“Improved not only the osteoarthritis but also general health”: A qualitative study on patient experiences with the peak-portuguese e-learning course for knee osteoarthritis self-management

Abstract

Introduction

Clinical practice guidelines for knee osteoarthritis (KOA) recommend that individuals receive education for self-management. Although education can be offered through different means, including websites, not all internet content is evidence-based. The Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis - Portuguese (PEAK-PT) e-learning course provides updated and evidence-based information on KOA for physical therapists and may be useful for the education and self-management of individuals with KOA.

Objective

To assess the barriers and facilitators to engage with the PEAK-PT course from the perspectives of individuals with KOA and understand if the information provided by the course aligned with information about KOA they previously had.

Methods

A qualitative study was conducted with nine individuals with KOA who completed the PEAK-PT course. Semi-structured interviews explored facilitators, barriers, and prior knowledge. These three categories informed data analysis using content analysis.

Results

Facilitators of PEAK-PT included online accessibility, structured course modules, and downloadable materials. Barriers included technical issues and the need for cultural adaptation. Participants reported improved understanding and motivation for self-management, with some noting that the information provided confirmed what they already knew, while others identified difference between the new content and their prior beliefs.

Conclusion

This study's findings suggest that a program developed for clinicians may also be beneficial for individuals with KOA. However, education courses on health conditions for individuals with KOA should be culturally adapted.