Cross-cultural Adaptation and Implementation of Good Life with Osteoarthritis in Denmark (GLA:DTM): group education and exercise for hip and knee osteoarthritis is feasible in Canada

Aileen M. Davis, Deborah Kennedy, Rosalind Wong, Susan Robarts, Søren T. Skou, Rhona McGlasson, Linda C. Li, Ewa Roos

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Abstract (248 words)Objective Adapt and evaluate the feasibility of implementing Good Life with osteoArthritis in Denmark (GLA:DTM) in Canada for people with mild to severe hip/knee osteoarthritis. Methods Patients triaged to non-surgical management participated in two education sessions and 12 supervised, neuromuscular exercise classes. We used the RE-AIM implementation framework evaluating outcomes of Reach, Effectiveness/Efficacy, Adoption, Implementation and Maintenance. Patients completed surveys pre-program and at 3 months follow-up. Program fidelity was evaluated at 4 observations against a priori criteria. We conducted semi-structured interviews with therapists post-program. Results 72 patients consented to participate, 59 started the program and one withdrew on physician advice. The remaining 58 provided follow-up data. Mean age was 67 years; 78% were female and 52% had BMI >25. The effect of the program was demonstrated: 40% improvement in pain with 59% achieving a clinically important improvement of >2 points on the Numeric Pain Rating scale. Statistically significant improvement also occurred in the Hip disability/Knee injury and Osteoarthritis Outcome Score subscales. 24% reported increased physical activity. Program fidelity was demonstrated with all criteria met. Therapists emphasized that rolling recruitment allowed appropriate supervision and resulted in participants encouraging each other. 99% of participants indicated they benefitted from and were satisfied with the program and 90% reported using the knowledge daily. 52% were willing to pay >$250 Cdn for the program. Conclusion GLA:DTM implementation was feasible in the Canadian context with results similar to those of >7,000 participants in Denmark. Implementation and evaluation of GLA:DTM Canada is now occurring nationally.
OriginalsprogEngelsk
TidsskriftOsteoarthritis and Cartilage
Vol/bind26
Udgave nummer2
Sider (fra-til)211-219
ISSN1063-4584
DOI
StatusUdgivet - feb. 2018

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title = "Cross-cultural Adaptation and Implementation of Good Life with Osteoarthritis in Denmark (GLA:DTM): group education and exercise for hip and knee osteoarthritis is feasible in Canada",
abstract = "Abstract (248 words)Objective Adapt and evaluate the feasibility of implementing Good Life with osteoArthritis in Denmark (GLA:DTM) in Canada for people with mild to severe hip/knee osteoarthritis. Methods Patients triaged to non-surgical management participated in two education sessions and 12 supervised, neuromuscular exercise classes. We used the RE-AIM implementation framework evaluating outcomes of Reach, Effectiveness/Efficacy, Adoption, Implementation and Maintenance. Patients completed surveys pre-program and at 3 months follow-up. Program fidelity was evaluated at 4 observations against a priori criteria. We conducted semi-structured interviews with therapists post-program. Results 72 patients consented to participate, 59 started the program and one withdrew on physician advice. The remaining 58 provided follow-up data. Mean age was 67 years; 78{\%} were female and 52{\%} had BMI >25. The effect of the program was demonstrated: 40{\%} improvement in pain with 59{\%} achieving a clinically important improvement of >2 points on the Numeric Pain Rating scale. Statistically significant improvement also occurred in the Hip disability/Knee injury and Osteoarthritis Outcome Score subscales. 24{\%} reported increased physical activity. Program fidelity was demonstrated with all criteria met. Therapists emphasized that rolling recruitment allowed appropriate supervision and resulted in participants encouraging each other. 99{\%} of participants indicated they benefitted from and were satisfied with the program and 90{\%} reported using the knowledge daily. 52{\%} were willing to pay >$250 Cdn for the program. Conclusion GLA:DTM implementation was feasible in the Canadian context with results similar to those of >7,000 participants in Denmark. Implementation and evaluation of GLA:DTM Canada is now occurring nationally.",
keywords = "Cross-cultural adaptation, Education, Hip and knee osteoarthritis, Implementation feasibility study, Neuromuscular exercise, Non-surgical management",
author = "Davis, {Aileen M.} and Deborah Kennedy and Rosalind Wong and Susan Robarts and Skou, {S{\o}ren T.} and Rhona McGlasson and Li, {Linda C.} and Ewa Roos",
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year = "2018",
month = "2",
doi = "10.1016/j.joca.2017.11.005",
language = "English",
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pages = "211--219",
journal = "Osteoarthritis and Cartilage",
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Cross-cultural Adaptation and Implementation of Good Life with Osteoarthritis in Denmark (GLA:DTM): group education and exercise for hip and knee osteoarthritis is feasible in Canada. / Davis, Aileen M.; Kennedy, Deborah; Wong, Rosalind; Robarts, Susan; Skou, Søren T.; McGlasson, Rhona; Li, Linda C.; Roos, Ewa.

I: Osteoarthritis and Cartilage, Bind 26 , Nr. 2, 02.2018, s. 211-219.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Cross-cultural Adaptation and Implementation of Good Life with Osteoarthritis in Denmark (GLA:DTM): group education and exercise for hip and knee osteoarthritis is feasible in Canada

AU - Davis, Aileen M.

AU - Kennedy, Deborah

AU - Wong, Rosalind

AU - Robarts, Susan

AU - Skou, Søren T.

AU - McGlasson, Rhona

AU - Li, Linda C.

AU - Roos, Ewa

N1 - Endnu IKKE i PubMed

PY - 2018/2

Y1 - 2018/2

N2 - Abstract (248 words)Objective Adapt and evaluate the feasibility of implementing Good Life with osteoArthritis in Denmark (GLA:DTM) in Canada for people with mild to severe hip/knee osteoarthritis. Methods Patients triaged to non-surgical management participated in two education sessions and 12 supervised, neuromuscular exercise classes. We used the RE-AIM implementation framework evaluating outcomes of Reach, Effectiveness/Efficacy, Adoption, Implementation and Maintenance. Patients completed surveys pre-program and at 3 months follow-up. Program fidelity was evaluated at 4 observations against a priori criteria. We conducted semi-structured interviews with therapists post-program. Results 72 patients consented to participate, 59 started the program and one withdrew on physician advice. The remaining 58 provided follow-up data. Mean age was 67 years; 78% were female and 52% had BMI >25. The effect of the program was demonstrated: 40% improvement in pain with 59% achieving a clinically important improvement of >2 points on the Numeric Pain Rating scale. Statistically significant improvement also occurred in the Hip disability/Knee injury and Osteoarthritis Outcome Score subscales. 24% reported increased physical activity. Program fidelity was demonstrated with all criteria met. Therapists emphasized that rolling recruitment allowed appropriate supervision and resulted in participants encouraging each other. 99% of participants indicated they benefitted from and were satisfied with the program and 90% reported using the knowledge daily. 52% were willing to pay >$250 Cdn for the program. Conclusion GLA:DTM implementation was feasible in the Canadian context with results similar to those of >7,000 participants in Denmark. Implementation and evaluation of GLA:DTM Canada is now occurring nationally.

AB - Abstract (248 words)Objective Adapt and evaluate the feasibility of implementing Good Life with osteoArthritis in Denmark (GLA:DTM) in Canada for people with mild to severe hip/knee osteoarthritis. Methods Patients triaged to non-surgical management participated in two education sessions and 12 supervised, neuromuscular exercise classes. We used the RE-AIM implementation framework evaluating outcomes of Reach, Effectiveness/Efficacy, Adoption, Implementation and Maintenance. Patients completed surveys pre-program and at 3 months follow-up. Program fidelity was evaluated at 4 observations against a priori criteria. We conducted semi-structured interviews with therapists post-program. Results 72 patients consented to participate, 59 started the program and one withdrew on physician advice. The remaining 58 provided follow-up data. Mean age was 67 years; 78% were female and 52% had BMI >25. The effect of the program was demonstrated: 40% improvement in pain with 59% achieving a clinically important improvement of >2 points on the Numeric Pain Rating scale. Statistically significant improvement also occurred in the Hip disability/Knee injury and Osteoarthritis Outcome Score subscales. 24% reported increased physical activity. Program fidelity was demonstrated with all criteria met. Therapists emphasized that rolling recruitment allowed appropriate supervision and resulted in participants encouraging each other. 99% of participants indicated they benefitted from and were satisfied with the program and 90% reported using the knowledge daily. 52% were willing to pay >$250 Cdn for the program. Conclusion GLA:DTM implementation was feasible in the Canadian context with results similar to those of >7,000 participants in Denmark. Implementation and evaluation of GLA:DTM Canada is now occurring nationally.

KW - Cross-cultural adaptation

KW - Education

KW - Hip and knee osteoarthritis

KW - Implementation feasibility study

KW - Neuromuscular exercise

KW - Non-surgical management

U2 - 10.1016/j.joca.2017.11.005

DO - 10.1016/j.joca.2017.11.005

M3 - Journal article

C2 - 29146385

VL - 26

SP - 211

EP - 219

JO - Osteoarthritis and Cartilage

JF - Osteoarthritis and Cartilage

SN - 1063-4584

IS - 2

ER -