Exploring Experiences of People With Knee Osteoarthritis Who Received a Physiotherapist-Delivered Dietary Weight Loss and Exercise Intervention: A Mixed Methods Study

IF 3.7 2区医学 Q1 RHEUMATOLOGY

Arthritis Care & Research Pub Date : 2024-07-11 DOI:10.1002/acr.25401

Belinda J. Lawford, Kim Allison, Rachel Nelligan, Penny Campbell, Rana S. Hinman, Sarah E. Jones, Jesse Pardo, Jonathan G. Quicke, Priya Sumithran, Jodie Prendergast, Elena S. George, Melanie A. Holden, Nadine E. Foster, Kim L. Bennell

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引用次数: 0

Abstract

Objective

Explore the experiences of people with knee osteoarthritis (OA) who received a very low energy diet (VLED) and exercise program from a physiotherapist.

Methods

Mixed methods study involving questionnaires (n = 42) and semistructured interviews (n = 22) with randomized control trial participants with knee OA who had received a 6-month physiotherapist-delivered VLED weight loss and exercise intervention. Questionnaires measured participant satisfaction and perceptions about physiotherapist's skills/knowledge in delivery of the dietary intervention (measured on 5–7 point Likert scales). Interviews explored participant's experiences and were analyzed based on the principles of reflexive thematic analysis.

Results

Questionnaire response: 90%. Participants were satisfied with the program (95%), confident their physiotherapist had the required skills (84%) and knowledge (79%) to deliver the dietary intervention, felt comfortable talking to the physiotherapist about weight (74%), and would recommend others see a physiotherapist for the intervention they undertook (71%). The following four themes were developed from the interviews: (1) one-stop-shop of exercise and diet; (2) physiotherapist-delivered weight loss works (unsure initially; successfully lost weight); (3) physiotherapists knowledge and skills (exercise is forte; most thought physiotherapists had the necessary weight loss skills/knowledge, but some disagreed); and (4) physiotherapists have a role in weight loss (physiotherapists are intelligent, credible, and trustworthy; specific training in weight loss necessary).

Conclusion

This study provides, to our knowledge, the first documented perspectives from people with OA who have received a physiotherapist-delivered weight loss intervention. Findings suggest physiotherapists may have a role in delivering a protocolized dietary intervention for some people with knee OA with overweight and obesity.

查看原文本刊更多论文

探索膝关节骨性关节炎患者接受物理治疗师提供的饮食减肥和运动干预的经验：一项混合方法研究。

目的探索接受物理治疗师提供的极低能量饮食（VLED）和锻炼计划的膝骨关节炎患者的经历：混合方法研究，包括问卷调查（42 人）和半结构式访谈（22 人），对象是接受过物理治疗师提供的为期 6 个月的 VLED 减肥和运动干预的膝骨关节炎随机对照试验参与者。调查问卷测量了参与者的满意度，以及对物理治疗师提供饮食干预的技能/知识的看法（以 5-7 分的李克特量表测量）。访谈探讨了参与者的经验，并根据反思性主题分析原则进行了分析：问卷回复率90%.参与者对该计划表示满意（95%），相信他们的物理治疗师具备进行饮食干预所需的技能（84%）和知识（79%），在与物理治疗师谈论体重问题时感到轻松自如（74%），并会推荐其他人去看物理治疗师，以进行干预（71%）。访谈形成了四个主题：1) 运动和饮食一站式服务；2) 物理治疗师提供的减肥方法有效（最初不确定；成功减肥）；3) 物理治疗师的知识和技能（运动是强项；大多数人认为物理治疗师具备必要的减肥技能/知识，但有些人不同意）；4) 物理治疗师在减肥中发挥作用（物理治疗师聪明、可信、值得信赖；有必要接受专门的减肥培训）：据我们所知，本研究首次记录了接受过物理治疗师提供的减肥干预的骨关节炎患者的观点。研究结果表明，物理治疗师可以为一些超重和肥胖的膝关节骨性关节炎患者提供规范的饮食干预。

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来源期刊

Arthritis Care & Research RHEUMATOLOGY-

CiteScore

9.40

自引率

6.40%

发文量

368

审稿时长

3-6 weeks

期刊介绍： Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.