TY - JOUR
T1 - Guideline-based exercise management for hip and knee osteoarthritis
T2 - A cross-sectional comparison of healthcare professional and patient beliefs in Ireland
AU - Toomey, Clodagh M.
AU - Bhardwaj, Avantika
AU - Browne, Jacqui
AU - Dowling, Ian
AU - Grealis, Stacey
AU - Hayes, Peter
AU - Higgins, Niall
AU - Maguire, Darragh
AU - O'Hora, John
AU - Rector, Joseph
AU - Wood-Thornsbury, Arianna
AU - Kennedy, Norelee
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2024/7/5
Y1 - 2024/7/5
N2 - Objectives To identify within-stakeholder agreement and between-stakeholder differences in beliefs regarding exercise for osteoarthritis among general practitioners (GPs), physiotherapists (PTs) and people with hip and knee osteoarthritis (PwOA). A secondary objective was to explore the association between referral patterns and beliefs of PwOA. Design Cross-sectional. Setting Online surveys administered to GPs, PTs and PwOA in Ireland via social media and healthcare networks. Participants 421 valid responses (n=161 GPs, n=163 PTs, n=97 PwOA). Primary and secondary outcome measures Nine belief statements related to exercise effectiveness, safety and delivery were rated on a 5-point Likert scale and analysed for within-stakeholder consensus. χ 2 tests assessed differences in agreement between groups. Multivariable linear regression models tested associations between beliefs in PwOA and referral to/attendance at physiotherapy. Results Positive within-stakeholder consensus (>75% agreement) was reached for most statements (7/9 GPs, 6/9 PTs, 5/9 PwOA). However, beliefs of PwOA were significantly less positive compared with healthcare professionals for six statements. All stakeholders disagreed that exercise is effective regardless of the level of pain. Attendance at physiotherapy (49% of PwOA), rather than referral to physiotherapy from a GP only, was associated with positive exercise beliefs for PwOA (β=0.287 (95% CI 0.299 to 1.821)). Conclusions Beliefs about exercise therapy for osteoarthritis are predominantly positive across all stakeholders, although less positive in PwOA. PwOA are more likely to have positive beliefs if they have seen a PT for their osteoarthritis. Knowledge translation should highlight the effectiveness of exercise for all levels of pain and osteoarthritis disease.
AB - Objectives To identify within-stakeholder agreement and between-stakeholder differences in beliefs regarding exercise for osteoarthritis among general practitioners (GPs), physiotherapists (PTs) and people with hip and knee osteoarthritis (PwOA). A secondary objective was to explore the association between referral patterns and beliefs of PwOA. Design Cross-sectional. Setting Online surveys administered to GPs, PTs and PwOA in Ireland via social media and healthcare networks. Participants 421 valid responses (n=161 GPs, n=163 PTs, n=97 PwOA). Primary and secondary outcome measures Nine belief statements related to exercise effectiveness, safety and delivery were rated on a 5-point Likert scale and analysed for within-stakeholder consensus. χ 2 tests assessed differences in agreement between groups. Multivariable linear regression models tested associations between beliefs in PwOA and referral to/attendance at physiotherapy. Results Positive within-stakeholder consensus (>75% agreement) was reached for most statements (7/9 GPs, 6/9 PTs, 5/9 PwOA). However, beliefs of PwOA were significantly less positive compared with healthcare professionals for six statements. All stakeholders disagreed that exercise is effective regardless of the level of pain. Attendance at physiotherapy (49% of PwOA), rather than referral to physiotherapy from a GP only, was associated with positive exercise beliefs for PwOA (β=0.287 (95% CI 0.299 to 1.821)). Conclusions Beliefs about exercise therapy for osteoarthritis are predominantly positive across all stakeholders, although less positive in PwOA. PwOA are more likely to have positive beliefs if they have seen a PT for their osteoarthritis. Knowledge translation should highlight the effectiveness of exercise for all levels of pain and osteoarthritis disease.
KW - hip
KW - knee
KW - physical therapy modalities
KW - protocols & guidelines
KW - rheumatology
UR - http://www.scopus.com/inward/record.url?scp=85197744245&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2023-080646
DO - 10.1136/bmjopen-2023-080646
M3 - Article
C2 - 38969380
AN - SCOPUS:85197744245
SN - 2044-6055
VL - 14
SP - e080646
JO - BMJ Open
JF - BMJ Open
IS - 7
M1 - e080646
ER -