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Source: isrctn - Le promoteur: IDIAP Jordi Gol (Spain)
IDIAP Jordi Gol (Spain) MAJ Il y a 4 ans

Effectiveness and cost-effectiveness of a health coaching intervention to improve the lifestyle of patients with knee osteoarthritis Background and study aims The overall prevalence of osteoarthritis in the Spanish population is 17% and the prevalence of osteoarthritis of the knee is 10.2%. Osteoarthritis of the knee is a condition which affects patients’ social and personal lives and it requires highly specialised care. Most clinical guidelines recommend starting treatment with a non-pharmacological approach which should include weight loss, healthy diet, physical exercise, self-management of pain, educational activities and orthotics. Some studies show that only 10% of the population adopts the healthy lifestyle required for active and healthy ageing and more specifically, for the successful management of osteoarthritis of the knee. While patients are generally aware of what a healthy lifestyle implies, they find it difficult to implement the necessary changes. Health Coaching is a behavioural intervention that assists patients in achieving health goals and behavioural changes, in minimizing unhealthy habits, improving self-management of chronic conditions and increasing quality of life (QOL). The main aim of the study is to assess the effectiveness, cost-effectiveness and cost-utility of an intervention based on Health Coaching with support phone calls on QOL, pain, overweight/obesity and physical activity in patients with osteoarthritis of the knee from primary care centres (PCCs) of Barcelona. Who can participate? Primary care patients with diagnosis of knee osteoarthritis. What does the study involve? The primary health care centres will be randomly allocated to the intervention group or the control group. The intervention group will attend 20 hours of group coaching with follow up and support phone calls. The control group will be managed as per usual. What are the possible benefits and risks of participating? If the intervention shows cost-effectiveness and cost-utility in promoting healthy lifestyles and active ageing, the results will be included in the clinical guidelines for the management of osteoarthritis of the knee. There are no possible risks of participating in the study. Where is the study run from? Primary care centres (PCCs), Barcelona. When is the study starting and how long is it expected to run for? The study is expected to start in early 2014. Who is funding the study? The study is not funded at the moment, but it has been sent to three competitive scientific grants. Who is the main contact? Dr Anna Berenguera

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