Evaluation of Methods of Teaching Self-management Strategies to Patients With Symptomatic Knee Osteoarthritis

Study Overview
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Brief Summary
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Symptomatic knee osteoarthritis greatly impacts the quality of life, mobility, independence, and even safety of the individuals who suffer from it. One of the most powerful tools for these patients can be education on self-care and self-management strategies that can be taught to a patient by a physician, physical or occupational therapist, or a nurse. These self-management strategies can help patients treat daily stiffness through exercise or manage flares of osteoarthritis. There is a lack of consensus on the best teaching methods to accomplish the goal of educating our patients. Feedback from both patients and providers regarding teaching methods is needed. This study will evaluate teaching methods on self-management strategies for patients who are undergoing hyaluronic acid injections for knee osteoarthritis.

Official Title
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Evaluation of Different Methods of Teaching Self-management Strategies to Patients With Symptomatic Knee Osteoarthritis

Conditions
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Osteoarthritis, Knee

Intervention / Treatment
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* Other: Educational handout
* Other: Verbal script
* Drug: Hyaluronic Acid


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients of co-investigator physicians Age 18+ years Diagnosis of symptomatic knee osteoarthritis Scheduled for a hyaluronic acid injection into the knee Provider is available to administer teaching method Exclusion Criteria: Patients who are already enrolled in the study Non-English speaking

Ages Eligible for Study
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Minimum Age: 18 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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Teaching Method A<br>Patient will receive an educational handout on self-management strategies. Patient will be asked to take the handout home to read and to call the office if he/she has any questions. | Other: Educational handout<br>* The educational handout will include information on self-management strategies.<br>Drug: Hyaluronic Acid<br>* All study patients are undergoing injections with hyaluronic acid prior to the administration of the teaching method. The injections are standard of care and are required as part of the inclusion criteria.<br>|
| Active Comparator: Teaching Method B<br>Patient will receive an educational handout on self-management strategies. A provider will review the handout with the patient (approximately 5 minutes including a question-and-answer session). | Other: Educational handout<br>* The educational handout will include information on self-management strategies.<br>Other: Verbal script<br>* The verbal script will include details on self-management strategies that will be reviewed with the patient.<br>Drug: Hyaluronic Acid<br>* All study patients are undergoing injections with hyaluronic acid prior to the administration of the teaching method. The injections are standard of care and are required as part of the inclusion criteria.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Satisfaction With the Teaching Method | Satisfaction will be assessed using a 0-10 scale, where 0=not satisfied and 10=most satisfied. The higher the score, the greater the satisfaction. | 1 month post-injection | 
| Provider Satisfaction With the Teaching Method | Satisfaction will be assessed using a 0-10 scale, where 0=not satisfied and 10=most satisfied. The higher the score, the greater the satisfaction. | 1 month post-injection | 
| Patient Satisfaction With the Teaching Method | Satisfaction will be assessed using a 0-10 scale, where 0=not satisfied and 10=most satisfied. The higher the score, the greater the satisfaction. | 3 months post-injection | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Patients Who Would Have Preferred a Different Method of Receiving Education. | Patient will be asked: Would you have preferred a different method of receiving education? | 3 months post-injection | 
| Number of Patients Who Believed That the Education They Received Helped With the Care of Their Osteoarthritis | Patient will be asked: Did the education you received help with the care of your osteoarthritis? | 3 months post-injection | 
| PROMIS Physical Health Score | The physical health score will be surveyed using the PROMIS-10 global health questionnaire. A higher score indicates better physical health. Scores range from 16.2 to 67.7. | 3 months post-injection |