Evidence map›Paper›PMID 40790050›Full record

ArticleScientific reports2025

Understanding patient needs and preferences for joint protection in hand osteoarthritis through mixed methods patient co-design.

Dimitra V Pouliopoulou, Joy C MacDermid, Nicole Billias, Victoria D'Alessandro, Emily Lalone, Ruby Grewal, Pavlos Bobos

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 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

7 authors.

Dimitra V PouliopoulouSchool of Physical Therapy, Health and Rehabilitation Sciences, Western University, London, ON, Canada. dpouliop@uwo.ca.
Joy C MacDermidSchool of Physical Therapy, Health and Rehabilitation Sciences, Western University, London, ON, Canada.
Nicole BilliasSchool of Physical Therapy, Health and Rehabilitation Sciences, Western University, London, ON, Canada.
Victoria D'AlessandroSchool of Physical Therapy, Health and Rehabilitation Sciences, Western University, London, ON, Canada.
Emily LaloneRoth | McFarlane Hand and Upper Limb Centre, St Joseph's Healthcare Centre, London, ON, Canada.
Ruby GrewalRoth | McFarlane Hand and Upper Limb Centre, St Joseph's Healthcare Centre, London, ON, Canada.
Pavlos BobosSchool of Physical Therapy, Health and Rehabilitation Sciences, Western University, London, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hand osteoarthritis (HOA) is a prevalent chronic condition that impairs quality of life and daily functioning. While joint protection programs (JPPs) offer symptom management, they remain outdated, inaccessible, and poorly tailored to patient needs. This study leverages patient co-design to develop a novel, inclusive, technology-enabled JPP. Using an explanatory sequential design, a survey of 196 participants (88% female, mean age 66 ± 8 years) identified priority activities and challenges for patients with HOA. Key activities of daily living and occupational and functional tasks were rated using a 5-point Likert scale, with a Relative Importance Index (RII) calculated for each item. Qualitative semi-structured interviews with 20 purposefully sampled participants provided in-depth insights into lived experiences with HOA and preferences in JPPs. Quantitative analysis identified high-importance tasks, such as buttoning, gripping, and twisting, with RII scores exceeding 0.8, indicating strong positive sentiment. Functional impairments included issues with precision grip and gross motor tasks, and pain interference disrupted daily activities and social roles. Qualitative themes revealed the importance of strategies for sustaining meaningful activities, patient support communities, and barriers related to accessibility, including technological literacy and caregiving responsibilities. Findings emphasize the importance of co-designing JPPs that address functional impairments, incorporate patient support communities, and consider intersectional barriers. This approach fosters accessibility, adherence, and relevance, paving the way for improved outcomes in patients with HOA.

Indexed as

Hand JointsOsteoarthritisPatient PreferenceActivities of Daily LivingAgedFemaleHandHumansMaleMiddle AgedQuality of LifeSurveys and QuestionnairesHand osteoarthritisJoint protectionMixed methodsPatient co-design

Identifiers

PMID40790050
PMCPMC12340045

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.