{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T02:57:45Z","timestamp":1783479465194,"version":"3.55.0"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T00:00:00Z","timestamp":1570579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Purpose<\/jats:title>\n                  <jats:p>Existing osteoarthritis (OA) care models often fall short in addressing the many biological, psychological, social, and behavioral characteristics that contribute to disability. As US health care shifts towards value-based payment, there is an increasing need to develop and test scalable, cost-effective, and multi-modal OA care models. This administrative case report will describe the development and pilot of a new, value-based comprehensive care model for OA.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case Description<\/jats:title>\n                  <jats:p>The Joint Health Program (JHP) is a physical therapist-led conservative care model for individuals with hip and knee OA. In the JHP, physical therapists with specialized training in cognitive behavioral-theory based strategy function as the central care provider (ie, the primary osteoarthritis provider) who delivers evidence-based, psychologically informed interventions and coordinates care within a multi-disciplinary network of dietitians, behavioral health specialists, and orthopedic providers. The JHP is focused on enhancing patient engagement, shared decision making, self-management and multi-modal patient interaction, and long-term follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>A value-based, comprehensive care program for OA led by physical therapists demonstrated feasibility and acceptability within a large, academic health care system, which has led to its early growth. Barriers to development and integration of the program were addressed through effective collaboration among health care providers, program and health system administrators, and executive leadership.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The JHP serves as a model for future physical therapist-led, value-based care models that could be developed in other health care systems for OA and other chronic conditions. Future work will identify characteristics that predict program response and compare the effectiveness of this program to existing models of care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzz150","type":"journal-article","created":{"date-parts":[[2019,10,3]],"date-time":"2019-10-03T19:26:04Z","timestamp":1570130764000},"page":"127-135","source":"Crossref","is-referenced-by-count":19,"title":["Development of a Comprehensive, Nonsurgical Joint Health Program for People With Osteoarthritis: A Case Report"],"prefix":"10.1093","volume":"100","author":[{"given":"Morven R","family":"Malay","sequence":"first","affiliation":[{"name":"Department of Physical Therapy and Occupational Therapy , Duke University Health System, DUMC 3965, Durham, NC 27710 ( USA )"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor A","family":"Lentz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery , Duke Clinical Research Institute, Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"O\u2019Donnell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery , Practice Transformation Unit, Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Coles","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences , Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard Chad","family":"Mather III","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery , Practice Transformation Unit, Duke Clinical Research Institute, Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William A","family":"Jiranek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery , Practice Transformation Unit, Duke University School of Medicine. Dr Jiranek is a Fellow of the American College of Surgeons"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,10,9]]},"reference":[{"key":"2023011704464385600_ref1","doi-asserted-by":"publisher","first-page":"1323","DOI":"10.1136\/annrheumdis-2013-204763","article-title":"The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study","volume":"73","author":"Cross","year":"2014","journal-title":"Ann Rheum Dis."},{"key":"2023011704464385600_ref2","doi-asserted-by":"publisher","first-page":"1145","DOI":"10.1016\/j.joca.2013.03.018","article-title":"The epidemiology and impact of pain in osteoarthritis","volume":"21","author":"Neogi","year":"2013","journal-title":"Osteoarthr Cartil."},{"key":"2023011704464385600_ref3","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1016\/j.berh.2016.09.003","article-title":"Osteoarthritis: models for appropriate care across the disease continuum","volume":"30","author":"Allen","year":"2016","journal-title":"Best Pract Res Clin Rheumatol."},{"issue":"suppl_4","key":"2023011704464385600_ref4","doi-asserted-by":"publisher","first-page":"iv88","DOI":"10.1093\/rheumatology\/key062","article-title":"Challenges and controversies of complex interventions in osteoarthritis management: recognizing inappropriate and discordant care","volume":"57","author":"Dziedzic","year":"2018","journal-title":"Rheumatology (Oxford)."},{"key":"2023011704464385600_ref5","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1002\/acr.22428","article-title":"Using surgical appropriateness criteria to examine outcomes of total knee arthroplasty in a United States sample","volume":"67","author":"Riddle","year":"2015","journal-title":"Arthritis Care Res (Hoboken)."},{"key":"2023011704464385600_ref6","doi-asserted-by":"crossref","first-page":"a1655","DOI":"10.1136\/bmj.a1655","article-title":"Developing and evaluating complex interventions: the new Medical Research Council guidance","volume":"337","author":"Craig","year":"2008","journal-title":"BMJ."},{"key":"2023011704464385600_ref7","doi-asserted-by":"publisher","first-page":"701","DOI":"10.1016\/j.semarthrit.2013.11.012","article-title":"A systematic review of recommendations and guidelines for the management of osteoarthritis: the chronic osteoarthritis management initiative of the U.S. bone and joint initiative","volume":"43","author":"Nelson","year":"2014","journal-title":"Semin Arthritis Rheum."},{"key":"2023011704464385600_ref8","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1126\/science.847460","article-title":"The need for a new medical model: a challenge for biomedicine","volume":"196","author":"Engel","year":"1977","journal-title":"Science."},{"key":"2023011704464385600_ref9","author":"Bandura","year":"1986"},{"key":"2023011704464385600_ref10","doi-asserted-by":"publisher","first-page":"38","DOI":"10.4278\/0890-1171-12.1.38","article-title":"The transtheoretical model of health behavior change","volume":"12","author":"Prochaska","year":"1997","journal-title":"Am J Health Promot."},{"key":"2023011704464385600_ref11","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1370\/afm.245","article-title":"The biopsychosocial model 25 years later: principles, practice, and scientific inquiry","volume":"2","author":"Borrell-Carri\u00f3","year":"2004","journal-title":"Ann Fam Med."},{"key":"2023011704464385600_ref12","doi-asserted-by":"publisher","first-page":"1443","DOI":"10.2522\/ptj.20130444","article-title":"Can physical therapists deliver a pain coping skills program? 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