Reduction of joint pain in patients with knee osteoarthritis who have received monthly telephone calls from lay personnel and whose medical treatment regimens have remained stable
Abstract
Objective We previously reported that monthly telephone contact by lay personnel, to promote self-care for patients with osteoarthritis (OA), was associated with improved joint pain and physical function after 1 year of followup. The present study was a secondary analysis to determine whether improvement was contingent on intensified medical treatment. Methods We reanalyzed control/treatment group differences in all 40 subjects with radiographically confirmed knee OA who had had no changes in antirheumatic drug therapy or institution of physical therapy during the period of observation. Results Group differences in measured pain remained significant (effect size [ES] = 0.65 SD, P less than 0.01). The same trend was observed for physical function (ES = 0.53 SD, P not significant). Conclusion The findings in this reanalysis suggest that periodic telephone support interventions are effective enough to be regarded as an adjunctive treatment for OA.
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In that randomized study, at 1 year, patients receiving the telephone-based intervention exhibited significant improvements in physical disability and pain and a trend toward improvement in psychological disability, whereas patients receiving the office-based intervention showed none of these improvements.
“Data analyses showed that at 1 year, patients receiving the telephone-based intervention exhibited significant improvements in physical disability and pain and a trend toward improvement in psychological disability, whereas patients receiving the office-based intervention showed none of these improvements.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [101]
A subsequent randomized study compared the efficacy of delivering a similar intervention by telephone versus in an office setting.
“A subsequent randomized study compared the efficacy of delivering a similar intervention by telephone versus in an office setting.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [101]
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References 17 · Cited by 126
- Authors
- René, J., Weinberger, M., Mazzuca, S. A., Brandt, K. D., & Katz, B. P.
- Affiliations
- Duke University (US)
- Indiana University Indianapolis (US)
- Corresponding author
- Brandt, Kenneth D.
- Venue
- Arthritis & Rheumatism
- Publisher
- Wiley
- Published
- 1992-05
- Volume
- 35
- Issue
- 5
- Pages
- 511-515
- ISSN
- 0004-3591 (ISSN-L)
- 1529-0131
- OpenAlex
- W2161317083
- Cited by
- 126
- References
- 17
- Citations by year
- 2020: 3 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 5.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Arthritis & Rheumatism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Arthritis (AR-20852)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- knee osteoarthritis, joint pain, telephone support, lay health workers, self-care, physical function, adjunctive therapy, physiotherapy
- MeSH terms
- Aged, Female, Humans, Knee Joint, Male, Middle Aged, Osteoarthritis, Social Support, Telephone, Pain Management
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