{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T20:52:42Z","timestamp":1782939162805,"version":"3.54.5"},"reference-count":63,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Danish Health Fund","award":["19-B-0170"],"award-info":[{"award-number":["19-B-0170"]}]},{"name":"Aase and Ejnar Danielsen's Foundation, the Research Foundation of the Association of Danish Physiotherapists","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"name":"Research Foundation of the Association of Danish Physiotherapists","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"DOI":"10.13039\/501100007437","name":"TrygFonden","doi-asserted-by":"publisher","award":["150195"],"award-info":[{"award-number":["150195"]}],"id":[{"id":"10.13039\/501100007437","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Fogh-Nielsen Legacy, Aarhus University","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"DOI":"10.13039\/100020035","name":"A.P. 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We have shown that an exercise and patient education intervention is a feasible and acceptable intervention for patients not receiving surgery. Therefore, we aim to investigate whether patients with hip dysplasia randomised to exercise and patient education have a different mean change in self-reported pain compared with those randomised to usual care over 6\u2009months. Furthermore, we aim to evaluate the cost-effectiveness and perform a process evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>In a randomised controlled trial, 200 young and middle-aged patients will be randomised to either exercise and patient education or usual care at a 1:1 ratio through permuted block randomisation. The intervention group will receive exercise instruction and patient education over 6\u2009months. The usual care group will receive one consultation on self-management of hip symptoms. The primary outcome is the self-reported mean change in the pain subscale of the Copenhagen Hip and Groin Outcome Score (HAGOS). Secondary outcomes include mean changes in the other HAGOS subscales, in the Short Version of the International Hip Outcome Tool, in performance, balance and maximal hip muscle strength. Between-group comparison from baseline to 6-month follow-up will be made with intention-to-treat analyses with a mixed-effects model. Cost-effectiveness will be evaluated by relating quality-adjusted life years and differences in HAGOS pain to differences in costs over 12 months. The functioning of the intervention will be evaluated as implementation, mechanisms of change and contextual factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The study protocol was approved by the Committee on Health Research Ethics in the Central Denmark Region and registered at ClinicalTrials. Positive, negative and inconclusive findings will be disseminated through international peer-reviewed scientific journals and international conferences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT04795843\">NCT04795843<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-064242","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T12:10:52Z","timestamp":1663675852000},"page":"e064242","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Comparing exercise and patient education with usual care in the treatment of hip dysplasia: a protocol for a randomised controlled trial with 6-month follow-up (MovetheHip trial)"],"prefix":"10.1136","volume":"12","clinical-trial-number":[{"clinical-trial-number":"nct04795843","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3323-3631","authenticated-orcid":false,"given":"Julie Sandell","family":"Jacobsen","sequence":"first","affiliation":[{"name":"Research Unit for General Practice, Aarhus, Denmark"},{"name":"Research Centre for Health and Welfare Technology, Programme for Rehabilitation, VIA University College, Aarhus N, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9102-4515","authenticated-orcid":false,"given":"Kristian","family":"Thorborg","sequence":"additional","affiliation":[{"name":"Sports Orthopaedic Research Center-Copenhagen (SORC-C), Department of Orthopaedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark"},{"name":"Physical Medicine and Rehabilitation Research-Copenhagen (PMR-C), Department of Physical and Occupational Therapy, Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5757-1806","authenticated-orcid":false,"given":"Rasmus \u00d8stergaard","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Research Unit for General Practice, Aarhus, Denmark"},{"name":"Department of Public Health, Aarhus University, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1890-3617","authenticated-orcid":false,"given":"Stig Storgaard","family":"Jakobsen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus, Denmark"},{"name":"Department of Clinical Medicine, Aarhus University, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8729-0810","authenticated-orcid":false,"given":"Casper","family":"Foldager","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6362-3385","authenticated-orcid":false,"given":"Dorthe","family":"S\u00f8rensen","sequence":"additional","affiliation":[{"name":"Research Centre for Health and Welfare Technology, Programme for Rehabilitation, VIA University College, Aarhus N, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2255-1391","authenticated-orcid":false,"given":"Lisa Gregersen","family":"Oestergaard","sequence":"additional","affiliation":[{"name":"Defactum, Central Denmark Region, Aarhus, Denmark"},{"name":"Department of Occupational Therapy and Physiotherapy, 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