Evidence map›Paper›PMID 31129601›Full record

ArticleBMJ open2019

'I would never have done it if it hadn't been digital': a qualitative study on patients' experiences of a digital management programme for hip and knee osteoarthritis in Sweden.

Anna Cronström, Leif E Dahlberg, Håkan Nero, Jennifer Ericson, Catharina Sjödahl Hammarlund

Registry-linked trialAbstract readEvaluation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04049318 (Effects of a Structured Digital Osteoarthritis Self-management Program After 6 Months of Adherence), which is not on this map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04049318 completednot on this map

Effects of a Structured Digital Osteoarthritis Self-management Program After 6 Months of Adherence

TypeobservationalSponsorLund UniversityRan2019 to 2019Enrolled1,709ConditionsOsteoarthritis, Knee, Osteoarthritis, HipArmsEducation+ exercise (delivered digitally)
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Anna CronströmOrthopaedics, Department of Clinical Sciences, Lund University, Lund, Sweden.ORCID 0000-0002-3282-6320
Leif E DahlbergOrthopaedics, Department of Clinical Sciences, Lund University, Lund, Sweden.
Håkan NeroOrthopaedics, Department of Clinical Sciences, Lund University, Lund, Sweden.ORCID 0000-0002-3850-7283
Jennifer EricsonDepartment of Health Sciences, Lund University, Lund, Sweden.
Catharina Sjödahl HammarlundDepartment of Health Sciences, Lund University, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the experiences of a digital management programme for hip and knee osteoarthritis (OA), including education and exercises as well as an option to chat with an assigned physical therapist for feedback, questions and support.

settingThis study was conducted at a regional hospital in the southern part of Sweden.

methodsNineteen patients (10 women), median age of 66 (q1-q3, 57-71) years, with confirmed hip or knee OA were interviewed after completing their first 6 weeks in the programme, using a semistructured interview guide. The interviews were transcribed verbatim and were qualitatively analysed using systematic text condensation.

resultsThree categories emerged during the interviews:(1) Management options for mitigating the consequences of OA; (2) Experiences of the digital programme and (3) Perceived effects of the digital programme over time. The participants had mostly positive experiences of the programme. Particularly important for these experiences were no waiting list, the flexibility of taking part in the programme with regards to location and time and the possibility to have daily contact with a physical therapist. These aspects were also emphasised as advantages compared with traditional care.

conclusionsDigital management of OA, including education and exercise, was experienced as a valid alternative to traditional treatment in enabling the implementation of OA guidelines in a wider community. Easy access, exercising at one's own convenience, flexible options, daily follow-up and support by a physical therapist were mentioned as the most important features. In addition, the results will contribute to further development and improvement of digital OA management programmes.

Indexed as

AgedExercise TherapyFemaleHumansInterviews as TopicMaleMiddle AgedOsteoarthritis, HipOsteoarthritis, KneePatient Education as TopicPatient SatisfactionPhysical TherapistsProgram EvaluationQualitative ResearchSelf CareSwedene-health; digital management; osteoarthritis

Identifiers

PMID31129601
PMCPMC6537991

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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.