Clinical trial NCT05156216: Comparative Effect of Two Educational Videos for People With Knee Osteoarthritis (vidEO)
Official title: Comparative Effect of Two Educational Videos for People With Knee Osteoarthritis - Disease and Impairment Discourse Versus Empowerment and Participatory Discourse: vidEO - An Online Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Knee Osteoarthritis
Patient Empowerment
Keywords: knee osteoarthritis
patient education
health information
empowerment discourse
video
randomised controlled trial
Lead sponsor: University of Melbourne
Sponsor class: OTHER
First posted: 2021-12-14
Enrollment: 589
Sex: ALL
Minimum age (years): 45
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Participants will be randomised to one of two groups (1:1) using the randomiser function in Qualtrics (set to 'evenly present elements').
Primary purpose: TREATMENT

Brief summary: Education is an important part of knee osteoarthritis management. The aim of education is to help people with knee osteoarthritis make the best choices for them in terms of their treatment and lifestyle behaviours. Traditional education that describes the condition simplistically in terms of the joint damage and describes the cause of osteoarthritis solely with respect to loading through the joint can lead to activity avoidance and pessimism about the future progression of symptoms. An alternative is to provide the information about knee osteoarthritis management with the aim of giving hope for the future and building motivation and confidence to be physically active. This study will compare two educational videos that cover the same topics but with a contrasting 'discourse'. The experimental video has an 'empowerment and participatory' discourse, while the comparator or control video has a typical 'disease and impairment' discourse. The experimental video minimises mention of joint damage and instead corrects misconceptions about knee osteoarthritis, addresses common barriers to physical activity and incorporates behaviour change techniques such as social learning and modelling of desired behaviours. In this randomised controlled trial, people who report a history of knee problems consistent with knee osteoarthritis will complete questionnaires to determine their self-efficacy for managing knee osteoarthritis pain and their fear of movement. The participants will also be asked about their expectations for the future, their level of motivation to be physically active, and their knowledge about knee osteoarthritis. Participants will then be allocated one of the videos and asked to watch it before repeating the questionnaires.


Eligibility criteria: Inclusion Criteria:

* live in Australia;
* are aged 45 years or over;
* have experienced activity-related knee pain during the past 3 months or have been told by a health professional that they have knee OA, ; and
* are able to easily understand verbal and written English language.

Exclusion Criteria:

* have had a hip or knee joint replacement;
* are scheduled/referred to see an orthopaedic surgeon or are already on a waiting list for hip or knee joint replacement;
* have any type of systemic arthritis (e.g. rheumatoid arthritis, gout), or have morning stiffness that lasts longer than 30 minutes;
* have a health condition that makes them unable to walk (since it will be difficult for people who cannot walk to follow the recommendations made in either video);
* have seen a health professional for their knee pain during the previous six months

Primary outcomes:
measure: Self-efficacy for managing pain from osteoarthritis
timeFrame: Immediately post intervention
measure: Kinesiophobia
timeFrame: Immediately post intervention
Secondary outcomes:
measure: Expectations about their knee OA prognosis and benefit from physical activity
timeFrame: Immediately post intervention
measure: Importance of physical activity
timeFrame: Immediately post intervention
measure: Knee OA knowledge
timeFrame: Immediately post intervention
measure: Perceived change in feelings about having knee OA
timeFrame: Immediately post intervention
measure: Perceived personal likelihood of ever needing knee surgery
timeFrame: Immediately post intervention
measure: Motivation to be physically active
timeFrame: Immediately post intervention
Other outcomes:
measure: Novelty check
timeFrame: Immediately post intervention
measure: Fidelity check
timeFrame: Immediately post intervention
measure: Satisfaction with the video education
timeFrame: Immediately post intervention
Locations:
city: Melbourne
country: Australia
facility: The University of Melbourne
state: Victoria
Study officials:
affiliation: University of Melbourne
name: Thorlene Egerton, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Egerton T, Bennell KL, McManus F, Lamb KE, Hinman RS. Comparative effect of two educational videos on self-efficacy and kinesiophobia in people with knee osteoarthritis: an online randomised controlled trial. Osteoarthritis Cartilage. 2022 Oct;30(10):1398-1410. doi: 10.1016/j.joca.2022.05.010. Epub 2022 Jun 22.