The Web-Based Osteoarthritis Management Resource My Joint Pain Improves Quality of Care: A Quasi-Experimental Study

摘要: Background: Despite the availability of evidence-based guidelines for conservative treatment osteoarthritis (OA), management is often confined to use analgesics and waiting eventual total joint replacement. This suggests a gap in knowledge persons with OA regarding many different treatments available them. Objective: Our objective was evaluate outcomes after usage Web-based resource called My Joint Pain that contains tailored, information tools aimed improve self-management on change knowledge. Methods: A quasi-experimental design used website intervention over 12-month period. The provided participants general user-specific information, monthly assessments validated instruments, progress-tracking tools. nationwide convenience sample 195 self-assessed hip and/or knee completed both baseline questionnaires (users: n=104; nonusers: n=91). primary outcome measure Health Evaluation Impact Questionnaire (heiQ) 8 domains (health-directed activity, positive active engagement life, emotional distress, self-monitoring insight, constructive attitudes approaches, skill technique acquisition, social integration support, health service navigation) secondary 17-item Osteoarthritis Quality Indicator (OAQI) questionnaire appropriateness care received by participants. Independent t tests were compare changes between groups heiQ chi-square identify within from 12 months each OAQI item. Results: Baseline demographics similar gender (152/195, 77.9% female), age (mean 60, SD 9 years) body mass index 31.1, 6.8 kg/m 2 ). With exception navigation, mean effect sizes all other showed trend users compared nonusers, although differences did not reach statistical significance. Within-group also improvements among (absolute score=15%, P =.03), lifestyle score=16%, =.02), physical activity score=11%, =.04), no significant nonusers. Following exposure website, there nonusers score 15% vs 2%, =.001) weight reduction scores 3% –6%, =.03) measured OAQI. Conclusions: Web does significantly overall heiQ, but important aspects quality people OA. Further work required delivered order provide greater impact. [J Med Internet Res 2015;17(7):e167]