Susan L. Murphy, Mary R. Janevic, Pearl Lee, David A. Williams; Occupational Therapist–Delivered Cognitive–Behavioral Therapy for Knee Osteoarthritis: A Randomized Pilot Study. Am J Occup Ther 2018;72(5):7205205040p1-7205205040p9. doi: 10.5014/ajot.2018.027870.
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© 2019 American Occupational Therapy Association
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.
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