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Auteur Anthony Goff
Documents disponibles écrits par cet auteur
Ajouter le résultat dans votre panier Affiner la rechercheKnee Osteoarthritis Education Interventions in Published Trials Are Typically Unclear, Not Comprehensive Enough, and Lack Robust Development: Ancillary Analysis of a Systematic Review / Anthony Goff in Journal of Orthopaedic & Sports Physical Therapy, Vol. 52, 5 (Mai 2022)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol. 52, 5 (Mai 2022) . - p. 276-286
Titre : Knee Osteoarthritis Education Interventions in Published Trials Are Typically Unclear, Not Comprehensive Enough, and Lack Robust Development: Ancillary Analysis of a Systematic Review Type de document : article de périodique Auteurs : Anthony Goff ; [et al.] Année de publication : 2022 Article en page(s) : p. 276-286 Langues : Français (fre) Résumé : Objective
To summarize the content, development, and delivery of education interventions in clinical trials for people with knee osteoarthritis (OA).
Design
Ancillary analysis of a systematic review.
Literature Search
MEDLINE, EMBASE, SPORTDiscus, CINAHL, and Web of Science were searched from inception to April 2020.
Study Selection Criteria
Randomized controlled trials involving patient education for people with knee OA.
Data Synthesis
Content of education interventions was matched against a predefined topic list (n = 14) and categorized as accurate and clear, partially accurate/lacks clarity, or not reported. We examined whether education interventions included skill development or stated learning objectives and if they were developed based on theory, previous research, or codesign principles. Delivery methods and mode(s) were also identified. Data were summarized descriptively.
Results
Thirty-eight education interventions (30 trials) were included. Interventions lacked comprehensiveness (median topics per intervention = 3/14, range = 0–11). Few topics were accurately and clearly described (10%, 13/136). Sixty-one percent (n = 23/38) of interventions targeted skill development, and 34% (n = 13/38) identified learning objectives. Forty-two percent (n = 16/38) were based on theory; 45% (n = 17/38) were based on research for chronic conditions, including 32% (n = 12/38) based on OA. Eleven percent of interventions (n = 4/38) were codesigned. Education was typically facilitated through face-to-face sessions (median = 9, range = 0–55), supplemented with telephone calls and/or written materials.
Conclusion
Education interventions for people with knee OA lacked comprehensiveness plus accurate and clear descriptions of topics covered. Most interventions failed to identify learning objectives and were not based on theory, previous research, or codesign principles.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible People With Knee Osteoarthritis Attending Physical Therapy Have Broad Education Needs and Prioritize Information About Surgery and Exercise: A Concept Mapping Study / Anthony Goff in Journal of Orthopaedic & Sports Physical Therapy, Vol. 52, 9 (septembre 2022)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol. 52, 9 (septembre 2022) . - p. 595-606
Titre : People With Knee Osteoarthritis Attending Physical Therapy Have Broad Education Needs and Prioritize Information About Surgery and Exercise: A Concept Mapping Study Type de document : article de périodique Auteurs : Anthony Goff Année de publication : 2022 Article en page(s) : p. 595-606 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Genou Résumé : Objectives
To (1) identify the education priorities of people with knee osteoarthritis, including perceived importance and confidence that a health care professional can address each, and (2) match priorities to education-specific content recommendations in knee osteoarthritis management guidelines.
Design Concept mapping methodology.
Methods Participants generated, sorted (based on themes), and rated (5-point Likert scales: importance and confidence) education priorities. Multidimensional scaling and hierarchical cluster analysis of sorting data produced a cluster map with overarching domains. Priorities were matched against education-specific content recommendations in knee osteoarthritis guidelines.
Results
Participants (brainstorming, n = 43; sorting and rating, n = 24) generated 76 priorities. A 4-domain, 11-cluster map was the most useful representation of sorting data: (i) understanding treatment options (relationship of education and exercise with surgery, adjunct options, treatment decision making); (ii) exercise therapy (how to exercise, why exercise); (iii) understanding and managing the condition (symptom management, understanding symptoms, understanding the condition); and (4) surgical, medical, and dietary management (surgery, medications, diet and supplements). The “relationship of education and exercise with surgery” (3.88/5), “surgery” (3.86/5), and “how to exercise” (3.78/5) clusters were rated highest for importance. Few priorities identified by participants were clearly recommended as education-specific content recommendations in the American College of Rheumatology (3%, n = 2/76), European Alliance of Associations for Rheumatology (12%, n = 9/76), National Institute for Health and Care Excellence (16%, n = 12/76), and Osteoarthritis Research Society International (1%, n = 1/76) guidelines.
Conclusion
People with knee osteoarthritis presenting to physical therapists have broad education needs and prioritize information about surgery and exercise.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité JOU Périodique Erasme - périodiques Périodiques Disponible Physical Therapists Prioritize Providing Education About Exercise Therapy and to Dispel Misconceptions About Radiology for People With Knee Osteoarthritis: A Concept Mapping Study / Anthony Goff in Journal of Orthopaedic & Sports Physical Therapy, Vol. 52, 9 (septembre 2022)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol. 52, 9 (septembre 2022) . - p. 607-619
Titre : Physical Therapists Prioritize Providing Education About Exercise Therapy and to Dispel Misconceptions About Radiology for People With Knee Osteoarthritis: A Concept Mapping Study Type de document : article de périodique Auteurs : Anthony Goff Année de publication : 2022 Article en page(s) : p. 607-619 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Physiothérapie
[Thésaurus Mesh]Éducation du patient comme sujetRésumé : Objective
To (1) identify the education priorities that physical therapists have for people with knee osteoarthritis, including perceived importance and capability to provide, and (2) match priorities to education-specific content recommendations in knee osteoarthritis guidelines.
Design Concept mapping methodology.
Methods
Physical therapists generated, sorted (based on themes), and rated (5-point Likert scales: importance and capability) patient education priorities. Priorities were matched against education-specific content recommendations in knee osteoarthritis guidelines. Additional education-specific content recommendations were added from guidelines and expert opinion if necessary. Multidimensional scaling and hierarchical cluster analysis produced a cluster map with overarching domains.
Results
Physical therapists (brainstorming, n = 41; sorting, n = 20; rating, n = 22) generated 56 priorities, with 13 added (n = 2 from guidelines, n = 11 from expert opinion). Few priorities were clearly included as education-specific content recommendations in guidelines (ACR [2%, n = 1/56], EULAR [14%, 8/56], NICE [11%, 6/56], and OARSI [0%, 0/56]). An 8-cluster map emerged with 3 overarching domains: (i) first-line care (exercise therapy, lifestyle modification and general health, and weight management), (ii) knowledge formation and countering misconceptions (radiology misconceptions, understanding and managing pain and disability, and general beliefs and understanding about osteoarthritis), and (iii) decision making for medical management (surgery and medications). The exercise therapy cluster was rated the highest for both importance (3.84/5) and capability (4.00). The medications and weight management clusters were rated the lowest for importance (2.54) and capability (2.82), respectively.
Conclusion
Physical therapists prioritize a range of education topics for people with knee osteoarthritis, focusing on exercise therapy. Physical therapists feel least capable of providing weight management education.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité JOU Périodique Erasme - périodiques Périodiques Disponible