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Experiences of living with hip osteoarthritis and of receiving advice, education and ultrasound-guided intra-articular hip injection in the hip injection trial. A qualitative study

Holden, Melanie Ann; Hawarden, Ashley; Paskins, Zoe; Roddy, Edward; Mallen, Christian D.; Liddle, Jennifer; Bourton, Amy; Jinks, Clare


Ashley Hawarden

Zoe Paskins

Edward Roddy

Christian D. Mallen

Jennifer Liddle

Amy Bourton

Clare Jinks


Gemma Hughes

Emily Hughes

Susie Hennings

Andrea Cherrington

Alison Hall

Kay Stevenson

Ajit Menon

Philip Roberts

Jesse Kigozi

Raymond Oppong

Nadine E. Foster


Objectives: The Hip Injection Trial (HIT) compared the effectiveness of adding a single ultrasound-guided intra-articular injection of either corticosteroid and local anaesthetic, or local anaesthetic alone, to advice and education among people with hip osteoarthritis (OA). This nested qualitative study explored participants’ experiences of living with hip OA and of the trial treatment they received.

Method: Semi-structured telephone interviews were undertaken with a purposeful sample of trial participants after 2-month trial follow-up. Interviewers were blind to which injection participants had received. Thematic analysis using constant comparison was undertaken prior to knowing trial results.

Results: 34 trial participants were interviewed across all arms. OA caused pain, physical limitations, difficulties at work, lowered mood, and disrupted sleep. Those who received advice and education alone felt that they had not received ‘treatment’ and described little/no benefit. Participants in both injection groups described marked improvements in pain, physical function, and other aspects of life (e.g., sleep, confidence). Perceived magnitude of benefit appeared greater among those who received the corticosteroid injection, however length of benefit varied in both injection groups. There was uncertainty about the longer-term benefits of injection and repeated injections.

Journal Article Type Article
Acceptance Date Sep 26, 2023
Online Publication Date Oct 31, 2023
Publication Date Oct 31, 2023
Deposit Date Oct 31, 2023
Publicly Available Date Nov 6, 2023
Journal Musculoskeletal Care
Print ISSN 1478-2189
Publisher Wiley
Peer Reviewed Peer Reviewed
Keywords osteoarthritis, hip, corticosteroid, injection, education, qualitative


Experiences of living with hip osteoarthritis and of receiving advice, education and ultrasound‐guided intra‐articular hip injection in the hip injection trial. A qualitative study (416 Kb)

Copyright Statement
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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