Activity Increase Despite Arthritis (AÏDA): phase II randomised controlled trial of an active management booklet for hip and knee osteoarthritis in primary care

Br J Gen Pract. 2011 Aug;61(589):e452-8. doi: 10.3399/bjgp11X588411.

Abstract

Background: The Hip & Knee Book: Helping you cope with osteoarthritis was developed to change disadvantageous beliefs and encourage physical activity in people with hip or knee osteoarthritis.

Aim: To assess the feasibility of conducting a definitive randomised controlled trial (RCT) of this evidence-based booklet in people with hip or knee osteoarthritis.

Design: Phase II feasibility randomised controlled trial (RCT).

Method: Computerised searches of patients' record databases identified people with osteoarthritis of the hip or knee, who were invited to participate in the RCT comparing the new booklet with a control booklet. Outcomes were measured at baseline, 1 month, and 3 months, and included: beliefs about hip and knee pain, exercise, and fear avoidance; level of physical activity; and health service use.

Results: The trial methods were feasible in terms of recruitment, randomisation, and follow-up, but most participants recruited had longstanding established symptoms. After one and 3 months, there was a small relative improvement in illness, exercise, and fear-avoidance beliefs and physical activity level in The Hip & Knee Book group (n = 59) compared with the control group (n = 60), which provides some proof of principle for using these outcomes in future trials.

Conclusion: This feasibility study provided proof of principle for testing The Hip & Knee Book in a larger definitive RCT.

Publication types

  • Clinical Trial, Phase II
  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Attitude to Health
  • England
  • Exercise Therapy*
  • Family Practice
  • Fear
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Osteoarthritis, Hip / psychology
  • Osteoarthritis, Hip / therapy*
  • Osteoarthritis, Knee / psychology
  • Osteoarthritis, Knee / therapy*
  • Pamphlets*
  • Patient Education as Topic / methods*
  • Treatment Outcome

Associated data

  • ISRCTN/ISRCTN24554946