Evidence map›Paper›PMID 36855209›Full record

ArticleImplementation science communications2023

Improving diagnosis and treatment of knee osteoarthritis in persons with type 2 diabetes: development of a complex intervention.

Lauren K King, Noah M Ivers, Esther J Waugh, Crystal MacKay, Ian Stanaitis, Owen Krystia, Jane Stretton, Sim Wong, Alanna Weisman, Zahra Bardai and 9 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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

19 authors at 5 institutions in 1 country.

Lauren K KingDepartment of Medicine, University of Toronto, Toronto, ON, Canada. l.king@mail.utoronto.ca.
Noah M IversWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
Esther J WaughWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
Crystal MacKayDepartment of Physical Therapy, University of Toronto, Toronto, ON, Canada.
Ian StanaitisWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
Owen KrystiaDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Jane StrettonPatient Research Partner, Toronto, ON, Canada.
Sim WongPatient Research Partner, Toronto, ON, Canada.
Alanna WeismanDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Zahra BardaiDepartment of Community and Family Medicine, University of Toronto, Toronto, ON, Canada.
Susan RossArthritis Rehabilitation and Education Program, Arthritis Society Canada, Toronto, ON, Canada.
Shawn BradyArthritis Rehabilitation and Education Program, Arthritis Society Canada, Toronto, ON, Canada.
Marlee ShloushArthritis Rehabilitation and Education Program, Arthritis Society Canada, Toronto, ON, Canada.
Tara StierArthritis Rehabilitation and Education Program, Arthritis Society Canada, Toronto, ON, Canada.
Natasha GakhalDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Payal AgarwalWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
Janet ParsonsDepartment of Physical Therapy, University of Toronto, Toronto, ON, Canada.
Lorraine LipscombeDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Gillian A HawkerDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Women's College Hospital · CAArthritis Society · CAUniversity of Toronto · CAMount Sinai Hospital · CASt. Michael's Hospital · CA

Funding

CIHR HS2-419318
6 · The paper itself

Abstract

backgroundSymptomatic knee osteoarthritis (OA) commonly co-occurs in people with type 2 diabetes (T2DM) and increases the risk for diabetes complications, yet uptake of evidence-based treatment is low. We combined theory, stakeholder involvement and existing evidence to develop a multifaceted intervention to improve OA care in persons with T2DM. This was done in partnership with Arthritis Society Canada to leverage the existing infrastructure and provincial funding for community arthritis care.

methodsEach step was informed by a User Advisory Panel of stakeholder representatives, including persons with lived experience. First, we identified the target groups and behaviours through consulting stakeholders and current literature. Second, we interviewed persons living with T2DM and knee OA (n = 18), health professionals (HPs) who treat people with T2DM (n = 18) and arthritis therapists (ATs, n = 18) to identify the determinants of seeking and engaging in OA care (patients), assessing and treating OA (HPs) and considering T2DM in OA treatment (ATs), using the Theoretical Domains Framework (TDF). We mapped the content to behavioural change techniques (BCTs) to identify the potential intervention components. Third, we conducted stakeholder meetings to ascertain the acceptability and feasibility of intervention components, including content and modes of delivery. Fourth, we selected intervention components informed by prior steps and constructed a programme theory to inform the implementation of the intervention and its evaluation.

resultsWe identified the barriers and enablers to target behaviours across a number of TDF domains. All stakeholders identified insufficient access to resources to support OA care in people with T2DM. Core intervention components, incorporating a range of BCTs at the patient, HP and AT level, sought to identify persons with knee OA within T2DM care and refer to Arthritis Society Canada for delivery of evidence-based longitudinal OA management. Diverse stakeholder input throughout development allowed the co-creation of an intervention that appears feasible and acceptable to target users.

conclusionsWe integrated theory, evidence and stakeholder involvement to develop a multifaceted intervention to increase the identification of knee OA in persons with T2DM within diabetes care and improve the uptake and engagement in evidence-based OA management. Our partnership with Arthritis Society Canada supports future spread, scalability and sustainability. We will formally assess the intervention feasibility in a randomized pilot trial.

Indexed as

Behaviour change techniquesImplementation researchIntervention developmentOsteoarthritisTheoretical domains frameworkType 2 diabetes

Identifiers

PMID36855209
PMCPMC9972628
OpenAlexW4322719546

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.