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.
- Cross-cultural adaptation
- Hip and knee osteoarthritis
- Implementation feasibility study
- Neuromuscular exercise
- Non-surgical management
Davis, A. M., Kennedy, D., Wong, R., Robarts, S., Skou, S. T., McGlasson, R., Li, L. C., & Roos, E. (2018). 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. Osteoarthritis and Cartilage, 26 (2), 211-219. https://doi.org/10.1016/j.joca.2017.11.005