{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T21:22:02Z","timestamp":1762377722590,"version":"3.44.0"},"reference-count":44,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate whether the addition of a consumer e\u2010learning course to verbal information on OA and a home strengthening exercise programme prescribed by a physiotherapist enhances pain and\/or physical function outcomes at 24\u00a0weeks in people with knee OA.<\/jats:p><jats:p>Primary outcomes are (i) severity of knee pain while walking (11\u2010point numeric rating scale) at 24\u00a0weeks and (ii) physical function at 24\u00a0weeks using the Western Ontario and McMaster Universities Osteoarthritis Index subscale. Secondary outcomes include measures of knee\u2010related quality of life; sport and recreation; self\u2010efficacy for exercise; pain self\u2010efficacy; physical activity levels; OA knowledge; perceptions of OA (illness perceptions); fear of movement; belief in the inevitability of needing a knee joint replacement; global rating of change; satisfaction with treatment; exercise adherence; and use of recommended OA self\u2010management approaches and oral pain medication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two\u2010arm parallel\u2010design superiority randomised controlled trial. One hundred thirty\u2010six community dwelling Australian adults with clinically diagnosed knee OA will be randomly allocated into one of two groups: (i) verbal OA education and a home strengthening programme (control) or (ii) the same intervention plus access to a freely available 4\u2010module e\u2010learning course on OA and its recommended management (e\u2010learning group). Both groups will receive the same scripted verbal OA information and a lower limb strengthening programme over two 30\u2010min video consultations with a physiotherapist over six weeks. Those in the e\u2010learning group will receive access to the e\u2010learning course from their physiotherapist.<\/jats:p><jats:p>Primary outcomes are (i) severity of knee pain while walking (11\u2010point numeric rating scale) at 24\u00a0weeks and (ii) physical function at 24\u00a0weeks using the Western Ontario and McMaster Universities Osteoarthritis Index subscale. Secondary outcomes include measures of knee\u2010related quality of life; sport and recreation; self\u2010efficacy for exercise; pain self\u2010efficacy; physical activity levels; OA knowledge; perceptions of OA (illness perceptions); fear of movement; belief in the inevitability of needing a knee joint replacement; global rating of change; satisfaction with treatment; exercise adherence; and use of recommended OA self\u2010management approaches and oral pain medication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This RCT evaluates whether supplementing physiotherapy care with consumer\u2010focused e\u2010learning improves outcomes for people with knee OA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.70156","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T23:10:16Z","timestamp":1751584216000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Consumer\u2010Focused Osteoarthritis e\u2010Learning to Complement Physiotherapy Care in People With Knee Osteoarthritis: Protocol for the PEEKO Randomised Controlled Trial"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8689-6594","authenticated-orcid":false,"given":"Rachel K.","family":"Nelligan","sequence":"first","affiliation":[{"name":"Department of Physiotherapy School of Health Sciences The University of Melbourne Centre for Health Exercise and Sports Medicine  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rana S.","family":"Hinman","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Health Sciences The University of Melbourne Centre for Health Exercise and Sports Medicine  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Metcalf","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Health Sciences The University of Melbourne Centre for Health Exercise and Sports Medicine  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"McManus","sequence":"additional","affiliation":[{"name":"Melbourne School of Population and Global Health University of Melbourne Centre for Epidemiology and Biostatistics  Melbourne Australia"},{"name":"Faculty of Medicine University of Melbourne Methods and Implementation Support for Clinical and Health (MISCH) Research Hub Dentistry and Health Sciences  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen E.","family":"Lamb","sequence":"additional","affiliation":[{"name":"Melbourne School of Population and Global Health University of Melbourne Centre for Epidemiology and Biostatistics  Melbourne Australia"},{"name":"Faculty of Medicine University of Melbourne Methods and Implementation Support for Clinical and Health (MISCH) Research Hub Dentistry and Health Sciences  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Heywood","sequence":"additional","affiliation":[{"name":"Physiotherapy Department St Vincent's Hospital Melbourne  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn","family":"Gibbes","sequence":"additional","affiliation":[{"name":"Community\u2010based Consumer Representative, Person with Knee Osteoarthritis  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim L.","family":"Bennell","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Health Sciences The University of Melbourne Centre for Health Exercise and Sports Medicine  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_10_2_1","DOI":"10.1002\/1529\u20100131(200108)45:4<384::Aid\u2010art352>3.0.Co;2\u20100"},{"doi-asserted-by":"publisher","key":"e_1_2_10_3_1","DOI":"10.1016\/j.joca.2019.06.011"},{"issue":"12","key":"e_1_2_10_4_1","first-page":"1833","article-title":"Validation Study of WOMAC: A Health Status Instrument for Measuring Clinically Important Patient Relevant Outcomes to Antirheumatic Drug Therapy in Patients With Osteoarthritis of the Hip or Knee","volume":"15","author":"Bellamy N.","year":"1988","journal-title":"Journal of Rheumatology"},{"issue":"3","key":"e_1_2_10_5_1","first-page":"444","article-title":"Osteoarthritis Antirheumatic Drug Trials. 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