ArticleOsteoarthritis and cartilage open2026
"A very good program … but I still have the knee problem": A qualitative study exploring patient acceptability of physiotherapy-led osteoarthritis services.
Article in Osteoarthritis and cartilage open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Objective: What is the acceptability of community-based physiotherapy-led osteoarthritis services, including advanced practice assessment and an exercise and education program, for patients with knee osteoarthritis? Design: Interpretive descriptive qualitative study. Patients with knee osteoarthritis who attended a community-based advanced practice physiotherapy assessment, followed by physiotherapy management, including an osteoarthritis-specific education and exercise program (Good Life osteoArthritis:Denmark (GLA:D®)) were eligible. Semi-structured interviews, informed by the Theoretical Framework of Acceptability, were completed either online or via telephone. Interview data were independently coded by 2 researchers. Other team members reviewed a random sample of interview data. Data were analysed inductively using thematic analysis. Results: Twenty participants (mean 70 years, 60% women) were included. Three main themes were identified: Conclusion: Assessment by community-based advanced practice physiotherapists and participating in a physiotherapy-led exercise-and-education-program were acceptable to most patients, providing a viable alternative to hospital-based models. However, several barriers were identified, including patient uncertainty regarding addressing their education needs and ongoing management needs. Prioritising ongoing management, communication and a strong therapeutic alliance can enhance acceptability. Our findings highlight challenges and enablers for implementing physiotherapy-led care in a community-based setting, and may guide implementation of these services in alternative healthcare settings.
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