Complex lifestyle and psychological intervention in knee osteoarthritis: scoping review of randomized controlled trials
Knee osteoarthritis (OA) causes pain, disability and poor quality of life in the elderly. The primary aim was to identify and map out the current evidence for randomised controlled trials (RCTs) on complex lifestyle and psychosocial interventions for knee OA. The secondary aim was to outline differe...
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sg-ntu-dr.10356-1614002023-03-05T16:51:19Z Complex lifestyle and psychological intervention in knee osteoarthritis: scoping review of randomized controlled trials Tan, Bryan Yijia Thach, Tivona Munro, Yasmin Lynda Skou, Soren Thorgaard Thumboo, Julian Car, Josip Car, Lorainne Tudor Lee Kong Chian School of Medicine (LKCMedicine) Woodlands Health Campus Science::Medicine Knee Osteoarthritis Randomized Controlled Trials Knee osteoarthritis (OA) causes pain, disability and poor quality of life in the elderly. The primary aim was to identify and map out the current evidence for randomised controlled trials (RCTs) on complex lifestyle and psychosocial interventions for knee OA. The secondary aim was to outline different components of complex lifestyle and psychosocial interventions. Our scoping review searched five databases from 2000 to 2021 where complex lifestyle or psychosocial interventions for patients with knee OA were compared to other interventions. Screening and data extraction were performed by two review authors independently and discrepancies resolved through consensus and in parallel with a third reviewer. A total of 38 articles were selected: 9 studied the effectiveness of psychological interventions; 11 were on self-management and lifestyle interventions; 18 looked at multifaceted interventions. This review highlights the substantial variation in knee OA interventions and the overall lack of quality in the current literature. Potential areas of future research, including identifying prognostic social factors, stratified care models, transdisciplinary care delivery and technology augmented interventions, have been identified. Further high-quality RCTs utilizing process evaluations and economic evaluation in accordance with the MRC guidelines are critical for the development of evidence-based knee OA programs globally. National Medical Research Council (NMRC) Published version This research was supported by the National Medical Research Council, MOH-000257-00. 2022-08-30T08:37:16Z 2022-08-30T08:37:16Z 2021 Journal Article Tan, B. Y., Thach, T., Munro, Y. L., Skou, S. T., Thumboo, J., Car, J. & Car, L. T. (2021). Complex lifestyle and psychological intervention in knee osteoarthritis: scoping review of randomized controlled trials. International Journal of Environmental Research and Public Health, 18(23), 12757-. https://dx.doi.org/10.3390/ijerph182312757 1661-7827 https://hdl.handle.net/10356/161400 10.3390/ijerph182312757 34886480 2-s2.0-85120605842 23 18 12757 en MOH-000257-00 International Journal of Environmental Research and Public Health © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). application/pdf |
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Science::Medicine Knee Osteoarthritis Randomized Controlled Trials Tan, Bryan Yijia Thach, Tivona Munro, Yasmin Lynda Skou, Soren Thorgaard Thumboo, Julian Car, Josip Car, Lorainne Tudor Complex lifestyle and psychological intervention in knee osteoarthritis: scoping review of randomized controlled trials |
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Knee osteoarthritis (OA) causes pain, disability and poor quality of life in the elderly. The primary aim was to identify and map out the current evidence for randomised controlled trials (RCTs) on complex lifestyle and psychosocial interventions for knee OA. The secondary aim was to outline different components of complex lifestyle and psychosocial interventions. Our scoping review searched five databases from 2000 to 2021 where complex lifestyle or psychosocial interventions for patients with knee OA were compared to other interventions. Screening and data extraction were performed by two review authors independently and discrepancies resolved through consensus and in parallel with a third reviewer. A total of 38 articles were selected: 9 studied the effectiveness of psychological interventions; 11 were on self-management and lifestyle interventions; 18 looked at multifaceted interventions. This review highlights the substantial variation in knee OA interventions and the overall lack of quality in the current literature. Potential areas of future research, including identifying prognostic social factors, stratified care models, transdisciplinary care delivery and technology augmented interventions, have been identified. Further high-quality RCTs utilizing process evaluations and economic evaluation in accordance with the MRC guidelines are critical for the development of evidence-based knee OA programs globally. |
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Lee Kong Chian School of Medicine (LKCMedicine) |
author_facet |
Lee Kong Chian School of Medicine (LKCMedicine) Tan, Bryan Yijia Thach, Tivona Munro, Yasmin Lynda Skou, Soren Thorgaard Thumboo, Julian Car, Josip Car, Lorainne Tudor |
format |
Article |
author |
Tan, Bryan Yijia Thach, Tivona Munro, Yasmin Lynda Skou, Soren Thorgaard Thumboo, Julian Car, Josip Car, Lorainne Tudor |
author_sort |
Tan, Bryan Yijia |
title |
Complex lifestyle and psychological intervention in knee osteoarthritis: scoping review of randomized controlled trials |
title_short |
Complex lifestyle and psychological intervention in knee osteoarthritis: scoping review of randomized controlled trials |
title_full |
Complex lifestyle and psychological intervention in knee osteoarthritis: scoping review of randomized controlled trials |
title_fullStr |
Complex lifestyle and psychological intervention in knee osteoarthritis: scoping review of randomized controlled trials |
title_full_unstemmed |
Complex lifestyle and psychological intervention in knee osteoarthritis: scoping review of randomized controlled trials |
title_sort |
complex lifestyle and psychological intervention in knee osteoarthritis: scoping review of randomized controlled trials |
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2022 |
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https://hdl.handle.net/10356/161400 |
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1759855341465501696 |