Evaluating Osteoarthritis Management Programs: outcome domain recommendations from the OARSI Joint Effort InitiativeShow others and affiliations
2023 (English)In: Osteoarthritis and Cartilage, ISSN 1063-4584, E-ISSN 1522-9653, Vol. 31, no 7, p. 954-965Article in journal (Refereed) Published
Abstract [en]
Objective: To develop sets of core and optional recommended domains for describing and evaluating Osteoarthritis Management Programs (OAMPs), with a focus on hip and knee Osteoarthritis (OA). Design: We conducted a 3-round modified Delphi survey involving an international group of researchers, health professionals, health administrators and people with OA. In Round 1, participants ranked the importance of 75 outcome and descriptive domains in five categories: patient impacts, implementation outcomes, and characteristics of the OAMP and its participants and clinicians. Domains ranked as "important" or "essential" by & GE;80% of participants were retained, and participants could suggest addi-tional domains. In Round 2, participants rated their level of agreement that each domain was essential for evaluating OAMPs: 0 = strongly disagree to 10 = strongly agree. A domain was retained if & GE;80% rated it & GE;6. In Round 3, participants rated remaining domains using same scale as in Round 2; a domain was recommended as "core" if & GE;80% of participants rated it & GE;9 and as "optional" if & GE;80% rated it & GE;7. Results: A total of 178 individuals from 26 countries participated; 85 completed all survey rounds. Only one domain, "ability to participate in daily activities", met criteria for a core domain; 25 domains met criteria for an optional recommendation: 8 Patient Impacts, 5 Implementation Outcomes, 5 Participant Characteristics, 3 OAMP Characteristics and 4 Clinician Characteristics. Conclusion: The ability of patients with OA to participate in daily activities should be evaluated in all OAMPs. Teams evaluating OAMPs should consider including domains from the optional recommended set, with representation from all five categories and based on stakeholder priorities in their local context. Published by Elsevier Ltd on behalf of Osteoarthritis Research Society International.
Place, publisher, year, edition, pages
ELSEVIER SCI LTD , 2023. Vol. 31, no 7, p. 954-965
Keywords [en]
Osteoarthritis; Implementation; Outcomes; Delphi
National Category
Rheumatology and Autoimmunity
Identifiers
URN: urn:nbn:se:liu:diva-196827DOI: 10.1016/j.joca.2023.02.078ISI: 001024058000001PubMedID: 36893979OAI: oai:DiVA.org:liu-196827DiVA, id: diva2:1791062
Note
Funding Agencies|Division of Research Resources, National Institutes of Health; National Institute of Arthritis and Musculoskeletal and Skin Diseases Core Center for Clinical Research at the University of North Carolina, Chapel Hill; VA Health Services Research and Development Research Career Scientist Award; Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) at the Durham VA Health Care System; Region Zealand; European Union [UL1TR002489]; National Health and Medical Research Council [P30AR072580]; Medical Research Futures Fund [19-332]; Medibank Private [CIN 13-410]; Health Research Council of New Zealand; National Health amp; Medical Research Council [801790, 945377]; Musculoskeletal Institute, University of Texas at Austin; NIHR ARC West Midlands; International Association for the Study of Pain John J. Bonica Postdoctoral Fellowship; [HRC 22/555]; [1154217]
2023-08-242023-08-242023-08-24