Integrated Treatment Program for Osteoarthritis of the Knee

Study Overview
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Brief Summary
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The purpose of this study is to determine the ability to assimilate and implement an integrated treatment program osteoarthritis of the knee, including the diagnosis and follow-up by a family physician in primary care clinics, combined with patient self-care training and physiotherapy program

Official Title
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Implementing and Evaluating Integrated Medical and Physiotherapy Treatment Program for Osteoarthritis of the Knee by Family Doctors in Primary Care Clinics

Conditions
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Osteoarthritis Knee

Intervention / Treatment
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* Behavioral: self management education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Active complaint of knee pain Diagnosis of knee osteoarthritis according to X-ray Morning stiffness of less than 30 minutes AND/OR crepitus in active movement Ability to read Hebrew Exclusion Criteria: Previous participation in physiotherapy treatment program Gout in knee, rheumatoid arthritis, fibromyalgia Complaints that appear in a knee which was operated in the past Dementia Severe limitations in mobility

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: self management education<br>self management education program delivered by family doctor in primary care clinics and during and physical therapy design | Behavioral: self management education<br> <br> |
| No Intervention: control<br>Routine follow up according to standard practice | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in WOMAC ( Western Ontario and McMaster Universities Arthritis Index ) score during participating in the program | WOMAC score will be evaluated through a questionnaire (validated to Hebrew) at baseline and after a constant time period. For both groups (intervention and control) after 6 weeks from enrollment and then for the control group after 6 months, and for the intervention group after completing physical therapy program. we will assess the change from baseline. | 0, 6 weeks, for intervention group after completing physical therapy program, for the control group after 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in VAS pain score during participating in the program | VAS score will be evaluated through a questionnaire (validated to Hebrew) at baseline and after a constant time period. For both groups (intervention and control) after 6 weeks from enrollment and then for the control group after 6 months, and for the intervention group after completing physical therapy program. we will assess the change from baseline. | 0, 6 weeks, for intervention group after completing physical therapy program, for the control group after 6 months | 
| Change in the consumption of drugs during participating in the program | Prescriptions given by family doctor, for treating patient's knee complaints. It will be evaluated by the medical record registration of the patients, at baseline and after a constant time period. For both groups (intervention and control) after 6 weeks from enrollment and then for the control group after 6 months, and for the intervention group after completing physical therapy program. | 0, 6 weeks, for intervention group after completing physical therapy program, for the control group after 6 months | 
| Changes in Referrals to specialists doctors during participating in the program | Referrals given by family doctor. It will be evaluated by the medical record registration of the patients, for both groups (intervention and control) after 6 weeks from enrollment and then for the control group after 6 months, and for the intervention group after completing physical therapy program. | after 6 weeks since enrollment, and then for intervention group after completing physical therapy program, and for the control group after 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Osteoarthritis Knee, Self Care, Treatment Outcome, Patient Education as Topic, Physical Therapy Modalities