ArticleBMJ open2019
Qualitative study to elicit patients' and primary care physicians' perspectives on the use of a self-management mobile health application for knee osteoarthritis.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Impact of 25 Years of Mobile Health Tools for Pain Management in Patients With Chronic Musculoskeletal Pain: Systematic Review.Journal of medical Internet research · 2024Pooled it
- Pooled it
- Experiences and perceptions of Chinese patients enrolled in a clinical trial assessing tuina and manual therapies for knee osteoarthritis: a nested qualitative study.BMC complementary medicine and therapies · 2025Trial
- Patient and Clinician Attitudes Toward Mobile Health Apps: Qualitative Study.JMIR mHealth and uHealth · 2026Article
- Quantitative perspectives of patients and healthcare professionals to inform the co-design of an mHealth application for knee osteoarthritis management.BMC medical informatics and decision making · 2026Article
- Modern Home Cooking Practices, the Role of New Media, and Implications for Culinary Medicine: A Qualitative Study Among Mothers With Low Income.American journal of lifestyle medicine · 2026Article
- Development of video exercise-based mobile application to improve the clinical outcomes in patients with knee osteoarthritis: a randomized controlled trial.BMC sports science, medicine & rehabilitation · 2025Article
- Primary care physicians' perspectives on digital health tools for chronic disease management: A rapid review.PLOS digital health · 2025Review
- Physical Therapists' Attitudes and Beliefs Regarding Treatment for Knee Osteoarthritis.Journal of clinical medicine · 2025Article
- Understanding patient needs and preferences for joint protection in hand osteoarthritis through mixed methods patient co-design.Scientific reports · 2025Article
- Patients' Expectations for App-Based Therapy in Knee Osteoarthritis: User-Centered Design Approach.JMIR rehabilitation and assistive technologies · 2025Article
- Perceptions about smartphone-based interventions to promote physical activity in inactive adults with knee pain - A qualitative study.Disability and rehabilitation. Assistive technology · 2024Article
- Gastroscopy for dyspepsia: Understanding primary care and gastroenterologist mental models of practice: A cognitive task analysis approach.Journal of the Canadian Association of Gastroenterology · 2023Article
- Physician perspectives on chronic pain management: barriers and the use of eHealth in the COVID-19 era.BMC health services research · 2023Article
- Health literacy in individuals with knee pain-a mixed methods study.BMC public health · 2023Article
- A synthesis of qualitative research to understand the complexity behind treatment decision-making for osteoarthritis.Osteoarthritis and cartilage open · 2023Article
- Exploring provider roles, continuity, and mental models in cirrhosis care: A qualitative study.Canadian liver journal · 2023Article
- Importance of Patient Involvement in Creating Content for eHealth Interventions: Qualitative Case Report in Orthopedics.JMIR formative research · 2022Article
- Measuring Mobile Phone Application Usability for Anticoagulation from the Perspective of Patients, Caregivers, and Healthcare Professionals.International journal of environmental research and public health · 2022Article
- Applications of Digital Health Technologies in Knee Osteoarthritis: Narrative Review.JMIR rehabilitation and assistive technologies · 2022Review
Corrections and comments
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Authors and funding
13 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo elicit perspectives of family physicians and patients with knee osteoarthritis (KOA) on KOA, its treatment/management and the use of a mobile health application (app) to help patients self-manage their KOA.
designA qualitative study using Cognitive Task Analysis for physician interviews and peer-to-peer semistructured interviews for patients according to the Patient and Community Engagement Research (PaCER) method.
settingPrimary care practices and patient researchers at an academic centre in Southern Alberta.
participantsIntentional sampling of family physicians (n=4; 75% women) and patients with KOA who had taken part in previous PaCER studies and had experienced knee pain on most days of the month at any time in the past (n=5; 60% women).
resultsPhysician and patient views about KOA were starkly contrasting. Patient participants expressed that KOA seriously impacted their lives and lifestyles, and they wanted their knee pain to be considered as important as other health problems. In contrast, physicians uniformly conceptualised KOA as a relatively minor health problem, although they still recognised it as a painful condition that often limits patients' activities. Consequently, physicians did not regard KOA as a condition to be proactively and aggressively managed. The gap between physicians' and patients' conceptualisation of KOA and its treatment extended to the use of an app for self-management. While patients were supportive of the app, physicians were sceptical of its use and focused more on accountability and patient resources.
conclusionsThe clear discord between physicians' mental models and patients' lived experience and perceived needs around KOA emphasised a gap in understanding and communication about treatment and management of KOA. As such, this preliminary and formative research will inform a codesign approach to develop an app that will act as a communications tool between patients and physicians, enabling patient-physician discussions regarding modifiable self-management options based on a patient's perspectives and needs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.