ArticleJournal of clinical medicine2020
The Active with OsteoArthritis (AktivA) Physiotherapy Implementation Model: A Patient Education, Supervised Exercise and Self-Management Program for Patients with Mild to Moderate Osteoarthritis of the Knee or Hip Joint. A National Register Study with a Two-Year Follow-Up.
Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The use of patient-reported outcome measures to improve patient-related outcomes - a systematic review.Health and quality of life outcomes · 2024Pooled it
- BABS (Becoming Active in Beating osteoarthritiS): a cluster randomized controlled trial evaluating an information campaign to improve osteoarthritis care and management in Dutch general practices.BMC primary care · 2026Trial
- Adherence to in-person and app-based exercise for patients with hip or knee osteoarthritis; secondary analyses from a randomized controlled trial.Rheumatology international · 2025Trial
- Effectiveness of the transitional care model in total knee arthroplasty patients: A randomized controlled trial.International journal of nursing practice · 2024Trial
- Development of the Happy Hands Self-Management App for People with Hand Osteoarthritis: Feasibility Study.JMIR formative research · 2024Trial
- The efficacy of strength or aerobic exercise on quality of life and knee function in patients with knee osteoarthritis. A multi-arm randomized controlled trial with 1-year follow-up.BMC musculoskeletal disorders · 2023Trial
- Implementation of group-based health education and exercise for individuals with knee osteoarthritis in brazilian primary health care: a mixed-methods study.Brazilian journal of physical therapy · 2026Article
- Patient-reported outcomes of a comprehensive management program for osteoarthritis of the hip and knee.Osteoarthritis and cartilage open · 2026Article
- Strategies to Implement Knee Osteoarthritis Guidelines in Switzerland.Public health reviews · 2026Article
- Attitude toward physical activity after total hip or knee replacement: A cross-sectional survey study of Dutch and Norwegian patients.PloS one · 2026Article
- App-based exercise intervention versus supervised exercise therapy for patients with hip or knee osteoarthritis-the randomised noninferiority DigiOA trial.EULAR rheumatology open · 2025Article
- Integrative Phenotyping of Knee Osteoarthritis: Linking WOMAC Cut-Offs, Kellgren-Lawrence Grades, and Cluster Analysis for Personalized Care.Life (Basel, Switzerland) · 2025Article
- Protocol for a national intervention programme aimed to reduce unwarranted variation and overuse of shoulder arthroscopy in Norway.BMJ open quality · 2025Article
- Referral, enrollment, and health care use in a comprehensive patient-centered management program for osteoarthritis of the hip and knee.Osteoarthritis and cartilage open · 2024Article
- Implementing an osteoarthritis management program to deliver guideline-driven care for knee and hip osteoarthritis in a U.S. academic health system.Osteoarthritis and cartilage open · 2024Article
- Exercise therapy, education, and cognitive behavioral therapy alone, or in combination with total knee arthroplasty, in patients with knee osteoarthritis: a randomized feasibility study.Pilot and feasibility studies · 2024Article
- Effectiveness of an 11-week exercise intervention for patients with hip or knee osteoarthritis: results of a quasi-experimental pragmatic trial.BMC sports science, medicine & rehabilitation · 2024Article
- The OARSI Joint Effort Initiative: Priorities for osteoarthritis management program implementation and research 2024-2028.Osteoarthritis and cartilage open · 2023Article
- Guideline-Adherent Physiotherapy for Patients With Hip and Knee Osteoarthritis in Germany: Protocol for an Implementation Research Project Using the Theoretical Domains Framework and the Behavior Change Wheel.JMIR research protocols · 2023Article
- Body Mass Index, Quality of Life and Activity Limitation Trajectories over 2 Years in Patients with Knee or Hip Osteoarthritis: A Dual Trajectory Approach Based on 4265 Patients Included in the AktivA Quality Register.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundRecent systematic reviews and international guidelines recommend patient education, exercises, and weight control (if overweight) as first-line treatment for patients with hip or knee osteoarthritis (OA). The Active with osteoArthritis (AktivA) program is a physiotherapy model for the implementation of these guidelines into clinical primary care practice. The purpose of the present study was to evaluate the long-term effects of and adherence to the AktivA program for patients with mild to moderate knee or hip OA.
methodsThe AktivA program includes three modules: a physiotherapy certification course, a patient education and exercise program and an electronic quality register. An electronic questionnaire including questions about, pain, quality of life, physical activity, self-efficacy and satisfaction with the AktivA program are sent to the participants at inclusion and after 3, 12 and 24 months. A linear mixed model for repeated measurements was used to assess the difference between the follow-up times.
resultsUntil January 2020, 6245 patients were included in the register. The response rates were 98%, 86% and 63% at 3, 12 and 24 months, respectively. After participating in the AktivA program, the patients reported decreased pain and increased health-related and disease-specific quality of life at three months and the positive effect was maintained up to two years after inclusion. The proportion of patients reporting to be inactive or having a low physical activity level was reduced from 43% to 22%. After two years, more than 80% of the participants reported to use what they have learned from the AktivA program at least once a week.
conclusionsTwo years after inclusion in the AktivA physiotherapy program, the patients still report reduced pain, increased quality of life and higher activity levels.
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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.