{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:27:01Z","timestamp":1787009221365,"version":"build-2736575974"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"9-10","funder":[{"name":"Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR), Department of Physical Medicine & Rehabilitation, Uniformed Services University, Bethesda, MD","award":["HU00011920011"],"award-info":[{"award-number":["HU00011920011"]}]},{"name":"Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR), Department of Physical Medicine & Rehabilitation, Uniformed Services University, Bethesda, MD","award":["HU00011920011"],"award-info":[{"award-number":["HU00011920011"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,30]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Mobile applications (apps) may be beneficial to promote self-management strategies to mitigate the risk of developing post-traumatic osteoarthritis in military members following a traumatic knee injury. This study investigated the efficacy of a mobile app in facilitating behavior modification to improve function and symptomology among military members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This is a preliminary pre and post hoc analysis of a randomized control trial. The MARX scale, Intermittent and Constant Osteoarthritis Pain (ICOAP) questionnaire, and the Knee Injury and Osteoarthritic Outcome Score Readiness to Manage Osteoarthritis Questionnaire were completed at baseline, 6-week, 6-month, and 12-month follow-up. Participants in the treatment arm completed the System Usability Scale. Data were analyzed using descriptive statistics, the Wilcoxon sum of ranks test, the Wilcoxon signed-rank test, and Cohen\u2019s d effect size.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 28 participants were included. Between-group differences for baseline and 6-week follow-up were significantly improved in the injured knee ICOAP constant pain score for the treatment group (treatment: \u22124.2\u2009\u00b1\u200912, 95% CI: \u221211.5, 3.1; control: 5.5\u2009\u00b1\u20099.9, 95% CI: 0.9, 10.1; P\u2009=\u2009.035, effect size\u00a0=\u00a00.905). Within-group differences for baseline and 6-week follow-up demonstrated a significant decline in the injured knee ICOAP constant pain score among the control group (signed-rank: 16.0, P\u2009=\u2009.031, Cohen\u2019s d\u00a0=\u00a00.339). No other significant differences were observed. A good System Usability Scale score for usability was found (76.6\u00a0\u00b1\u00a08.8).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These results indicate that the mobile app is easy to use and may contribute to improved constant pain symptomology for patients at risk for post-traumatic osteoarthritis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/milmed\/usad435","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T16:11:46Z","timestamp":1698423106000},"page":"2060-2068","source":"Crossref","is-referenced-by-count":4,"title":["Efficacy of\u00a0a Novel Telehealth Application in\u00a0Health Behavior Modification and\u00a0Symptomology in\u00a0Military Service Members at Risk for\u00a0Post-traumatic Osteoarthritis"],"prefix":"10.1093","volume":"189","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9152-9000","authenticated-orcid":false,"given":"Chelsea Leonard","family":"Martin","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health, University of Chapel Hill at North Carolina , Chapel Hill, NC 27516, USA"},{"name":"Injury Prevention Research Center, University of Chapel Hill at North Carolina , Chapel Hill, NC 27516, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryalice","family":"Nocera","sequence":"additional","affiliation":[{"name":"Injury Prevention Research Center, University of Chapel Hill at North Carolina , Chapel Hill, NC 27516, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Mercer","sequence":"additional","affiliation":[{"name":"Injury Prevention Research Center, University of Chapel Hill at North Carolina , Chapel Hill, NC 27516, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen W","family":"Marshall","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health, University of Chapel Hill at North Carolina , Chapel Hill, NC 27516, USA"},{"name":"Injury Prevention Research Center, University of Chapel Hill at North Carolina , Chapel Hill, NC 27516, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven M","family":"Davi","sequence":"additional","affiliation":[{"name":"John A. Feagin Sports Medicine Fellowship, Keller Army Hospital, United States Military Academy , West Point, NY 10996, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica J","family":"Curtin","sequence":"additional","affiliation":[{"name":"John A. Feagin Sports Medicine Fellowship, Keller Army Hospital, United States Military Academy , West Point, NY 10996, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth L","family":"Cameron","sequence":"additional","affiliation":[{"name":"John A. 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