Your browser doesn't support javascript.
loading
Implementing good life with osteoArthritis from Denmark (GLA:D®) in australian public hospitals. Part 1: Feasibility.
Collins, Natalie J; Smith, Michelle D; O'Leary, Shaun P; Maclachlan, Liam R; Cottrell, Michelle A; Vicenzino, Bill; Vuvan, Viana; Comans, Tracy; Kemp, Joanne L; Barton, Christian J; Lee, Darryl; McCaskill, Stuart; Cush, Adrian; Hislop, Andrew C; Raymer, Maree E.
Afiliación
  • Collins NJ; School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland, Australia; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia. Electronic address
  • Smith MD; School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland, Australia. Electronic address: m.smith5@uq.edu.au.
  • O'Leary SP; School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland, Australia; Department of Physiotherapy, Royal Brisbane and Women's Hospital, Metro North Health, Brisbane, Australia. Electronic address: s.oleary@uq.edu.au.
  • Maclachlan LR; School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland, Australia; Kenneth G Jamieson Department of Neurosurgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. Electronic address: liam.maclachlan@health.qld.gov.au.
  • Cottrell MA; School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland, Australia; Department of Physiotherapy, Royal Brisbane and Women's Hospital, Metro North Health, Brisbane, Australia. Electronic address: michelle.cottrell@health.qld.gov.au.
  • Vicenzino B; School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland, Australia. Electronic address: b.vicenzino@uq.edu.au.
  • Vuvan V; School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland, Australia. Electronic address: v.vuvan@uq.edu.au.
  • Comans T; Centre for Health Services Research, The University of Queensland, Herston, Queensland, Australia. Electronic address: t.comans@uq.edu.au.
  • Kemp JL; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia; Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, School of Allied Health, Human Services and Sport, La Trobe University, A
  • Barton CJ; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia; Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, School of Allied Health, Human Services and Sport, La Trobe University, A
  • Lee D; Department of Physiotherapy, Royal Brisbane and Women's Hospital, Metro North Health, Brisbane, Australia. Electronic address: djlee889@gmail.com.
  • McCaskill S; Physiotherapy Department, Queen Elizabeth II Hospital, Coopers Plains, Queensland, Australia. Electronic address: Stuart.McCaskill@health.qld.gov.au.
  • Cush A; Physiotherapy Department, Queen Elizabeth II Hospital, Coopers Plains, Queensland, Australia. Electronic address: cush.adrian@gmail.com.
  • Hislop AC; School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland, Australia; Physiotherapy Department, The Prince Charles Hospital, Chermside, Queensland, Australia. Electronic address: Andrew.Hislop@health.qld.gov.au.
  • Raymer ME; Department of Physiotherapy, Royal Brisbane and Women's Hospital, Metro North Health, Brisbane, Australia. Electronic address: Maree.Raymer@health.qld.gov.au.
Musculoskelet Sci Pract ; 71: 102960, 2024 06.
Article en En | MEDLINE | ID: mdl-38670811
ABSTRACT

BACKGROUND:

Literature reporting positive outcomes from the Good Life with osteoArthritis in Denmark (GLAD®) program in Australia mainly involves patients attending private physiotherapy services.

OBJECTIVE:

Evaluate the feasibility of implementing GLAD® in Australian public hospitals.

DESIGN:

Implementation study in three metropolitan tertiary public hospitals over six months.

METHOD:

Patients aged ≥18 years with knee or hip joint-related problems deemed appropriate for non-surgical care were invited to participate in GLAD®. Feasibility was evaluated using RE-AIM framework components (Implementation, Effectiveness, Maintenance) using service-level metrics, patient-level data, and program fidelity assessment. Findings of qualitative interviews with service providers are presented in Part 2.

RESULTS:

Implementation 70 patients (69 with knee osteoarthritis) participated (13 cohorts). 55 (79%) patients attended both education sessions, and 49 patients (70%) attended 10-12 exercises sessions. Fidelity was met based on environmental, therapist, participant- and program-related criteria. EFFECTIVENESS At 3 months, patients reported lower average pain (visual analogue scale [0-100 mm] effect size -0.56, 95% CI -0.88 to -0.23) and disability (HOOS/KOOS-12 [100-0] 0.67, 0.28 to 1.05), and improved quality of life (EQ-5D overall score 0.46, 0.11 to 0.80). No adverse events were reported. All patients who completed 3-month assessment (n = 52) would recommend GLAD®. Maintenance All participating services elected to continue delivering GLAD® beyond the study.

CONCLUSIONS:

Implementing GLAD® in Australian public hospitals is feasible, safe, and acceptable to patients with knee osteoarthritis. Public hospital patients with knee osteoarthritis reported improvements in pain, disability, and quality of life similar to previous GLAD® cohorts.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Estudios de Factibilidad / Osteoartritis de la Rodilla / Hospitales Públicos Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa / Oceania Idioma: En Revista: Musculoskelet Sci Pract Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Estudios de Factibilidad / Osteoartritis de la Rodilla / Hospitales Públicos Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa / Oceania Idioma: En Revista: Musculoskelet Sci Pract Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos