Evidence map›Paper›PMID 40610701›Full record

ArticleMusculoskeletal care2025

Consumer-Focused Osteoarthritis e-Learning to Complement Physiotherapy Care in People With Knee Osteoarthritis: Protocol for the PEEKO Randomised Controlled Trial.

Rachel K Nelligan, Rana S Hinman, Ben Metcalf, Fiona McManus, Karen E Lamb, Sophie Heywood, Robyn Gibbes, Kim L Bennell

Abstract readClinical Trial Protocol
In one paragraph

Article in Musculoskeletal care, 2025. 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
–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.

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.

  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

8 authors.

Rachel K NelliganDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, Centre for Health, Exercise and Sports Medicine, Melbourne, Australia.ORCID 0000-0002-8689-6594
Rana S HinmanDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, Centre for Health, Exercise and Sports Medicine, Melbourne, Australia.
Ben MetcalfDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, Centre for Health, Exercise and Sports Medicine, Melbourne, Australia.
Fiona McManusMelbourne School of Population and Global Health, University of Melbourne, Centre for Epidemiology and Biostatistics, Melbourne, Australia.
Karen E LambMelbourne School of Population and Global Health, University of Melbourne, Centre for Epidemiology and Biostatistics, Melbourne, Australia.
Sophie HeywoodPhysiotherapy Department, St Vincent's Hospital Melbourne, Melbourne, Australia.
Robyn GibbesCommunity-based Consumer Representative, Person with Knee Osteoarthritis, Melbourne, Australia.
Kim L BennellDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, Centre for Health, Exercise and Sports Medicine, Melbourne, Australia.

Funding

National Health and Medical Research Council Fellowship 1058440National Health and Medical Research Council Fellowship 1174431National Health and Medical Research Council Fellowship 2025733The University of Melbourne's Sir Randal Heymanson Fellowship
6 · The paper itself

Abstract

objectiveTo investigate whether the addition of a consumer e-learning course to verbal information on OA and a home strengthening exercise programme prescribed by a physiotherapist enhances pain and/or physical function outcomes at 24 weeks in people with knee OA. Primary outcomes are (i) severity of knee pain while walking (11-point numeric rating scale) at 24 weeks and (ii) physical function at 24 weeks using the Western Ontario and McMaster Universities Osteoarthritis Index subscale. Secondary outcomes include measures of knee-related quality of life; sport and recreation; self-efficacy for exercise; pain self-efficacy; physical activity levels; OA knowledge; perceptions of OA (illness perceptions); fear of movement; belief in the inevitability of needing a knee joint replacement; global rating of change; satisfaction with treatment; exercise adherence; and use of recommended OA self-management approaches and oral pain medication.

methodsTwo-arm parallel-design superiority randomised controlled trial. One hundred thirty-six community dwelling Australian adults with clinically diagnosed knee OA will be randomly allocated into one of two groups: (i) verbal OA education and a home strengthening programme (control) or (ii) the same intervention plus access to a freely available 4-module e-learning course on OA and its recommended management (e-learning group). Both groups will receive the same scripted verbal OA information and a lower limb strengthening programme over two 30-min video consultations with a physiotherapist over six weeks. Those in the e-learning group will receive access to the e-learning course from their physiotherapist. Primary outcomes are (i) severity of knee pain while walking (11-point numeric rating scale) at 24 weeks and (ii) physical function at 24 weeks using the Western Ontario and McMaster Universities Osteoarthritis Index subscale. Secondary outcomes include measures of knee-related quality of life; sport and recreation; self-efficacy for exercise; pain self-efficacy; physical activity levels; OA knowledge; perceptions of OA (illness perceptions); fear of movement; belief in the inevitability of needing a knee joint replacement; global rating of change; satisfaction with treatment; exercise adherence; and use of recommended OA self-management approaches and oral pain medication.

conclusionThis RCT evaluates whether supplementing physiotherapy care with consumer-focused e-learning improves outcomes for people with knee OA.

Indexed as

Osteoarthritis, KneePatient Education as TopicPhysical Therapy ModalitiesExercise TherapyFemaleHumansMaleQuality of LifeRandomized Controlled Trials as Topicconsumer educatione‐learningexercisekneeosteoarthritispatient educationRCTtrial

Identifiers

PMID40610701
PMCPMC12226444

What OpenQuestion holds

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Registered trials

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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.