Research Article  |   July 2018
Occupational Therapist–Delivered Cognitive–Behavioral Therapy for Knee Osteoarthritis: A Randomized Pilot Study
Author Affiliations
  • Susan L. Murphy, ScD, OTR, is Associate Professor, Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, and Geriatric Research Education and Clinical Center, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI; sumurphy@umich.edu
  • Mary R. Janevic, PhD, MPH, is Assistant Research Scientist, Center for Managing Chronic Disease, Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor
  • Pearl Lee, MD, is Assistant Professor, Geriatric Research Education and Clinical Center, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, and Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor
  • David A. Williams, PhD, is Professor, Department of Anesthesiology, University of Michigan, Ann Arbor
Article Information
Arthritis / Mental Health / Musculoskeletal Impairments / Research Articles
Research Article   |   July 2018
Occupational Therapist–Delivered Cognitive–Behavioral Therapy for Knee Osteoarthritis: A Randomized Pilot Study
American Journal of Occupational Therapy, July 2018, Vol. 72, 7205205040p1-7205205040p9. doi:10.5014/ajot.2018.027870
American Journal of Occupational Therapy, July 2018, Vol. 72, 7205205040p1-7205205040p9. doi:10.5014/ajot.2018.027870
Abstract

OBJECTIVE. This study assessed the feasibility and preliminary efficacy of an online-assisted, occupational therapist–delivered, cognitive–behavioral therapy intervention to promote physical function in patients with knee osteoarthritis (KOA).

METHOD. Fifty-seven participants with KOA were randomized 2:1 to the Engage program (eight clinic-based sessions supported by online modules) or usual care. Using analysis of covariance, we estimated Engage’s effect on physical function (Western Ontario and McMaster Universities Osteoarthritis Index’s Physical Function subscale [WOMAC–PF]) at 6 mo.

RESULTS. Data were analyzed on 46 completers. Engage was associated with a small effect (η2 = 0.01) on the WOMAC–PF. More Engage participants than controls reported much or very much improvement (45% vs. 13%; p = .03). Satisfaction was high, and 30 of 31 participants attended six sessions or more.

CONCLUSION. An online-supported cognitive–behavioral program for people with KOA delivered by occupational therapists is feasible and may contribute to improved physical function.