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Effects of a 12-Week Multifaceted Wearable-Based Program for People with Knee Osteoarthritis: Randomized Controlled Trial

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Effects of a 12-Week Multifaceted Wearable-Based Program for People with Knee Osteoarthritis: Randomized Controlled Trial. / Li, L.C.; Feehan, L.M.; Xie, H. et al.
In: JMIR mHealth and uHealth, Vol. 8, No. 7, e19116, 03.07.2020.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Li, LC, Feehan, LM, Xie, H, Lu, N, Shaw, CD, Gromala, D, Zhu, S, Aviña-Zubieta, JA, Hoens, AM, Koehn, C, Tam, J, Therrien, S, Townsend, AF, Noonan, G & Backman, CL 2020, 'Effects of a 12-Week Multifaceted Wearable-Based Program for People with Knee Osteoarthritis: Randomized Controlled Trial', JMIR mHealth and uHealth, vol. 8, no. 7, e19116. https://doi.org/10.2196/19116

APA

Li, L. C., Feehan, L. M., Xie, H., Lu, N., Shaw, C. D., Gromala, D., Zhu, S., Aviña-Zubieta, J. A., Hoens, A. M., Koehn, C., Tam, J., Therrien, S., Townsend, A. F., Noonan, G., & Backman, C. L. (2020). Effects of a 12-Week Multifaceted Wearable-Based Program for People with Knee Osteoarthritis: Randomized Controlled Trial. JMIR mHealth and uHealth, 8(7), Article e19116. https://doi.org/10.2196/19116

Vancouver

Li LC, Feehan LM, Xie H, Lu N, Shaw CD, Gromala D et al. Effects of a 12-Week Multifaceted Wearable-Based Program for People with Knee Osteoarthritis: Randomized Controlled Trial. JMIR mHealth and uHealth. 2020 Jul 3;8(7):e19116. doi: 10.2196/19116

Author

Li, L.C. ; Feehan, L.M. ; Xie, H. et al. / Effects of a 12-Week Multifaceted Wearable-Based Program for People with Knee Osteoarthritis : Randomized Controlled Trial. In: JMIR mHealth and uHealth. 2020 ; Vol. 8, No. 7.

Bibtex

@article{6ddab60e9b4d42b59d75e5a93f1daac2,
title = "Effects of a 12-Week Multifaceted Wearable-Based Program for People with Knee Osteoarthritis: Randomized Controlled Trial",
abstract = "Background: Current guidelines emphasize an active lifestyle in the management of knee osteoarthritis (OA), but up to 90% of patients with OA are inactive. In a previous study, we demonstrated that an 8-week physiotherapist (PT)-led counseling intervention, with the use of a Fitbit, improved step count and quality of life in patients with knee OA, compared with a control. Objective: This study aimed to examine the effect of a 12-week, multifaceted wearable-based program on physical activity and patient outcomes in patients with knee OA. Methods: This was a randomized controlled trial with a delay-control design. The immediate group (IG) received group education, a Fitbit, access to FitViz (a Fitbit-compatible app), and 4 biweekly phone calls from a PT over 8 weeks. Participants then continued using Fitbit and FitViz independently up to week 12. The delay group (DG) received a monthly electronic newsletter in weeks 1 to 12 and started the same intervention in week 14. Participants were assessed in weeks 13, 26, and 39. The primary outcome was time spent in daily moderate-to-vigorous physical activity (MVPA; in bouts ≥10 min) measured with a SenseWear Mini. Secondary outcomes included daily steps, time spent in purposeful activity and sedentary behavior, Knee Injury and OA Outcome Score, Patient Health Questionnaire-9, Partners in Health Scale, Theory of Planned Behavior Questionnaire, and Self-Reported Habit Index. Results: We enrolled 51 participants (IG: n=26 and DG: n=25). Compared with the IG, the DG accumulated significantly more MVPA time at baseline. The adjusted mean difference in MVPA was 13.1 min per day (95% CI 1.6 to 24.5). A significant effect was also found in the adjusted mean difference in perceived sitting habit at work (0.7; 95% CI 0.2 to 1.2) and during leisure activities (0.7; 95% CI 0.2 to 1.2). No significant effect was found in the remaining secondary outcomes. Conclusions: A 12-week multifaceted program with the use of a wearable device, an app, and PT counseling improved physical activity in people with knee OA.",
keywords = "counseling, knee osteoarthritis, physical activity, physiotherapy, wearables",
author = "L.C. Li and L.M. Feehan and H. Xie and N. Lu and C.D. Shaw and D. Gromala and S. Zhu and J.A. Avi{\~n}a-Zubieta and A.M. Hoens and C. Koehn and J. Tam and S. Therrien and A.F. Townsend and G. Noonan and C.L. Backman",
year = "2020",
month = jul,
day = "3",
doi = "10.2196/19116",
language = "English",
volume = "8",
journal = "JMIR mHealth and uHealth",
issn = "2291-5222",
publisher = "Journal of medical Internet Research",
number = "7",

}

RIS

TY - JOUR

T1 - Effects of a 12-Week Multifaceted Wearable-Based Program for People with Knee Osteoarthritis

T2 - Randomized Controlled Trial

AU - Li, L.C.

AU - Feehan, L.M.

AU - Xie, H.

AU - Lu, N.

AU - Shaw, C.D.

AU - Gromala, D.

AU - Zhu, S.

AU - Aviña-Zubieta, J.A.

AU - Hoens, A.M.

AU - Koehn, C.

AU - Tam, J.

AU - Therrien, S.

AU - Townsend, A.F.

AU - Noonan, G.

AU - Backman, C.L.

PY - 2020/7/3

Y1 - 2020/7/3

N2 - Background: Current guidelines emphasize an active lifestyle in the management of knee osteoarthritis (OA), but up to 90% of patients with OA are inactive. In a previous study, we demonstrated that an 8-week physiotherapist (PT)-led counseling intervention, with the use of a Fitbit, improved step count and quality of life in patients with knee OA, compared with a control. Objective: This study aimed to examine the effect of a 12-week, multifaceted wearable-based program on physical activity and patient outcomes in patients with knee OA. Methods: This was a randomized controlled trial with a delay-control design. The immediate group (IG) received group education, a Fitbit, access to FitViz (a Fitbit-compatible app), and 4 biweekly phone calls from a PT over 8 weeks. Participants then continued using Fitbit and FitViz independently up to week 12. The delay group (DG) received a monthly electronic newsletter in weeks 1 to 12 and started the same intervention in week 14. Participants were assessed in weeks 13, 26, and 39. The primary outcome was time spent in daily moderate-to-vigorous physical activity (MVPA; in bouts ≥10 min) measured with a SenseWear Mini. Secondary outcomes included daily steps, time spent in purposeful activity and sedentary behavior, Knee Injury and OA Outcome Score, Patient Health Questionnaire-9, Partners in Health Scale, Theory of Planned Behavior Questionnaire, and Self-Reported Habit Index. Results: We enrolled 51 participants (IG: n=26 and DG: n=25). Compared with the IG, the DG accumulated significantly more MVPA time at baseline. The adjusted mean difference in MVPA was 13.1 min per day (95% CI 1.6 to 24.5). A significant effect was also found in the adjusted mean difference in perceived sitting habit at work (0.7; 95% CI 0.2 to 1.2) and during leisure activities (0.7; 95% CI 0.2 to 1.2). No significant effect was found in the remaining secondary outcomes. Conclusions: A 12-week multifaceted program with the use of a wearable device, an app, and PT counseling improved physical activity in people with knee OA.

AB - Background: Current guidelines emphasize an active lifestyle in the management of knee osteoarthritis (OA), but up to 90% of patients with OA are inactive. In a previous study, we demonstrated that an 8-week physiotherapist (PT)-led counseling intervention, with the use of a Fitbit, improved step count and quality of life in patients with knee OA, compared with a control. Objective: This study aimed to examine the effect of a 12-week, multifaceted wearable-based program on physical activity and patient outcomes in patients with knee OA. Methods: This was a randomized controlled trial with a delay-control design. The immediate group (IG) received group education, a Fitbit, access to FitViz (a Fitbit-compatible app), and 4 biweekly phone calls from a PT over 8 weeks. Participants then continued using Fitbit and FitViz independently up to week 12. The delay group (DG) received a monthly electronic newsletter in weeks 1 to 12 and started the same intervention in week 14. Participants were assessed in weeks 13, 26, and 39. The primary outcome was time spent in daily moderate-to-vigorous physical activity (MVPA; in bouts ≥10 min) measured with a SenseWear Mini. Secondary outcomes included daily steps, time spent in purposeful activity and sedentary behavior, Knee Injury and OA Outcome Score, Patient Health Questionnaire-9, Partners in Health Scale, Theory of Planned Behavior Questionnaire, and Self-Reported Habit Index. Results: We enrolled 51 participants (IG: n=26 and DG: n=25). Compared with the IG, the DG accumulated significantly more MVPA time at baseline. The adjusted mean difference in MVPA was 13.1 min per day (95% CI 1.6 to 24.5). A significant effect was also found in the adjusted mean difference in perceived sitting habit at work (0.7; 95% CI 0.2 to 1.2) and during leisure activities (0.7; 95% CI 0.2 to 1.2). No significant effect was found in the remaining secondary outcomes. Conclusions: A 12-week multifaceted program with the use of a wearable device, an app, and PT counseling improved physical activity in people with knee OA.

KW - counseling

KW - knee osteoarthritis

KW - physical activity

KW - physiotherapy

KW - wearables

U2 - 10.2196/19116

DO - 10.2196/19116

M3 - Journal article

VL - 8

JO - JMIR mHealth and uHealth

JF - JMIR mHealth and uHealth

SN - 2291-5222

IS - 7

M1 - e19116

ER -