Improve Osteoarthritis Care

Not Applicable

Completed

• Conditions: Osteoarthritis, Knee; Osteoarthritis, Hip
• Interventions: Other: Implementation of treatment guidelines

• Registration Number: NCT04670549
• Lead Sponsor: Diakonhjemmet Hospital

Brief Summary

The purpose of The Improve Osteoarthritis Care study is to improve the quality of osteoarthritis care in Norwegian primary care, by increasing the use of recommended treatment modalities and improving patient access to recommended treatments. The study will use tailored implementation strategies, targeting primary care physicians and physiotherapists to improve knowledge and addressing individual barriers to providing recommended treatments.

Detailed Description

Previous research has shown that current osteoarthritis care for persons with hip or knee osteoarthritis (OA) in Norway has a potential for improvement as the provided care may not necessarily reflect evidence-based guideline recommendations. The overall purpose of the "Improve Osteoarthritis Care" study is that people with symptomatic hip and knee OA should receive care in line with current recommendations. To achieve this goal, tailored implementation strategies will be applied in order to: 1) Improve the quality of care offered to people with symptomatic hip and knee OA, 2) increase knowledge of recommended OA care among people with hip and knee OA, 3) Increase the number of primary care physiotherapists' offering group-based patient-education and structured exercise as part of their routine clinical practice, 4) Increase the number of general practitioners who have received a summary of the OA treatment recommendations.

To evaluate the effect of the tailored implementation strategy a pre-post design will be applied, and members of the Norwegian Rheumatology Association with self-reported hip or knee OA will be asked to evaluate quality of OA care at the two timepoints.

Study Timeline

• Study Start: 2020-11-13
• Study First Submitted: 2020-12-10
• Study First Submitted QC: 2020-12-15
• Study First Posted: 2020-12-17
• Primary Completion: 2023-02-09
• Study Completion: 2023-07-01
• Status Verified: 2023-12
• Last Update Submitted: 2023-12-20
• Last Update Posted: 2023-12-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1541

Inclusion Criteria

• Self-reported hip or knee osteoarthritis

Exclusion Criteria

• Persons who do not understand the Norwegian language

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Pre and post implementation phases	Implementation of treatment guidelines	Pre-implementation phase: during the pre-implementation period persons with hip or knee osteoarthritis will receive "usual care" as it is currently delivered by physiotherapists and general practitioners. Post-implementation phase: during the post-implementation phase patients with hip and knee OA will receive OA care more in line with the treatment recommendations.

Primary Outcome Measures

Name	Time	Method
The OsteoArthritis Quality Indicator questionnaire (OA-QI), version 2	18 months follow-up	Assess change in patient-reported quality of OA care (mean total pass rate, 0-100 (best score))

Trial Locations

Locations (1)

Diakonhjemmet Hospital; 🇳🇴 Oslo, Norway