{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T18:03:15Z","timestamp":1768586595275,"version":"3.49.0"},"reference-count":55,"publisher":"Oxford University Press (OUP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Background. Exercise and physical activity are a core component of knee osteoarthritis (OA) care, yet access to physical therapists is limited for many people. Telephone service delivery models may increase access.<\/jats:p>\n               <jats:p>Objective. Determine the effectiveness of incorporating exercise advice and behavior change support by physical therapists into an existing Australian nurse-led musculoskeletal telephone service for adults with knee OA.<\/jats:p>\n               <jats:p>Design. Randomized controlled trial with nested qualitative studies<\/jats:p>\n               <jats:p>Setting. Community, Australia-wide<\/jats:p>\n               <jats:p>Participants. One hundred seventy-five people \u226545 years of age with knee symptoms consistent with a clinical diagnosis of knee OA. Eight musculoskeletal physical therapists will provide exercise advice and support.<\/jats:p>\n               <jats:p>Intervention. Random allocation to receive existing care or exercise advice in addition to existing care. Existing care is a minimum of one phone call from a nurse for advice on OA self-management. Exercise advice involves 5\u201310 calls over 6 months from a physical therapist trained in behavior change support to prescribe, monitor, and progress a strengthening exercise program and physical activity plan.<\/jats:p>\n               <jats:p>Measurements. Outcomes will be measured at baseline and at 6 and 12 months. Primary outcomes are knee pain and physical function. Secondary outcomes include other measures of knee pain, self-efficacy, physical activity and its mediators, kinesiophobia, health service usage, work productivity, participant-perceived change, and satisfaction. Additional measures include adherence, adverse events, therapeutic alliance, satisfaction with telephone-delivered therapy, and expectation of outcome. Semi-structured interviews with participants with knee OA and therapists will be conducted.<\/jats:p>\n               <jats:p>Limitations. Physical therapists cannot be blinded.<\/jats:p>\n               <jats:p>Conclusions. This study will determine if incorporating exercise advice and behavior change support by physical therapists into a nurse-led musculoskeletal telephone service improves outcomes for people with knee OA. Findings will inform development and implementation of telerehabilitation services.<\/jats:p>","DOI":"10.1093\/ptj\/pzx021","type":"journal-article","created":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T04:06:26Z","timestamp":1488168386000},"page":"524-536","source":"Crossref","is-referenced-by-count":32,"title":["Telephone-Delivered Exercise Advice and Behavior Change Support by Physical Therapists for People with Knee Osteoarthritis: Protocol for the Telecare Randomized Controlled Trial"],"prefix":"10.1093","volume":"97","author":[{"given":"Rana S.","family":"Hinman","sequence":"first","affiliation":[{"name":"R.S. Hinman, PT, PhD, Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Level 7, Alan Gilbert Building, Carlton, Victoria 3010, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belinda J.","family":"Lawford","sequence":"additional","affiliation":[{"name":"B.J. 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