Blended Care in physiotherapy for people with knee and/or hip osteoarthritis: preconditions and recommendations using a Delphi study

• Conditions: M15; M16; M17; Polyarthrosis; Coxarthrosis [arthrosis of hip]; Gonarthrosis [arthrosis of knee]

• Registration Number: DRKS00023386
• Lead Sponsor: Hochschule für Gesundheit, Bochum

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2021-01-22
• Study Completion: 2021-06-15
• Results First Posted: 2023-07-07
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 16

Inclusion Criteria

Patients:
• Men, women and diverse gender with hip and/or knee OA
• Medically diagnosed OA (according to ICD-10: M15 – polyarthrosis, M16 – coxarthrosis and/or M17 gonarthrosis)
• Based on the criteria of the American College of Rheumatology” (ACR) for idiopathic OA of the knee (Altman et al., 1986) or the hip (Altman et al., 1991)
• Signed informed consent
• Sufficient skills in German
• Participants received at least one prescription for physiotherapy with regard to their OA related symptoms
• Participants own a digital device (PC, laptop, mobile phone, tablet)
• Internet access
• Half of the participants has experiences with digital tools in health care, the other half of the participants doesn’t have experiences with digital tools in health care

Physiotherapists:
• Men, women and divers gender
• Signed informed consent
• Sufficient skills in German
• Completed apprenticeship or university degree in physiotherapy
• Physiotherapists who work in an outpatient setting
• Physiotherapists who treat patients with hip and/or knee OA on average four times a week
• Physiotherapists who have five years of experience in the field of physiotherapy of people with hip and/or knee OA
• Participants own a digital device (PC, laptop, mobile phone, tablet)
• Internet access
• Half of the participants has experiences with digital tools in health care, the other half of the participants doesn’t have experiences with digital tools in health care

Focus groups:
• Men, women and diverse gender
• Experts who have already five years of professional experiences in their field
• Physician and physiotherapist (practice owner) work in an outpatient setting
• Participants own a digital device (PC, laptop, mobile phone, tablet)
• Internet access
• Signed informed consent
• Sufficient skills in German

Exclusion Criteria

Patients:
• Insufficient comprehension of German or lack of ability to express in German
• Last session of physiotherapy is more than six months ago
• Presence of the following comorbidities:
o Cognitive impairment, e.g. dementia
o Serious psychological disease, e.g. severe depression
o Unstable health condition, e.g. dialysis, acute trauma
• Presence of relevant, current comorbidities which considerably restrict the state of health:
o Neurological disease, e.g. multiple sclerosis, Parkinson’s disease, condition after stroke
o Rheumatic disease, e.g. rheumatism, fibromyalgia
o Heart disease, e.g. heart attack

Physiotherapists:
• Insufficient comprehension of German or lack of ability to express in German

Focus groups:
• Insufficient comprehension of German or lack of ability to express in German

Study & Design

• Study Type: observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Development of preconditions and recommendations for the implementation of the blended care approach in physiotherapy for people with knee and/or hip OA.

Secondary Outcome Measures

Name	Time	Method
o secondary outcome