Evidence map›Paper›PMID 40990623›Full record

Trial reportClinical rehabilitation2025

A pilot randomised controlled trial of an online self-management programme for people with persistent pain post-knee replacement (Kneed).

Nathan Johns, Dean McKenzie, Bernadette Brady, Justine Naylor, John Olver

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical rehabilitation, 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. Co-Designing the Early Pain Intervention After Knee Replacement (EPIK) Model of Care for People With Persistent Pain After Knee Replacement.Health expectations : an international journal of public participation in health care and health policy · 2026
    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

5 authors.

Nathan JohnsEpworth Monash Rehabilitation Medicine Unit, School of Clinical Sciences, Monash University, Clayton, Australia.ORCID 0000-0003-1685-1072
Dean McKenzieResearch Development and Governance Unit, Epworth Healthcare, Richmond, Australia.
Bernadette BradyPhysiotherapy Department, Liverpool Hospital, Liverpool, Australia.
Justine NaylorWhitlam Orthopaedic Research Centre, Ingham Institute, Liverpool Hospital, Liverpool, Sydney, Australia.
John OlverEpworth Monash Rehabilitation Medicine Unit, School of Clinical Sciences, Monash University, Clayton, Australia.ORCID 0000-0001-7069-1191

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveModerate to severe persistent pain can affect up to 25% of people after a knee replacement for osteoarthritis. The aim of the trial was to test the feasibility of implementing Kneed, a novel digital pain rehabilitation self-management programme.DesignProspective, two group parallel randomised pilot study.SettingOnline in Australia.ParticipantsAdults with persistent pain rated as ≥4/10 in the operated knee more than 3 months post-knee replacement for osteoarthritis.InterventionThe Kneed group were provided with 8 weeks of access to a digital pain rehabilitation self-management programme and compared to usual care.Main measuresRecruitment, acceptability, usability and limited efficacy with descriptive statistics.ResultsSixty participants, mean age 68.7 years, 75% female, 66.7% retired and 43% living outside metropolitan areas, were recruited between 15 October and 19 December, 2024 via social media advertising with 418 online eligibility surveys performed. There were 190 (45.5%) deemed potentially eligible; 82 (19.6%) left contact details and 60 (14.4%) consented. At 8 weeks, there were 48 (80%) participants remaining in the trial (20 Kneed (64.5%), 28 usual care (96.6%)). A majority of the Kneed group found the Kneed programme acceptable, would use it again and found that it helped them effectively manage pain and function.ConclusionIt is feasible to recruit and retain older Australians with moderate to severe knee pain post-knee replacement for a trial testing a digital pain rehabilitation self-management programme. A larger trial is indicated to further test the clinical effectiveness of Kneed to reduce pain and improve function.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneePain ManagementPostoperative PainSelf-ManagementAgedAustraliaFeasibility StudiesFemaleHumansMaleMiddle AgedPain MeasurementPilot ProjectsTreatment Outcomechronic painknee osteoarthritisrandomised controlled trialRehabilitationtotal knee replacement

Identifiers

PMID40990623
PMCPMC12521762

What OpenQuestion holds

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LicenceCC BY-NC
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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.