Evaluation of the Use of an E-health Therapeutic Education Application for Osteoarthritis Patients

University Hospital, Clermont-Ferrand32 enrolled

Overview

Osteoarthritis is the most common joint disease affecting the joint in a comprehensive and progressive manner. It leads to increasing disability. The recommendations of recent years favor the non-pharmacological treatment of osteoarthritis including regular physical activity, therapeutic education and weight loss Osteoarthritis population has a low level of physical activity due to a lack of information, motivation and false beliefs related to physical activity and kinesiophobia (fear of movement) A preliminary qualitative study (ARTHe1) evaluating the barriers and levers of the use of an e-health therapeutic education application in patients with osteoarthritis was carried out in order to guide the development of the ARTHe application. The objective of this study is to have the application tested on a panel of patients in order to assess the benefits of using the application in terms of adherence to the practice of physical activity but also in clinical terms on function and pain, and the satisfaction of the patient

This is a prospective observational study including the evaluation of the use of the ARTH-e application after 3 weeks, 6 weeks and 3 months of use. Patient recruitment will be done in the PRM department of Clermont-Ferrand University Hospital A subgroup of patients will receive a Garmin VivoSmart 4 connected wristband, which will record intrinsic stress measurement data during the test.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Osteo Arthritis Knee

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients older than 18 years * Patients with osteoarthritis according to the ACR (American College of Rheumatology) criteria, symptomatic and diagnosed before inclusion by a specialist or not. * Patients with least one knee impairment * Patients with a smartphone or tablet with at least Android 5 or iOS 11. * Volunteer patients willing to participate in the study. Exclusion Criteria: * Patients with no diagnostic criteria for ACR. * Patients with comprehension disorders making it impossible to interview and complete questionnaires or use the application. * Refusal to participate or being already included in a research protocol that could influence the current protocol. * Patients under guardianship, curatorship or deprived of liberty.

Outcomes

Primary Outcomes

Excercie adherence

Measured with Exercice Adherence Rating Scale (EARS) on 5 point Likert scale, 0= totally agree, 5 = totally disagree

Time frame: 3 weeks

Excercie adherence

Measured with Exercice Adherence Rating Scale (EARS) on 5 point Likert scale, 0= totally agree, 5 = totally disagree

Time frame: 6 weeks

Excercie adherence

Measured with Exercice Adherence Rating Scale (EARS) on 5 point Likert scale, 0= totally agree, 5 = totally disagree

Time frame: 3 months

Secondary Outcomes

Pain with analogic visual scale

average pain of the 3 prior days, collected on phone interview with analogic visual scale (0 = no pain, 10 = maximum pain )

Time frame: 3 weeks, 6 weeks, 3 months

Functional evaluation

Collected on the phone with Knee injury and Osteoarthritis Outcome Score (KOOS). This questionnaire contains 17 statements answering the question "During the last eight days, what was your difficulty with each of the following activities?" ". The responses range from "absent" (0 points) to "extreme" (4 points). The maximum score is 68. A high score is predictive of functional degradation.

Time frame: 3 weeks, 6 weeks, 3 months

Satisfaction questionnaire

Collection after 3 months of use, of the evaluation of the application via a quality questionnaire in 3 parts including the general user experience, closed questions on the user interface and open questions on user expectations, this questionnaire will be sent by email.

Time frame: 3 months

Frequency of opening the application per week

Collection of application usage parameters in a codified manner