Adherence to a Web-based Exercise Programme: A Feasibility Study Among Patients with Hip or Knee Osteoarthritis
DOI:
https://doi.org/10.2340/jrm.v55.7139Keywords:
Exercise, Adherence, Osteoarthritis, Management, web-based, barriers, Motivation, Digital technologyAbstract
Objectives: To describe adherence to a 12-week web-based aerobic exercise programme, to compare characteristics between those who adhere or not, and to identify barriers for exercising in patients with hip or knee osteoarthritis.
Design: Single-arm feasibility study.
Subjects: Patients with hip or knee osteoarthritis in specialist healthcare, age 40–80 years, and not candidates for joint surgery.
Methods: Adherence to a 12-week exercise programme was defined as having completed ≥ 2 exercise sessions a week for at least 8 weeks. Baseline differences between adherent and non-adherent groups in demographics, symptoms, disability, physical activity and fitness were assessed using Mann–Whitney U or χ2 tests. Reasons for not completing exercise sessions were reported in weekly diaries.
Results: A total of 29 patients (median age 64 years, 72% female) were included. Median baseline pain (numerical rating scale 0–10) was 5. Fifteen patients adhered to the exercise programme, 14 did not. Non-adherent patients were less active (p = 0.032) and had lower cardiorespiratory fitness (p = 0.031). The most frequently reported barrier to exercising was sickness. Less than 10% reported pain as a barrier.
Conclusion: Half of the patients with hip or knee osteoarthritis adhered to the digitally delivered exercise programme and the most frequently reported barrier for adherence was sickness, while less than 10% reported pain as a reason for not exercising.
Trial registration: ClinicalTrials.gov, NCT04084834. The Regional Committee for Medical and Health Research Ethics South-East, 2018/2198.
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Copyright (c) 2023 Kenth-Louis Joseph, Hanne Dagfinrud, Kåre Birger Hagen, Kristine Røren Nordén, Camilla Fongen, Ole-Martin Wold, Rana S. Hinman, Rachel K. Nelligan, Kim L. Bennell, Anne Therese Tveter
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EkstraStiftelsen Helse og Rehabilitering (Stiftelsen Dam)
Grant numbers 2019/FO247595
