Exploring individuals’ perspectives on participating in a feasibility trial assessing a combined program of education plus exercise versus general advice for ankle osteoarthritis

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-08-18 DOI:10.1016/j.msksp.2025.103391

Nathalia Costa , Bill Vicenzino , Viana Vuvan , Natalie J. Collins , Melinda M. Franettovich Smith , Zachary Southern , Tim Duffy , Alexander Downie , David J. Hunter , Michelle D. Smith

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引用次数: 0

Abstract

Background

The effectiveness of exercise and education in individuals with ankle osteoarthritis (OA) has not been investigated, and their perspectives on these interventions remain underexplored.

Objective

To understand the experiences of individuals with ankle OA on participating in a feasibility trial comparing general advice and education plus exercise and their views on such interventions.

Design

Descriptive qualitative study.

Methods

We invited adults with ankle OA who participated in a feasibility trial for an interview. Data were transcribed, de-identified and analysed using Reflexive Thematic Analysis.

Results

We interviewed twenty-two participants (age range 45–84 years, 14 females) and identified three themes: 1) The trial team made the trial a great experience, with some room for improvement (e.g., online weekly diaries, access to assessment results); 2) Both general advice and education plus exercise interventions can have a meaningful impact on participants' lives. For some who received general advice, the physiotherapy assessment and the advice received were catalysts for change, while exercise was expected and enjoyable for those who received education plus exercise. However, some thought the general advice and education did not add to their existing knowledge; 3) Lack of discipline and ‘life’ aspects (e.g., being a student, getting sick) can hinder participation.

Conclusion

Participants in a feasibility study comparing general advice and education plus exercise had a positive experience with the trial processes, research team, physiotherapists and exercise program. However, perspectives on general advice and education varied, and they had suggestions for improvement that should be considered in future ankle OA trials.

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探讨个人参与可行性试验的观点，评估教育加运动与踝关节骨关节炎的一般建议相结合的方案

运动和教育对踝关节骨关节炎（OA）患者的有效性尚未被调查，他们对这些干预措施的看法仍未得到充分探讨。目的了解踝关节骨性关节炎患者参加可行性试验的经验，比较一般建议和教育加运动的干预措施，以及他们对这些干预措施的看法。设计描述性定性研究。方法我们邀请参加可行性试验的成年踝关节骨关节炎患者进行访谈。使用反身性主题分析对数据进行转录、去识别和分析。结果我们采访了22名参与者（年龄在45-84岁之间，14名女性），并确定了三个主题：1)试验团队使试验获得了很好的体验，但仍有一些改进的空间（例如，在线每周日记，获取评估结果）；2)一般建议和教育加运动干预都能对参与者的生活产生有意义的影响。对于那些接受一般建议的人来说，物理治疗评估和收到的建议是改变的催化剂，而对于那些接受教育和锻炼的人来说，锻炼是意料之中的，也是令人愉快的。然而，一些人认为一般的建议和教育并没有增加他们现有的知识；3)缺乏纪律和“生活”方面（例如，作为一名学生，生病）会阻碍参与。结论在一项比较普通建议和教育加运动的可行性研究中，参与者对试验过程、研究团队、物理治疗师和运动计划都有积极的体验。然而，对一般建议和教育的看法各不相同，他们提出了在未来踝关节OA试验中应考虑的改进建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.