A Blended Intervention for Patients With Knee and Hip Osteoarthritis in the Physical Therapy Practice: Development and a Pilot Study
Open accessAbstract
BACKGROUND: Blended care, a combination of online and face-to-face care, is seen as a promising treatment option. However, actual use of blended interventions in practice is disappointing. OBJECTIVE: The objective of this study was two folded. The first aim was to develop a blended exercise therapy intervention for patients with knee and hip osteoarthritis that matches the values of the users and that can be implemented in the daily routine of physical therapists. The second aim was to investigate the feasibility through interviews and a pilot study. METHODS: In this paper, we employed the first 3 steps of the CeHRes road map to develop a blended intervention for patients with knee and hip osteoarthritis. We used interviews, a focus group and discussions with stakeholders to explore the needs, values, and requirements with respect to our to-be-developed blended intervention, which we called e-Exercise. The first version of e-Exercise was tested in a pilot study. Feasibility outcomes, including recruitment rates within each practice, website usage (assignments completed and website visits), and user satisfaction, were measured. In addition, therapists and patients from the pilot study were interviewed to investigate users' experiences. RESULTS: The study captured important information about stakeholders' needs and perspectives. Based on our findings, we created a first version and attuned the application's content, functionality, and structure. Patients and, to lesser extent, physical therapists were satisfied with the e-Exercise intervention. Eight patients were recruited by 8 physical therapists. Of the 8 patients, 6 completed more than 7 of 12 modules. CONCLUSIONS: This study outlines the development and feasibility of a blended exercise therapy intervention for patients with knee and hip osteoarthritis. E-Exercise offers an alternative approach in the physical therapy treatment of knee and hip osteoarthritis. This study provides valuable information to conduct a further trial to evaluate the (cost) effectiveness of e-Exercise compared to usual physical therapy. TRIAL REGISTRATION: Netherlands Trial Register Number: NTR4224; www.trialregister.nl/trialreg/admin/rctview.asp?TC=4224 (Archived by WebCite at http://www.webcitation.org/6fOK4lrTO).
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It was considered to be important to include a wide variety of stakeholders, where researchers should look beyond their own setting.
“Third, it was considered to be important to include a wide variety of stakeholders, where researchers should look beyond their own setting.”
From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [35]
The studies stated that the importance of a stakeholder map should not be underestimated.
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- [6]Medical Subject Headings (MeSH) 2015-08-18 National Library of Medicine http://www.ncbi.nlm.nih.gov/mesh/?term=exercise+therapy
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Methods for Human-Centered eHealth Development: Narrative Scoping Review
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- Authors
- Bossen, D., Kloek, C., Snippe, H. W., Dekker, J., de Bakker, D., & Veenhof, C.
- Affiliations
- Netherlands Institute for Health Services Research (NL)
- Tilburg University (NL)
- Vrije Universiteit Amsterdam (NL)
- Utrecht University (NL)
- Corresponding author
- Bossen, Daniël
- Venue
- JMIR Research Protocols
- Publisher
- JMIR Publications Inc.
- Published
- 2016-02-24
- Volume
- 5
- Issue
- 1
- Pages
- e32
- ISSN
- 1929-0748 (ISSN-L)
- PMC
- PMC4785239
- OpenAlex
- W2277694544
- Cited by
- 30
- References
- 27
- Citations by year
- 2026: 1 · 2024: 4 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 5 · 2019: 2 · 2018: 5 · 2017: 3 · 2016: 1
- FWCI
- 3.64
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR Research Protocols (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Research portal (Tilburg University) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Funders
- ZonMw
- Koninklijk Nederlands Genootschap voor Fysiotherapie
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- blended care, knee osteoarthritis, hip osteoarthritis, exercise therapy, online exercise intervention, physiotherapy practice, intervention development, feasibility, user satisfaction, stakeholder needs, website usage, recruitment (clinical trials)
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