Kim L Bennell|Penny K Campbell|Thorlene Egerton|Ben Metcalf|Jessica Kasza|Andrew Forbes|Caroline Bills|Janette Gale|Anthony Harris|Gregory S. Kolt|Stephen Bunker|David J. Hunter|Caroline Brand|Rana S Hinman
Telephone Coaching to Enhance a Home?Based Physical Activity Program for Knee Osteoarthritis: A Randomized Clinical Trial
University of Melbourne|University of Melbourne|University of Melbourne|University of Melbourne|Monash University|Monash University|Monash University|Western Sydney University|Monash University|Royal North Shore Hospital|University of Sydney|Melbourne Health|University of Melbourne|Monash University|University of Melbourne
objective investigate whether simultaneous telephone coaching improves clinical effectiveness physiotherapistprescribed homebased physical activity program knee osteoarthritis oa methods total 168 inactive adults ages 50 years knee pain numeric rating scale 4 nrs range 010 knee oa recruited community randomly assigned physiotherapy pt coaching group n 84 ptonly n 84 group participants received five 30minute consultations physiotherapist 6 months education home exercise physical activity advice ptcoaching participants also received 612 telephone coaching sessions clinicians trained behavioralchange support exercise physical activity primary outcomes pain nrs physical function western ontario mcmaster universities osteoarthritis index womac score range 068 6 months secondary outcomes measures 12 18 months well physical activity exercise adherence pain function measures quality life analyses intenttotreat multiple imputation missing data results total 142 85 136 81 128 76 participants completed 6 12 18month measurements respectively change nrs pain mean difference 04 unit 95 confidence interval 95 ci 04 13 womac function 18 95 ci 19 55 differ groups 6 months groups showing clinically relevant improvements secondary outcomes related physical activity exercise behavior favored ptcoaching 6 months generally 12 18 months betweengroup differences outcomes conclusion addition simultaneous telephone coaching augment pain function benefits physiotherapistprescribed homebased physical activity program