Background: Effective, accessible biopsychosocial treatments are needed to manage chronic @entity158 on a population level. Objective: To evaluate the effectiveness of Internet-delivered, physiotherapist-prescribed home exercise and @entity158 -coping skills training (PCST). Design: Pragmatic parallel-group randomized, controlled trial. (Australian New Zealand Clinical Trials Registry: ACTRN12614000243617). Setting: Community (Australia). @entity1 : 148 @entity1 aged 50 years or older with chronic @entity158 . Intervention: The intervention was delivered via the Internet and included educational material, 7 videoconferencing (Skype [Microsoft]) sessions with a physiotherapist for home exercise, and a PCST program over 3 months. The control was Internet-based educational material. Measurements: Primary outcomes were @entity158 during walking (11-point numerical rating scale) and physical function (Western Ontario and McMaster Universities @entity571 Index) at 3 months. Secondary outcomes were @entity158 , quality of life, global change (overall, @entity158 , and functional status), @entity625 self-efficacy, coping, and @entity158 catastrophizing. Outcomes were also measured at 9 months. Results: Of @entity1 enrolled, 139 (94%) completed primary outcome measures at 3 months and 133 (90%) completed secondary outcome measures at 9 months; multiple imputation was used for missing data. The intervention group reported significantly more improvement in @entity158 (mean difference, 1.6 units [95% CI, 0.9 to 2.3 units]) and physical function (mean difference, 9.3 units [CI, 5.9 to 12.7 units]) than the control group at 3 months, and improvements were sustained at 9 months (mean differences, 1.1 units [CI, 0.4 to 1.8 units] and 7.0 units [CI, 3.4 to 10.5 units], respectively). Intervention @entity1 showed significantly more improvement in most secondary outcomes than control @entity1 . At both time points, significantly more intervention @entity1 reported global improvements. Limitation: @entity1 were unblinded. Conclusion: For @entity1 with chronic @entity158 , Internet-delivered, physiotherapist-prescribed exercise and PCST provide clinically meaningful improvements in @entity158 and function that are sustained for at least 6 months. Primary Funding Source: National Health and Medical Research Council.

Effectiveness of an Internet-Delivered Exercise and Pain-Coping Skills Training Intervention for XXXX With Chronic Knee Pain: A Randomized Trial.

@entity1 :: ('9606', 'Species') :: ['participants', 'Patients', 'Participants', 'persons'] @entity571 :: ('MESH:D010003', 'Disease') :: ['Osteoarthritis'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'knee pain'] @entity625 :: ('MESH:D001168', 'Disease') :: ['arthritis']
@entity1 :: (9606,Species) :: ['Persons']
