{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T21:13:52Z","timestamp":1790111632123,"version":"4.0.1"},"reference-count":36,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Peninsula Health Department of Rehabilitation Medicine Special Purpose Fund"},{"name":"Epworth Monash Rehabilitation Medicine Unit"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Moderate to severe persistent pain can affect up to 25% of people after a knee replacement for osteoarthritis. The aim of the trial was to test the feasibility of implementing Kneed, a novel digital pain rehabilitation self-management programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective, two group parallel randomised pilot study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Online in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Adults with persistent pain rated as \u22654\/10 in the operated knee more than 3 months post-knee replacement for osteoarthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>The Kneed group were provided with 8 weeks of access to a digital pain rehabilitation self-management programme and compared to usual care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures<\/jats:title>\n                    <jats:p>Recruitment, acceptability, usability and limited efficacy with descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty participants, mean age 68.7 years, 75% female, 66.7% retired and 43% living outside metropolitan areas, were recruited between 15 October and 19 December, 2024 via social media advertising with 418 online eligibility surveys performed. There were 190 (45.5%) deemed potentially eligible; 82 (19.6%) left contact details and 60 (14.4%) consented. At 8 weeks, there were 48 (80%) participants remaining in the trial (20 Kneed (64.5%), 28 usual care (96.6%)). A majority of the Kneed group found the Kneed programme acceptable, would use it again and found that it helped them effectively manage pain and function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>It is feasible to recruit and retain older Australians with moderate to severe knee pain post-knee replacement for a trial testing a digital pain rehabilitation self-management programme. A larger trial is indicated to further test the clinical effectiveness of Kneed to reduce pain and improve function.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155251375382","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T13:39:22Z","timestamp":1758721162000},"page":"1438-1451","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A pilot randomised controlled trial of an online self-management programme for people with persistent pain post-knee replacement (Kneed)"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1685-1072","authenticated-orcid":false,"given":"Nathan","family":"Johns","sequence":"first","affiliation":[{"name":"Monash University"},{"name":"Peninsula Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean","family":"McKenzie","sequence":"additional","affiliation":[{"name":"Epworth Healthcare"},{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette","family":"Brady","sequence":"additional","affiliation":[{"name":"Liverpool Hospital"},{"name":"Liverpool Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine","family":"Naylor","sequence":"additional","affiliation":[{"name":"Ingham Institute, Liverpool Hospital"},{"name":"School of Clinical Medicine, Medicine &amp; Health, University of New South Wales, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7069-1191","authenticated-orcid":false,"given":"John","family":"Olver","sequence":"additional","affiliation":[{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,24]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Australian Orthopaedic Association National Joint Replacement Registry. 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