Actively Recruiting

Age: 18Years +
All Genders
ID06148779

Can Digitally Delivered First-line Osteoarthritis Treatment Improve Equal Access to Care in Urban and Rural Areas of Sweden

Led by Joint Academy · Updated on 2024-09-27

50000

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

Sponsors

J

Joint Academy

Lead Sponsor

L

Lund University

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating how digital and face-to-face delivery of first-line osteoarthritis (OA) treatment compare in reaching patients across Sweden. The study aims to improve access to care for people with hip or knee OA by understanding if a digital program can increase equal access in both urban and rural areas. This observational study compares a traditional face-to-face program called Better management of patients with OsteoArthritis (BOA) to a newer digital version called Joint Academy (JA). The digital program JA offers daily video instructions, individualized exercises, and educational information via a mobile app. Participants communicate with a physical therapist through chat and phone for supervision throughout the program. The face-to-face BOA program provides treatment at primary care clinics and has been in use since 2008. Data on patient participation from both programs during 2021-2023 will be collected and compared, including geographic factors like population density and county size. Participants' postal codes and primary care center locations will be recorded to analyze treatment utilization per 100,000 residents in different regions. The study collects data from the BOA registry and JA database to assess how well each program reaches patients. The goal is to determine if digital delivery improves access and adherence compared to face-to-face care. The study runs until July 2025 and involves adults diagnosed with hip or knee OA who have consented to participate.

CONDITIONS

Brief Title

Can Digitally Delivered First-line Osteoarthritis Treatment Improve Equal Access to Care

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients in the Joint Academy database who participated in the treatment program for osteoarthritis and gave informed consent for research
  • Radiographic or clinical diagnosis of hip or knee osteoarthritis by a physical therapist or physician
  • Individuals without prior diagnosis confirmed by an orthopedic surgeon or physiotherapist via telephone, following NICE criteria and Swedish National Guidelines
  • From October 1st, 2021, patients must have undergone a physical examination by a doctor or physiotherapist before entering treatment
Not Eligible

You will not qualify if you...

History of severe allergic reactions to study medication Currently pregnant or breastfeeding Recent participation in another clinical trial within the last 30 days Presence of uncontrolled medical conditions that could affect safety

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or remote) for physical examination by a doctor or physiotherapist before entering treatment

Outpatient Treatment

Duration - Duration of treatment varies based on individual program participation

Participants receive first-line osteoarthritis treatment either digitally through the Joint Academy app or face-to-face at a primary care clinic.

Participants engage with treatment through daily app exercises and asynchronous communication or face-to-face visits as per program schedule

Long-term Monitoring

Duration - Up to 3 years

Participants' utilization and adherence to osteoarthritis treatment are monitored over time to assess access and effectiveness.

Data collected from program registries without additional participant visits

Trial Site Locations

Total: 1 location

1

Joint Academy

Malmö, Sweden

Actively Recruiting

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Research Team

L

Leif E Dahlberg, Senior professor

H

Håkan Nero, Med dr

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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