Cross-cultural adaptation and implementation of Good Life with osteoarthritis in Denmark (GLA:D™): group education and exercise for hip and knee osteoarthritis is feasible in Canada
Cross-cultural adaptation and implementation of Good Life with osteoarthritis in Denmark (GLA:D™): group education and exercise for hip and knee osteoarthritis is feasible in Canada
复制标题
DOI：
10.1016/j.joca.2017.11.005
复制
发表时间：
2018-02-01
影响因子：
7
通讯作者：
Roos, E.
中科院分区：
文献类型：
--
作者：
Davis, A. M.;Kennedy, D.;Roos, E.
目的：适应和评估的可行性，实施良好的生活与骨关节炎在丹麦（GLA：D（TM））在加拿大的人与轻度至重度髋/膝关节骨性关节炎。方法：患者分流到非手术治疗参加了两个教育会议和12个监督，神经肌肉锻炼班。我们使用了RE-AIM实施框架，评估了覆盖范围、有效性/功效、采用、实施和维护的结果。患者在计划前和3个月随访时完成调查。程序保真度进行了评估，在四个观察对先验标准。我们进行了半结构化的访谈治疗师postprogram.Results：72例患者同意参加，59开始的程序，一个医生的建议退出。其余58人提供了随访数据。平均年龄为67岁; 78%为女性，52%的体重指数（BMI）>25。该计划的效果得到证实：疼痛改善40%，其中59%的患者在数字疼痛评分量表上实现了临床上重要的改善>= 2分。髋关节残疾/膝关节损伤和骨关节炎结局评分子量表也出现统计学显著改善。24%的人报告身体活动增加。程序保真度得到证明，符合所有标准。治疗师强调，滚动招募允许适当的监督，并导致参与者相互鼓励。99%的参与者表示他们从该计划中受益并对该计划感到满意，90%的参与者表示每天都在使用这些知识。52%的人愿意支付>$250 Cdn.Conclusion：GLA：D（TM）的实施在加拿大是可行的，其结果与丹麦的> 7，000名参与者的结果相似。GLA：D（TM）Canada目前正在全国范围内实施和评估。(C)2017国际骨关节炎研究学会。由爱思唯尔有限公司出版。保留所有权利。
Objective: Adapt and evaluate the feasibility of implementing Good Life with osteoArthritis in Denmark (GLA:D (TM)) in Canada for people with mild to severe hip/knee osteoarthritis.Methods: Patients triaged to non-surgical management participated in two education sessions and 12 supervised, neuromuscular exercise classes. We used the RE-AIM implementation framework evaluating outcomes of Reach, Effectiveness/Efficacy, Adoption, Implementation and Maintenance. Patients completed surveys pre-programand at 3 months follow-up. Program fidelity was evaluated at four observations against a priori criteria. We conducted semi-structured interviews with therapists post-program.Results: 72 patients consented to participate, 59 started the program and one withdrew on physician advice. The remaining 58 provided follow-up data. Mean age was 67 years; 78% were female and 52% had body mass index (BMI) >25. The effect of the program was demonstrated: 40% improvement in pain with 59% achieving a clinically important improvement of >= 2 points on the Numeric Pain Rating scale. Statistically significant improvement also occurred in the Hip disability/Knee injury and Osteoarthritis Outcome Score subscales. 24% reported increased physical activity. Program fidelity was demonstrated with all criteria met. Therapists emphasized that rolling recruitment allowed appropriate supervision and resulted in participants encouraging each other. 99% of participants indicated they benefitted from and were satisfied with the program and 90% reported using the knowledge daily. 52% were willing to pay >$ 250 Cdn for the program.Conclusion: GLA:D (TM) implementation was feasible in the Canadian context with results similar to those of >7,000 participants in Denmark. Implementation and evaluation of GLA:D (TM) Canada is now occurring nationally. (C) 2017 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.