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My joint pain, a web-based resource, effects on education and quality of care at 24 months.
BMC Musculoskeletal Disorders ( IF 2.3 ) Pub Date : 2020-02-06 , DOI: 10.1186/s12891-020-3074-2
Xia Wang 1 , Hema Urban 1 , Kim L Bennell 2 , Chris Dickson 3 , Fiona Dobson 2 , Marlene Fransen 4 , Graeme Jones 5 , David J Hunter 1, 6
Affiliation  

OBJECTIVE To evaluate the effects of the updated version of an evidence-based osteoarthritis (OA) resource and consumer hub, 'My Joint Pain' website, on health education and quality of care over 12 months. METHODS Using a classic quasi-experimental design, participants with symptomatic hip or knee OA were recruited across Australia to evaluate the 'My Joint Pain' website, compared to a control group of non-users from 12 to 24 months. Outcome measures included the Health Education Impact Questionnaire (HEIQ) and the OA Quality Indicator (OAQI) questionnaire. The changes from 12 to 24 months in the HEIQ were evaluated using a generalised linear model. The differences between users and non-users in the OAQI were evaluated using a chi-square test. RESULTS A total of 277 eligible participants with symptomatic hip or knee OA were recruited at baseline, and 122 participants completed the 24-month surveys (users: n = 35, non-users: n = 87). There was no significant difference between users and non-users for the HEIQ scores at 24 months after adjustments for age, sex and body mass index (BMI). Users had higher emotional distress scores than non-users in univariable analysis. When compared with non-users in the OAQI, users showed favourable changes in receiving information about "self-management" and "acetaminophen" and "non-steroidal anti-inflammatory drugs (NSAIDs)" from 12 to 24 months. CONCLUSION The evaluation of the updated 'My Joint Pain' website didn't find significant improvements in terms of health education, but it may help delivering useful information about self-management and appropriate use of pharmacological treatments. More strategies are needed to facilitate the uptake of evidence-based self-management and education online resources for OA consumers.

中文翻译:

我的关节痛(一种基于Web的资源)对24个月的教育和护理质量产生影响。

目的评估“我的关节痛”网站对循证骨关节炎(OA)资源和消费者中心的更新版本在12个月内的健康教育和护理质量的影响。方法采用经典的准实验设计,在整个澳大利亚招募了有症状髋关节或膝关节OA的参与者,以评估“我的关节痛”网站,相比之下,非使用者的对照组则为12到24个月。结果措施包括健康教育影响问卷(HEIQ)和OA质量指标(OAQI)问卷。使用广义线性模型评估了HEIQ从12个月到24个月的变化。使用卡方检验评估OAQI中用户与非用户之间的差异。结果基线时共招募了277名有症状的髋部或膝部OA的合格参与者,有122名参与者完成了24个月的调查(用户:n = 35,非用户:n = 87)。调整年龄,性别和体重指数(BMI)后的24个月,使用者和非使用者在HEIQ评分方面没有显着差异。在单变量分析中,用户的情绪困扰得分高于非用户。与OAQI中的非使用者相比,使用者在12到24个月内收到有关“自我管理”,“对乙酰氨基酚”和“非甾体类抗炎药(NSAIDs)”的信息方面显示出有利的变化。结论对更新后的“我的关节痛”网站的评估并未发现健康教育方面的显着改善,但它可能有助于传递有关自我管理和适当使用药理治疗的有用信息。需要更多策略来促进OA消费者采用基于证据的自我管理和在线教育资源。
更新日期:2020-02-07
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