Title |
Self management, joint protection and exercises in hand osteoarthritis: a randomised controlled trial with cost effectiveness analyses
|
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Published in |
BMC Musculoskeletal Disorders, July 2011
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DOI | 10.1186/1471-2474-12-156 |
Pubmed ID | |
Authors |
Krysia S Dziedzic, Susan Hill, Elaine Nicholls, Alison Hammond, Helen Myers, Tracy Whitehurst, Jo Bailey, Charlotte Clements, David GT Whitehurst, Sue Jowett, June Handy, Rhian W Hughes, Elaine Thomas, Elaine M Hay |
Abstract |
There is limited evidence for the clinical and cost effectiveness of occupational therapy (OT) approaches in the management of hand osteoarthritis (OA). Joint protection and hand exercises have been proposed by European guidelines, however the clinical and cost effectiveness of each intervention is unknown.This multicentre two-by-two factorial randomised controlled trial aims to address the following questions:• Is joint protection delivered by an OT more effective in reducing hand pain and disability than no joint protection in people with hand OA in primary care?• Are hand exercises delivered by an OT more effective in reducing hand pain and disability than no hand exercises in people with hand OA in primary care?• Which of the four management approaches explored within the study (leaflet and advice, joint protection, hand exercise, or joint protection and hand exercise combined) provides the most cost-effective use of health care resources |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | <1% |
Switzerland | 1 | <1% |
Brazil | 1 | <1% |
Unknown | 197 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 27 | 13% |
Student > Bachelor | 21 | 10% |
Student > Ph. D. Student | 19 | 9% |
Student > Doctoral Student | 17 | 8% |
Researcher | 16 | 8% |
Other | 53 | 26% |
Unknown | 48 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 48 | 24% |
Nursing and Health Professions | 38 | 19% |
Sports and Recreations | 10 | 5% |
Social Sciences | 7 | 3% |
Agricultural and Biological Sciences | 6 | 3% |
Other | 31 | 15% |
Unknown | 61 | 30% |