Evidence map›Paper›PMID 32164604›Full record

ArticleBMC musculoskeletal disorders2020

Better Knee, Better Me™: effectiveness of two scalable health care interventions supporting self-management for knee osteoarthritis - protocol for a randomized controlled trial.

Kim L Bennell, Catherine Keating, Belinda J Lawford, Alexander J Kimp, Thorlene Egerton, Courtney Brown, Jessica Kasza, Libby Spiers, Joseph Proietto, Priya Sumithran and 10 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. "It Is a Vicious Circle": Experiences of People Living With Obesity and Chronic Pain: A Qualitative Evidence Synthesis (QES).Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Exercise for osteoarthritis of the knee.The Cochrane database of systematic reviews · 2024
    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

20 authors at 4 institutions in 3 countries.

Kim L BennellCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Parkville, Melbourne, VIC, 3010, Australia. k.bennell@unimelb.edu.au.
Catherine KeatingMedibank Private, Melbourne, VIC, Australia.
Belinda J LawfordCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Parkville, Melbourne, VIC, 3010, Australia.
Alexander J KimpCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Parkville, Melbourne, VIC, 3010, Australia.
Thorlene EgertonCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Parkville, Melbourne, VIC, 3010, Australia.
Courtney BrownMedibank Private, Melbourne, VIC, Australia.
Jessica KaszaDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Libby SpiersCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Parkville, Melbourne, VIC, 3010, Australia.
Joseph ProiettoDepartment of Medicine, The University of Melbourne, Melbourne, VIC, Australia.
Priya SumithranDepartment of Medicine, The University of Melbourne, Melbourne, VIC, Australia.
Jonathan G QuickeResearch Institute for Primary Care and Health Sciences, Keele University, Keele, UK.
Rana S HinmanCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Parkville, Melbourne, VIC, 3010, Australia.
Better Knee, Better Me™ study team
Anthony HarrisCentre for Health Economics, Monash University, Melbourne, VIC, Australia.
Andrew M BriggsSchool of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia.
Carolyn PageSt Vincent's Hospital, Melbourne, VIC, Australia.
Peter F ChoongDepartment of Surgery, St Vincent's Hospital, University of Melbourne, Melbourne, VIC, Australia.
Michelle M DowseyDepartment of Surgery, St Vincent's Hospital, University of Melbourne, Melbourne, VIC, Australia.
Francis KeefeDuke Pain Prevention and Treatment Research Program, Durham, North Carolina, USA.
Christine RiniHackensack University Medical Center and Georgetown University School of Medicine, Washington, USA.
The University of Melbourne · AUCurtin University · AUHackensack University Medical Center · USMonash University · AU

Funding

National Health and Medical Research Council APP1079078
6 · The paper itself

Abstract

backgroundAlthough education, exercise, and weight loss are recommended for management of knee osteoarthritis, the additional benefits of incorporating weight loss strategies into exercise interventions have not been well investigated. The aim of this study is to compare, in a private health insurance setting, the clinical- and cost-effectiveness of a remotely-delivered, evidence- and theory-informed, behaviour change intervention targeting exercise and self-management (Exercise intervention), with the same intervention plus active weight management (Exercise plus weight management intervention), and with an information-only control group for people with knee osteoarthritis who are overweight or obese.

methodsThree-arm, pragmatic parallel-design randomised controlled trial involving 415 people aged ≥45 and ≤ 80 years, with body mass index ≥28 kg/m DISCUSSION: This pragmatic study will determine whether a scalable remotely-delivered service combining weight management with exercise is more effective than a service with exercise alone, and with both compared to an information-only control group. Findings will inform development and implementation of future remotely-delivered services for people with knee osteoarthritis.

trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN12618000930280 (01/06/2018).

Indexed as

ArthralgiaAustraliaBody Weight MaintenanceCombined Modality TherapyHumansKnee JointOsteoarthritis, KneePain MeasurementPatient Education as TopicPragmatic Clinical Trials as TopicQuality of LifeResistance TrainingSelf-ManagementSelf ReportTelerehabilitationTreatment OutcomeDietitianExerciseKetogenic dietKneeObesityOsteoarthritisPainPhysiotherapyRCTTelerehabilitationWeight management

Identifiers

PMID32164604
PMCPMC7068989
OpenAlexW3011529940

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.