Trial reportRheumatology international2025
Adherence to in-person and app-based exercise for patients with hip or knee osteoarthritis; secondary analyses from a randomized controlled trial.
Trial report in Rheumatology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04767854 (Digital Osteoarthritis Care- DigiOA), which is not on this map. Cited by 3 papers.
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.
Digital Osteoarthritis Care- DigiOA
Who cites it
3 citing papers in PubMed.
- Six-session non-operative exercise program yields sustained benefits for up to 18 months in end-stage knee osteoarthritis: a retrospective cohort study.Clinical rheumatology · 2026Article
- Experiences and Perceptions of Patients Participating in Prehabilitation and Early Rehabilitation for Hip and Knee Arthroplasty: A Systematic Review and Narrative Synthesis of Qualitative Evidence.Patient preference and adherence · 2026Review
- App-based exercise intervention versus supervised exercise therapy for patients with hip or knee osteoarthritis-the randomised noninferiority DigiOA trial.EULAR rheumatology open · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExercise is recommended for patients with hip/knee osteoarthritis (OA), however, adherence to exercise tends to be poor. This study aimed to (1) compare in-person versus app-based adherence to exercise therapy, (2) identify patient characteristics associated with adherence, and (3) examine associations between adherence and change in disease-specific outcomes in hip/knee OA patients.
methodData were collected as part of a randomized controlled trial. In-person physiotherapy treatment involved supervised exercise therapy twice weekly for 6 weeks, complemented by an additional weekly home-exercise session. The app group received an individually tailored exercise program in the Virtual Training-app for 6 weeks and were advised to exercise three times weekly. Adherence was recorded as number of exercise sessions attended. Patient characteristics were reported at baseline. Changes in disease-specific outcomes were evaluated at 6-weeks follow-up using Hip/Knee Injury and Osteoarthritis Outcome Score. Associations were assessed using multiple logistic and linear regression analyses.
resultsIn total 68 patients, 34 in each group were included (63 years, 69% female). The odds of adherence were 4.2 times higher when exercise was supervised by physiotherapists (95% CI 1.5, 12.4; p = 0.008). High fatigue was associated with lower adherence (OR 0.8, p = 0.049), whereas higher education (OR 5.2, p = 0.02) and self-efficacy (OR 3.2, p = 0.008) were associated with higher adherence. No significant associations were found between disease-specific outcomes and adherence.
conclusionApp-based exercise did not improve adherence compared to supervised exercise. Apart from fatigue, education, and self-efficacy, no factors were found to influence adherence to exercise in hip/knee OA patients.
trial registrationClinicalTrials.gov (NCT04767854).
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