Effectiveness of blended web-based rehabilitation on measures of pain, functionality and physical activity of patients with knee osteoarthritis: study protocol for a randomized control trial

ISRCTN ISRCTN12950684
DOI https://doi.org/10.1186/ISRCTN12950684
Secondary identifying numbers 49238/09-07-2020
Submission date
17/09/2020
Registration date
27/09/2020
Last edited
08/03/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Education and exercise have been recommended for patients with knee osteoarthritis (OA). However, due to the chronic nature of pain of knee OA as well as the difficulty in access to health services, patients would benefit from a self-managed programme that encourages physical activity.

Who can participate?
Patients with knee OA, with no cognitive issues

What does the study involve?
It involves a web-based rehabilitation programme (combining both behavioural and exercise components) as well as suggested specified walk journeys within their municipality.

What are the potential benefits and risks of participating?
Patients would learn how to manage their pain with confidence and be more physically active. No real risks associated, apart from the discomfort that might arise after undertaking an exercise programme lasting for 2-3 days.

Where is the study run from?
University of West Attica (Greece)

When is the study starting and how long is it expected to run for?
February 2020 to February 2022

Who is funding the study?
State Foundation Scholarship (IKY) (Greece)

Who is the main contact?
Maria Moutzouri

Study website

Contact information

Dr Maria Moutzouri
Scientific

Agiou Spiridonos 28
Egaleo
12243
Greece

ORCiD logoORCID ID 0000-0002-7014-892X
Phone +30 (0)6977073125
Email moutzouri@uniwa.gr

Study information

Study designDouble-blind randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Internet/virtual
Study typeQuality of life
Participant information sheet Not available in web format. please use contact details to request a participant information sheet.
Scientific titleEffectiveness of blended web-based rehabilitation enhanced with outdoor structured walking-based activity on measures of pain, functionality and physical activity of patients with knee osteoarthritis: study protocol for a randomised control trial
Study acronymWebphys
Study objectivesWeb-based rehabilitation is superior to monitored physical activity in pain levels and functionality in patients with knee osteoarthritis.
Ethics approval(s)1. Approved 20/07/2020, University of West Attica Research Ethics Committe (agiou spiridonos 28, Aegaleo, 12243, Greece; +30 210-5387.294; ethics@uniwa.gr), ref: 52650 - 20/07/2020
2. Approved 20/07/2020, Research Ethics Committee of the University of West Attica (Ag Spiridonos, Egaleo, PC 12243, Greece; +30 3105387294; ethics@uniwa.gr), ref: 49238/09-07-20
Health condition(s) or problem(s) studiedKnee osteoarthritis
InterventionGroup 1: This group will undertake 6 weeks of exercise, twice a week, by watching videotaped sessions and once a week attend an informative behavioural video session on how to manage pain.
Group 2: This group will follow specified, mapped green journeys by walking twice a week.
Group 3 (control): This group will receive a booklet with examples of exercise and information on how to manage pain and encouragement to increase physical activity.

Randomisation is done via a computer-generated excel file. The interventions will last for 6 weeks, and we will assess patients at baseline, 6 weeks and 3 months.
Intervention typeBehavioural
Primary outcome measureSelf-reported functionality measured by KOOS at baseline, 6 weeks and 3 months
Secondary outcome measuresFunctionality measured by Timed Up and Go Test at baseline, 6 weeks and 3 months
Overall study start date16/02/2020
Completion date16/02/2022

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit45 Years
Upper age limit75 Years
SexBoth
Target number of participants60
Total final enrolment44
Key inclusion criteriaCitizens of the municipalities of West Attica in Athens, aged between 45 and 75 years with knee osteoarthritis
Key exclusion criteriaParticipants with musculoskeletal injury or surgery in the lower limbs, participants with cardiovascular problems, particpants with neurological disorders.
Date of first enrolment02/11/2020
Date of final enrolment20/10/2021

Locations

Countries of recruitment

  • Greece

Study participating centres

Municipalities of West Attica, Peristeri and Egaleo
Kep Ygeias Peristeriou
Paraskeuopoulou 23
Peristeri
Athens
12132
Greece
University of West Attica
Agiou Spyridonos 28
Egaelo
Athens
12243
Greece

Sponsor information

University of West Attica
University/education

Egaleo Park
Athens
12243
Greece

Phone +30 210 5387475
Email gioftsos@uniwa.gr
Website http://www.uniwa.gr/en/
ROR logo "ROR" https://ror.org/00r2r5k05

Funders

Funder type

Government

State Scholarship Foundation (IKY)

No information available

Results and Publications

Intention to publish date16/12/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination plan1. Planned publication in a high-impact peer-reviewed journal.
2. Participants desiring to know the outcomes of the study will be informed by email.
IPD sharing planThe datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article 26/05/2022 27/05/2022 Yes No
Results article 06/02/2024 08/03/2024 Yes No

Editorial Notes

08/03/2024: Publication reference added.
12/09/2023: Ethics approval details added. The intention to publish date was changed from 16/03/2023 to 16/12/2023.
10/02/2023: The intention to publish date was changed from 16/02/2023 to 16/03/2023.
27/05/2022: Publication reference added.
14/10/2021: The total final enrolment number has been added.
26/08/2021: The following changes have been made:
1. The public title has been changed from "Telerehabilitation versus monitored increased physical activity on pain and functionality of patients with knee osteoarthritis" to "Effectiveness of blended web-based rehabilitation on measures of pain, functionality and physical activity of patients with knee osteoarthritis: study protocol for a randomized control trial".
2. The scientific title has been changed from "The effects of self-managed web-based rehabilitation versus monitored physical activity on levels of pain, functionality and quality of life in patients with knee osteoarthritis" to "Effectiveness of blended web-based rehabilitation enhanced with outdoor structured walking-based activity on measures of pain, functionality and physical activity of patients with knee osteoarthritis: study protocol for a randomised control trial".
09/06/2021: The recruitment end date has been changed from 20/06/2021 to 20/10/2021.
25/09/2020: Trial’s existence confirmed by University of West Attica.