A Randomized Clinical Trial Testing Digital Mindset Intervention for Knee Osteoarthritis Pain and Activity Improvement

Overview

Journal NPJ Digit Med

Specialty Medical Informatics

Date 2024 Oct 16

PMID 39414999

Authors

Melissa A Boswell

Kris M Evans

Disha Ghandwani

Trevor Hastie

Sean R Zion

Paula L Moya

Nicholas J Giori

Jennifer L Hicks

Alia J Crum

Scott L Delp

Affiliations

Soon will be listed here.

Abstract

This randomized clinical trial evaluated the effectiveness of short, digital interventions in improving physical activity and pain for individuals with knee osteoarthritis. We compared a digital mindset intervention, focusing on adaptive mindsets (e.g., osteoarthritis is manageable), to a digital education intervention and a no-intervention group. 408 participants with knee osteoarthritis completed the study online in the US. The mindset intervention significantly improved mindsets compared to both other groups (P < 0.001) and increased physical activity levels more than the no-intervention group (mean = 28.6 points, P = 0.001), but pain reduction was not significant. The mindset group also showed significantly greater improvements in the perceived need for surgery, self-imposed physical limitations, fear of movement, and self-efficacy than the no-intervention and education groups. This trial demonstrates the effectiveness of brief digital interventions in educating about osteoarthritis and further highlights the additional benefits of improving mindsets to transform patients' approach to disease management. The study was prospectively registered (ClinicalTrials.gov: NCT05698368, 2023-01-26).

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