Evidence map›Paper›PMID 40836835›Full record

Trial reportInternational journal of nursing practice2025

Preliminary Efficacy of a Self-Management Programme to Improve Quality-of-Life in Patients With Obesity and Osteoarthritis Awaiting Arthroplasty: A Randomised Trial.

Ladan Sahafi, David Smith, Ruurd Jaarsma, Malcolm Battersby

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of nursing practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

4 authors.

Ladan SahafiCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.
David SmithDepartment of Psychiatry, College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia.ORCID https://orcid.org/0000-0002-9835-3474
Ruurd JaarsmaCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.
Malcolm BattersbyCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a risk factor for osteoarthritis and total hip/knee joint replacement and can lead to poorer outcomes following surgical interventions.

aimThis work aimed to determine the preliminary efficacy of a self-management programme versus usual care in improving health-related quality of life in obese patients with osteoarthritis awaiting joint replacement.

methodsThis was a two-group parallel randomised trial involving patients with obesity and osteoarthritis who were awaiting hip or knee arthroplasty. Patients were randomly allocated to the Flinders Program of self-management support plus usual care or usual care alone groups. Primary outcomes at 10 months were Short-Form Health Survey (SF-36) and Osteoarthritis of Knee/Hip Quality of Life (OAKHQoL).

resultsNinety-five patients were randomised to either intervention (n = 48) or usual care (n = 47) and analysed in an intent-to-treat analysis. While there was no intervention effect in SF-36, evidence was in favour of intervention for OAKQoL improved social support (d = 0.43, 95% CI: 0.01-0.83) versus usual care (d = -0.01, 95% CI: -0.41 to 0.42) (p = 0.03). Similarly, intervention patients experienced larger improvements for social activity (d = 0.47; 95% CI: 0.05-0.89) versus usual care (d = -0.16; 95% CI: -0.58 to 0.25) (p = 0.005).

conclusionThe intervention warrants examination in a larger trial to establish effectiveness among patients with obesity and osteoarthritis awaiting arthroplasty.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12615000674538.

Indexed as

ObesityOsteoarthritisOsteoarthritis, KneeQuality of LifeSelf-ManagementAgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeFemaleHumansMaleMiddle AgedOsteoarthritis, Hiparthroplastynurse‐ledobesityosteoarthritisquality of lifeself‐management

Identifiers

PMID40836835
PMCPMC12368573

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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.