minute consultations with a physiotherapist over 6 months for education, home exercise, and physical activity advice. PT+coaching participants also received 6–12 telephone coaching sessions by clinicians trained in behavioral-change support for exercise and physical activity. Primary outcomes were pain (NRS) and physical function (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC; score range 0–68]) at 6 months. Secondary outcomes were these same measures at 12 and 18 months, as well as physical activity, exercise adherence, other pain and function measures, and quality of life. Analyses were intent-to-treat with multiple imputation for missing data. Results. A total of 142 (85%), 136 (81%), and 128 (76%) participants completed 6-, 12-, and 18-month measurements, respectively. The change in NRS pain (mean difference 0.4 unit [95% confidence interval (95% CI) 20.4, 1.3]) and in WOMAC function (1.8 [95% CI ‒1.9, 5.5]) did not differ between groups at 6 months, with both groups showing clinically relevant improvements. Some secondary outcomes related to physical activity and exercise behavior favored PT+coaching at 6 months but generally not at 12 or 18 months. There were no between-group differences in most other outcomes. Conclusion. The addition of simultaneous telephone coaching did not augment the pain and function benefits of a physiotherapist-prescribed home-based physical activity program.

Original language	English
Pages (from-to)	84-94
Number of pages	11
Journal	Arthritis Care and Research
Volume	69
Issue number	1
DOIs	https://doi.org/10.1002/acr.22915
Publication status	Published - 2017

Keywords

activity monitor
knee
osteoarthritis
physiotherapy
quality of life

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10.1002/acr.22915

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Bennell, K. L., Campbell, P. K., Egerton, T., Metcalf, B., Kasza, J., Forbes, A., Bills, C., Gale, J., Harris, A., Kolt, G. S., Bunker, S. J., Hunter, D. J., Brand, C. A., & Hinman, R. S. (2017). Telephone coaching to enhance a home-based physical activity program for knee osteoarthritis : a randomized clinical trial. Arthritis Care and Research, 69(1), 84-94. https://doi.org/10.1002/acr.22915

@article{d43686075ac74a369c076bd0e74d74bd,

title = "Telephone coaching to enhance a home-based physical activity program for knee osteoarthritis : a randomized clinical trial",

abstract = "Objective. To investigate whether simultaneous telephone coaching improves the clinical effectiveness of a physiotherapist-prescribed home-based physical activity program for knee osteoarthritis (OA). Methods. A total of 168 inactive adults ages ≥50 years with knee pain on a numeric rating scale ≥4 (NRS; range 0–10) and knee OA were recruited from the community and randomly assigned to a physiotherapy (PT) and coaching group (n=84) or PT-only (n=84) group. All participants received five 30-minute consultations with a physiotherapist over 6 months for education, home exercise, and physical activity advice. PT+coaching participants also received 6–12 telephone coaching sessions by clinicians trained in behavioral-change support for exercise and physical activity. Primary outcomes were pain (NRS) and physical function (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC; score range 0–68]) at 6 months. Secondary outcomes were these same measures at 12 and 18 months, as well as physical activity, exercise adherence, other pain and function measures, and quality of life. Analyses were intent-to-treat with multiple imputation for missing data. Results. A total of 142 (85%), 136 (81%), and 128 (76%) participants completed 6-, 12-, and 18-month measurements, respectively. The change in NRS pain (mean difference 0.4 unit [95% confidence interval (95% CI) 20.4, 1.3]) and in WOMAC function (1.8 [95% CI ‒1.9, 5.5]) did not differ between groups at 6 months, with both groups showing clinically relevant improvements. Some secondary outcomes related to physical activity and exercise behavior favored PT+coaching at 6 months but generally not at 12 or 18 months. There were no between-group differences in most other outcomes. Conclusion. The addition of simultaneous telephone coaching did not augment the pain and function benefits of a physiotherapist-prescribed home-based physical activity program.",

keywords = "activity monitor, knee, osteoarthritis, physiotherapy, quality of life",

author = "Bennell, {Kim L.} and Campbell, {Penny K.} and Thorlene Egerton and Ben Metcalf and Jessica Kasza and Andrew Forbes and Caroline Bills and Janette Gale and Anthony Harris and Kolt, {Gregory S.} and Bunker, {Stephen J.} and Hunter, {David J.} and Brand, {Caroline A.} and Hinman, {Rana S.}",

year = "2017",

doi = "10.1002/acr.22915",

language = "English",

volume = "69",

pages = "84--94",

journal = "Arthritis Care and Research",

issn = "2151-464X",

publisher = "Wiley & Sons",

number = "1",

}

Bennell, KL, Campbell, PK, Egerton, T, Metcalf, B, Kasza, J, Forbes, A, Bills, C, Gale, J, Harris, A, Kolt, GS, Bunker, SJ, Hunter, DJ, Brand, CA & Hinman, RS 2017, 'Telephone coaching to enhance a home-based physical activity program for knee osteoarthritis : a randomized clinical trial', Arthritis Care and Research, vol. 69, no. 1, pp. 84-94. https://doi.org/10.1002/acr.22915

TY - JOUR

T1 - Telephone coaching to enhance a home-based physical activity program for knee osteoarthritis : a randomized clinical trial

AU - Bennell, Kim L.

AU - Campbell, Penny K.

AU - Egerton, Thorlene

AU - Metcalf, Ben

AU - Kasza, Jessica

AU - Forbes, Andrew

AU - Bills, Caroline

AU - Gale, Janette

AU - Harris, Anthony

AU - Kolt, Gregory S.

AU - Bunker, Stephen J.

AU - Hunter, David J.

AU - Brand, Caroline A.

AU - Hinman, Rana S.

PY - 2017

Y1 - 2017

N2 - Objective. To investigate whether simultaneous telephone coaching improves the clinical effectiveness of a physiotherapist-prescribed home-based physical activity program for knee osteoarthritis (OA). Methods. A total of 168 inactive adults ages ≥50 years with knee pain on a numeric rating scale ≥4 (NRS; range 0–10) and knee OA were recruited from the community and randomly assigned to a physiotherapy (PT) and coaching group (n=84) or PT-only (n=84) group. All participants received five 30-minute consultations with a physiotherapist over 6 months for education, home exercise, and physical activity advice. PT+coaching participants also received 6–12 telephone coaching sessions by clinicians trained in behavioral-change support for exercise and physical activity. Primary outcomes were pain (NRS) and physical function (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC; score range 0–68]) at 6 months. Secondary outcomes were these same measures at 12 and 18 months, as well as physical activity, exercise adherence, other pain and function measures, and quality of life. Analyses were intent-to-treat with multiple imputation for missing data. Results. A total of 142 (85%), 136 (81%), and 128 (76%) participants completed 6-, 12-, and 18-month measurements, respectively. The change in NRS pain (mean difference 0.4 unit [95% confidence interval (95% CI) 20.4, 1.3]) and in WOMAC function (1.8 [95% CI ‒1.9, 5.5]) did not differ between groups at 6 months, with both groups showing clinically relevant improvements. Some secondary outcomes related to physical activity and exercise behavior favored PT+coaching at 6 months but generally not at 12 or 18 months. There were no between-group differences in most other outcomes. Conclusion. The addition of simultaneous telephone coaching did not augment the pain and function benefits of a physiotherapist-prescribed home-based physical activity program.

AB - Objective. To investigate whether simultaneous telephone coaching improves the clinical effectiveness of a physiotherapist-prescribed home-based physical activity program for knee osteoarthritis (OA). Methods. A total of 168 inactive adults ages ≥50 years with knee pain on a numeric rating scale ≥4 (NRS; range 0–10) and knee OA were recruited from the community and randomly assigned to a physiotherapy (PT) and coaching group (n=84) or PT-only (n=84) group. All participants received five 30-minute consultations with a physiotherapist over 6 months for education, home exercise, and physical activity advice. PT+coaching participants also received 6–12 telephone coaching sessions by clinicians trained in behavioral-change support for exercise and physical activity. Primary outcomes were pain (NRS) and physical function (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC; score range 0–68]) at 6 months. Secondary outcomes were these same measures at 12 and 18 months, as well as physical activity, exercise adherence, other pain and function measures, and quality of life. Analyses were intent-to-treat with multiple imputation for missing data. Results. A total of 142 (85%), 136 (81%), and 128 (76%) participants completed 6-, 12-, and 18-month measurements, respectively. The change in NRS pain (mean difference 0.4 unit [95% confidence interval (95% CI) 20.4, 1.3]) and in WOMAC function (1.8 [95% CI ‒1.9, 5.5]) did not differ between groups at 6 months, with both groups showing clinically relevant improvements. Some secondary outcomes related to physical activity and exercise behavior favored PT+coaching at 6 months but generally not at 12 or 18 months. There were no between-group differences in most other outcomes. Conclusion. The addition of simultaneous telephone coaching did not augment the pain and function benefits of a physiotherapist-prescribed home-based physical activity program.

KW - activity monitor

KW - knee

KW - osteoarthritis

KW - physiotherapy

KW - quality of life

UR - http://handle.westernsydney.edu.au:8081/1959.7/uws:38842

U2 - 10.1002/acr.22915

DO - 10.1002/acr.22915

M3 - Article

SN - 2151-464X

VL - 69

SP - 84

EP - 94

JO - Arthritis Care and Research

JF - Arthritis Care and Research

IS - 1

ER -

Telephone coaching to enhance a home-based physical activity program for knee osteoarthritis : a randomized clinical trial

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