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Outputs (97)

Exploring the potential extended role of community pharmacy in the management of osteoarthritis: A multi‐methods study with pharmacy staff and other healthcare professionals (2024)
Journal Article

Introduction: Osteoarthritis is the commonest form of chronic joint pain, which patients often self‐manage before seeking healthcare advice. Patients frequently seek advice from community pharmacies, and a recent policy has recommended integrating co... Read More about Exploring the potential extended role of community pharmacy in the management of osteoarthritis: A multi‐methods study with pharmacy staff and other healthcare professionals.

Co-development and testing of an extended community pharmacy model of service delivery for managing osteoarthritis: protocol for a sequential, multi-methods study (PharmOA) (2024)
Journal Article

Background Osteoarthritis is a common, painful and disabling long-term condition. Delivery of high-quality guideline-informed osteoarthritis care that successfully promotes and maintains supported self-management is imperative. However, osteoarthrit... Read More about Co-development and testing of an extended community pharmacy model of service delivery for managing osteoarthritis: protocol for a sequential, multi-methods study (PharmOA).

Mechanisms of action of therapeutic exercise for knee and hip OA remain a black box phenomenon: an individual patient data mediation study with the OA Trial Bank (2023)
Journal Article

Objectives: To evaluate mediating factors for the effect of therapeutic exercise on pain and physical function in people with knee/hip osteoarthritis (OA). Methods: For Subgrouping and TargetEd Exercise pRogrammes for knee and hip OsteoArthritis (... Read More about Mechanisms of action of therapeutic exercise for knee and hip OA remain a black box phenomenon: an individual patient data mediation study with the OA Trial Bank.

Moderators of the effect of therapeutic exercise for knee and hip osteoarthritis: a systematic review and individual participant data meta-analysis (2023)
Journal Article

Background Many international clinical guidelines recommend therapeutic exercise as a core treatment for knee and hip osteoarthritis. We aimed to identify individual patient-level moderators of the effect of therapeutic exercise for reducing pain an... Read More about Moderators of the effect of therapeutic exercise for knee and hip osteoarthritis: a systematic review and individual participant data meta-analysis.

Supported self-management for all with musculoskeletal pain: an inclusive approach to intervention development: the EASIER study (2023)
Journal Article

Background Supported self-management interventions for patients with musculoskeletal (MSK) conditions may not adequately support those with limited health literacy, leading to inequalities in care and variable outcomes. The aim of this study was to... Read More about Supported self-management for all with musculoskeletal pain: an inclusive approach to intervention development: the EASIER study.

Improving the Effectiveness of Exercise Therapy for Adults With Knee Osteoarthritis: A Pragmatic Randomized Controlled Trial (BEEP Trial). (2023)
Journal Article

To investigate whether knee osteoarthritis (OA) related pain and function can be improved by offering enhanced physical therapist-led exercise interventions. Three-arm prospectively designed pragmatic randomized controlled trial. General practices an... Read More about Improving the Effectiveness of Exercise Therapy for Adults With Knee Osteoarthritis: A Pragmatic Randomized Controlled Trial (BEEP Trial)..

Evaluating Osteoarthritis Management Programs: outcome domain recommendations from the OARSI Joint Effort Initiative. (2023)
Journal Article

Objective To develop sets of core and optional recommended domains for describing and evaluating Osteoarthritis Management Programs (OAMPs), with a focus on hip and knee Osteoarthritis (OA). Design We conducted a 3-round modified Delphi survey i... Read More about Evaluating Osteoarthritis Management Programs: outcome domain recommendations from the OARSI Joint Effort Initiative..

Implementation of physical activity interventions for people with inflammatory arthritis: an overview and future recommendations (2022)
Journal Article

Regular physical activity is important for both physical and mental health. This is particularly important for people with inflammatory arthritis, because of the benefits on both disease-specific and systemic outcomes and the increased risk of comorb... Read More about Implementation of physical activity interventions for people with inflammatory arthritis: an overview and future recommendations.

The relationship between multisite peripheral joint pain and physical activity levels in older adults: A cross-sectional survey. (2021)
Journal Article

INTRODUCTION: Research on levels of physical activity (PA) in those with peripheral joint pain have only focused on single sites, in the knee or hips. This study investigated the levels of PA in adults with single-site and multisite peripheral joint... Read More about The relationship between multisite peripheral joint pain and physical activity levels in older adults: A cross-sectional survey..

Integrating case-finding and initial management for osteoarthritis, anxiety, and depression into primary care long-term condition reviews: results from the ENHANCE pilot trial. (2021)
Journal Article

Background: Multimorbidity is increasingly the norm; however, primary care remains focused on single diseases. Osteoarthritis, anxiety, and depression are frequently comorbid with other long-term conditions (LTCs), but rarely prioritized by clinician... Read More about Integrating case-finding and initial management for osteoarthritis, anxiety, and depression into primary care long-term condition reviews: results from the ENHANCE pilot trial..

The attitudes towards, and beliefs about, physical activity in people with osteoarthritis and comorbidity: A qualitative investigation (2021)
Journal Article

OBJECTIVE: To investigate the attitudes towards, and beliefs about, physical activity (PA) in older adults with osteoarthritis (OA) and comorbidity to understand experiences and seek ways to improve PA participation. METHODS: Semi-structured intervie... Read More about The attitudes towards, and beliefs about, physical activity in people with osteoarthritis and comorbidity: A qualitative investigation.

Comparison of reliability, construct validity and responsiveness of the IPAQ-SF and PASE in adults with osteoarthritis (2021)
Journal Article

BACKGROUND: This study assessed the measurement properties of two commonly used self-report physical activity (PA) measures: the International Physical Activity Questionnaire-Short Form (IPAQ-SF) and the Physical Activity Scale for the elderly (PASE)... Read More about Comparison of reliability, construct validity and responsiveness of the IPAQ-SF and PASE in adults with osteoarthritis.

A pilot study of a nurse-led integrated care review (the INCLUDE review) for people with inflammatory rheumatological conditions in primary care: feasibility study findings. (2021)
Journal Article

BACKGROUND: People with inflammatory rheumatological conditions such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, polymyalgia rheumatica and giant cell arteritis are at an increased risk of common comorbidities including card... Read More about A pilot study of a nurse-led integrated care review (the INCLUDE review) for people with inflammatory rheumatological conditions in primary care: feasibility study findings..

Moderators of the effects of therapeutic exercise for people with knee and hip osteoarthritis: A systematic review of sub-group analyses from randomised controlled trials (2020)
Journal Article

Objective 1) To identify potential moderators of the effect of therapeutic exercise explored in randomised controlled trials (RCTs) of knee and hip osteoarthritis (OA); 2) summarise the extent, strength and quality of evidence reported for moderator... Read More about Moderators of the effects of therapeutic exercise for people with knee and hip osteoarthritis: A systematic review of sub-group analyses from randomised controlled trials.

Resistance or appropriation? : Uptake of exercise after a nurse-led intervention to promote self-management for osteoarthritis. (2020)
Journal Article

The philosophical underpinning of trials of complex interventions is critiqued for not taking into account causal mechanisms that influence potential outcomes. In this article, we draw from in-depth interviews (with practice nurses and patients) and... Read More about Resistance or appropriation? : Uptake of exercise after a nurse-led intervention to promote self-management for osteoarthritis..

Undertaking an integrated nurse led review (INCLUDE) for patients with inflammatory conditions: does it change management of morbidities? (2020)
Journal Article

Background People with inflammatory rheumatological conditions (IRCs), including rheumatoid arthritis (RA), ankylosing spondylitis (AS), psoriatic arthritis (PsA), polymyalgia rheumatica (PMR) and giant cell arteritis (GCA), are at an increased risk... Read More about Undertaking an integrated nurse led review (INCLUDE) for patients with inflammatory conditions: does it change management of morbidities?.

Moderators of the effects of exercise for hip and knee osteoarthritis: a systematic review of subgroup analyses from randomised controlled trials (2020)
Journal Article

Meta-analyses of randomised controlled trials (RCTs) of exercise interventions in people with knee and hip osteoarthritis (OA) provide strong evidence of, on average, a small-to-medium effect on pain and function outcomes compared to comparison inter... Read More about Moderators of the effects of exercise for hip and knee osteoarthritis: a systematic review of subgroup analyses from randomised controlled trials.

Comparing of reliability, construct validity and responsiveness of the IPAQ-SF and pase in adults with osteoarthritis (2020)
Journal Article

Purpose: Physical activity (PA) is recommended as a core treatment for all adults with osteoarthritis (OA), yet actual levels of physical activity in this population are low. Valid and reliable measures of PA levels that are responsive to change in a... Read More about Comparing of reliability, construct validity and responsiveness of the IPAQ-SF and pase in adults with osteoarthritis.

The association between comorbidity and physical activity levels in people with osteoarthritis: Secondary analysis from two randomised controlled trials (2020)
Journal Article

Objective To determine whether comorbidity presence, frequency or type is associated with Physical Activity (PA) levels in people with Osteoarthritis (OA). Design Secondary data analysis of adults aged =45, with OA related pain recruited to the... Read More about The association between comorbidity and physical activity levels in people with osteoarthritis: Secondary analysis from two randomised controlled trials.

Identification and evaluation of self-reported physical activity instruments in adults with osteoarthritis: a systematic review. (2019)
Journal Article

OBJECTIVE To identify and evaluate the measurement properties of self-report physical activity (PA) instruments suitable for those with osteoarthritis (OA). METHODS A comprehensive two-stage systematic review using multiple electronic databases... Read More about Identification and evaluation of self-reported physical activity instruments in adults with osteoarthritis: a systematic review..

Multisite peripheral joint pain: a cross-sectional study of prevalence and impact on general health, quality of life, pain intensity and consultation behaviour (2017)
Journal Article

Background Research into musculoskeletal conditions often focusses on pain at single sites, such as the knee, yet several studies have previously reported the high prevalence of multiple sites of musculoskeletal pain. The most common form of musculo... Read More about Multisite peripheral joint pain: a cross-sectional study of prevalence and impact on general health, quality of life, pain intensity and consultation behaviour.

The feasibility and acceptability of a physical activity intervention for older people with chronic musculoskeletal pain: The iPOPP pilot trial protocol (2017)
Journal Article

INTRODUCTION: This pilot trial will inform the design and methods of a future full-scale randomized controlled trial (RCT) and examine the feasibility, acceptability and fidelity of the Increasing Physical activity in Older People with chronic Pain (... Read More about The feasibility and acceptability of a physical activity intervention for older people with chronic musculoskeletal pain: The iPOPP pilot trial protocol.

Implementing core NICE guidelines for osteoarthritis in primary care with a model consultation (MOSAICS): A cluster randomised controlled trial (2017)
Journal Article

Objective To determine the effectiveness of a model osteoarthritis consultation, compared with usual care, on physical function and uptake of National Institute for Health and Care Excellence (NICE) osteoarthritis recommendations, in adults =45 year... Read More about Implementing core NICE guidelines for osteoarthritis in primary care with a model consultation (MOSAICS): A cluster randomised controlled trial.

Integrating case finding and initial management for osteoarthritis, anxiety and depression into routine primary care nurse-led long-term condition reviews: results from the enhance pilot trial (2017)
Journal Article

Background Co-morbid osteoarthritis (OA), anxiety and depression are undermanaged in primary care yet have significant impact on pain, disability and outcomes of other long-term conditions (LTCs). Objectives To test the feasibility and acceptabili... Read More about Integrating case finding and initial management for osteoarthritis, anxiety and depression into routine primary care nurse-led long-term condition reviews: results from the enhance pilot trial.

THU0614 Fidelity of an intervention to increase physical activity in older adults with chronic pain: analysis of audio-recorded consultations from the ipopp pilot trial (2017)
Presentation / Conference

Background Physical activity levels are low in people >65 years and those with chronic musculoskeletal pain, yet increased physical activity can lead to reduced pain. Walking is acceptable to older people with pain, but interventions to increase walk... Read More about THU0614 Fidelity of an intervention to increase physical activity in older adults with chronic pain: analysis of audio-recorded consultations from the ipopp pilot trial.

Effect of a model consultation informed by guideline on recorded quality of care of osteoarthritis (MOSAICS): a cluster randomised controlled trial in primary care (2017)
Journal Article

Objective To determine the effect of a model osteoarthritis (OA) consultation (MOAC) informed by National Institute for Health and Care Excellence (NICE) recommendations compared with usual care on recorded quality of care of clinical OA in general... Read More about Effect of a model consultation informed by guideline on recorded quality of care of osteoarthritis (MOSAICS): a cluster randomised controlled trial in primary care.

A nurse-led clinic for patients consulting with osteoarthritis in general practice: development and impact of training in a cluster randomised controlled trial (2016)
Journal Article

Background Despite a lack of service provision for people with osteoarthritis (OA), each year 1 in 5 of the general population consults a GP about a musculoskeletal condition such as OA. Consequently this may provide an opportunity for practice nurs... Read More about A nurse-led clinic for patients consulting with osteoarthritis in general practice: development and impact of training in a cluster randomised controlled trial.

A nurse-led clinic for patients consulting with osteoarthritis in general practice: development and impact of training in a cluster randomised controlled trial (2016)
Journal Article

Background Despite a lack of service provision for people with osteoarthritis (OA), each year 1 in 5 of the general population consults a GP about a musculoskeletal condition such as OA. Consequently this may provide an opportunity for practice nurs... Read More about A nurse-led clinic for patients consulting with osteoarthritis in general practice: development and impact of training in a cluster randomised controlled trial.

A nurse-led clinic for patients consulting with osteoarthritis in general practice: development and impact of training in a cluster randomised controlled trial (2016)
Journal Article

BACKGROUND: Despite a lack of service provision for people with osteoarthritis (OA), each year 1 in 5 of the general population consults a GP about a musculoskeletal condition such as OA. Consequently this may provide an opportunity for practice nurs... Read More about A nurse-led clinic for patients consulting with osteoarthritis in general practice: development and impact of training in a cluster randomised controlled trial.

Content and Evaluation of the Benefits of Effective Exercise for Older Adults With Knee Pain Trial Physiotherapist Training Program (2016)
Journal Article

Objective To explore whether participating in the Benefits of Effective Exercise for knee Pain (BEEP) trial training program increased physiotherapists' self-confidence and changed their intended clinical behavior regarding exercise for knee pain in... Read More about Content and Evaluation of the Benefits of Effective Exercise for Older Adults With Knee Pain Trial Physiotherapist Training Program.

Content and evaluation of the Benefits of Effective Exercise for Older Adults with Knee Pain trial physiotherapist training programme (2016)
Journal Article

Objective To explore whether participating in the Benefits of Effective Exercise for knee Pain (BEEP) trial training program increased physiotherapists' self-confidence and changed their intended clinical behavior regarding exercise for knee pain in... Read More about Content and evaluation of the Benefits of Effective Exercise for Older Adults with Knee Pain trial physiotherapist training programme.

Content and Evaluation of the Benefits of Effective Exercise for Older Adults With Knee Pain Trial Physiotherapist Training Program (2016)
Journal Article

Objective To explore whether participating in the Benefits of Effective Exercise for knee Pain (BEEP) trial training program increased physiotherapists' self-confidence and changed their intended clinical behavior regarding exercise for knee pain in... Read More about Content and Evaluation of the Benefits of Effective Exercise for Older Adults With Knee Pain Trial Physiotherapist Training Program.

Content and Evaluation of the Benefits of Effective Exercise for Older Adults With Knee Pain Trial Physiotherapist Training Program (2016)
Journal Article

Objective To explore whether participating in the Benefits of Effective Exercise for knee Pain (BEEP) trial training program increased physiotherapists' self-confidence and changed their intended clinical behavior regarding exercise for knee pain in... Read More about Content and Evaluation of the Benefits of Effective Exercise for Older Adults With Knee Pain Trial Physiotherapist Training Program.

FRI0342 Measuring Pain Intensity in Older Adults with “Multisite” Peripheral Joint Pain Using a Composite Score (2015)
Journal Article

Background Individuals with peripheral joint pain and osteoarthritis (OA) commonly experience pain in more than one joint site, yet the majority of studies focus on pain at a single site. Pain intensity is the single most assessed dimension in pain a... Read More about FRI0342 Measuring Pain Intensity in Older Adults with “Multisite” Peripheral Joint Pain Using a Composite Score.

EFFECT OF A MODEL CONSULTATION ON QUALITY OF CARE OF OSTEOARTHRITIS: A PRIMARY CARE CLUSTER RANDOMISED TRIAL (2015)
Journal Article

Background Uptake of recommended assessment and management strategies for osteoarthritis (OA) in primary care has not consistently been achieved. Objectives To determine the effect of a model OA consultation, informed by NICE OA recommendations, t... Read More about EFFECT OF A MODEL CONSULTATION ON QUALITY OF CARE OF OSTEOARTHRITIS: A PRIMARY CARE CLUSTER RANDOMISED TRIAL.

046. Integrating Care for Joint Pain and Anxiety and Depression into Reviews for Long-Term Conditions: The Enhance Study (2015)
Journal Article

Joint pain and mental health problems are common and often co-exist with other long-term conditions (LTCs), but are under-detected and sub-optimally managed in primary care. The aim of the ENHANCE study is to develop and test the feasibility and acc... Read More about 046. Integrating Care for Joint Pain and Anxiety and Depression into Reviews for Long-Term Conditions: The Enhance Study.

Improving the care of people with long-term conditions in primary care: protocol for the ENHANCE pilot trial (2015)
Journal Article

Background: Long-term conditions (LTCs) are important determinants of quality of life and healthcare expenditure worldwide. Whilst multimorbidity is increasingly the norm in primary care, clinical guidelines and the delivery of care remain focused o... Read More about Improving the care of people with long-term conditions in primary care: protocol for the ENHANCE pilot trial.

AB0775 A Model Osteoarthritis Consultation within Primary Care: A Novel Nurse-Led Approach to Promote Self-Management (2014)
Journal Article

Background Osteoarthritis (OA) management is not seen as high priority for primary care and health professionals find management of OA challenging. The NICE (2008, 2014) and EULAR recommendations (2013) for OA stress the benefits of core non-pharmaco... Read More about AB0775 A Model Osteoarthritis Consultation within Primary Care: A Novel Nurse-Led Approach to Promote Self-Management.

40. The Increased Risk of Self-Reported Primary Care Consultations Attributable to Multisite Peripheral Joint Pain (2014)
Journal Article

The National Institute for Health and Care Excellence OA guidelines (2008) recommend that future research should address multisite joint pain as it is more severe and disabling than single site joint pain. The aim of this study was to describe the pr... Read More about 40. The Increased Risk of Self-Reported Primary Care Consultations Attributable to Multisite Peripheral Joint Pain.

Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis (2013)
Journal Article

To determine whether there is sufficient evidence to conclude that exercise interventions are more effective than no exercise control and to compare the effectiveness of different exercise interventions in relieving pain and improving function in pat... Read More about Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis.

OP0204-PC Multisite Peripheral Joint Pain in the Community: Prevalence and Impact in the North West Midlands, United Kingdom (UK) (2013)
Journal Article

Background Current research and guidelines are often focused on single joint osteoarthritis (OA). The National Institute for Health and Clinical Excellence OA guidelines recommended that future research should consider the impact of multisite joint p... Read More about OP0204-PC Multisite Peripheral Joint Pain in the Community: Prevalence and Impact in the North West Midlands, United Kingdom (UK).

DEVELOPMENT OF A MODEL CONSULTATION AND TRAINING PACKAGE FOR PRACTICE NURSES TO SUPPORT SELF-MANAGEMENT OF PATIENTS CONSULTING WITH OSTEOARTHRITIS IN PRIMARY CARE (2013)
Presentation / Conference

Background: In the UK OA is predominately managed in general practice. Evidence suggests practice nurses are the health professionals most likely to provide self-management support for patients with long-term conditions. Traditionally, practice nurse... Read More about DEVELOPMENT OF A MODEL CONSULTATION AND TRAINING PACKAGE FOR PRACTICE NURSES TO SUPPORT SELF-MANAGEMENT OF PATIENTS CONSULTING WITH OSTEOARTHRITIS IN PRIMARY CARE.

Defining the Content of an Opportunistic Osteoarthritis Consultation With Primary Health Care Professionals: A Delphi Consensus Study (2012)
Journal Article

Objective To define the core content for an opportunistic consultation between a health care professional (HCP) and a patient with osteoarthritis (OA) in primary care. Methods An ideas generation round and a 2-round Delphi postal consensus study... Read More about Defining the Content of an Opportunistic Osteoarthritis Consultation With Primary Health Care Professionals: A Delphi Consensus Study.

Patients with well-established ankylosing spondylitis show limited deterioration in a ten-year prospective cohort study (2012)
Journal Article

This study aims to describe the deterioration of well-established ankylosing spondylitis (AS) over a 10-year period. Patients with well-established AS under secondary care review were assessed at baseline and re-assessed after a 10-year period. Data... Read More about Patients with well-established ankylosing spondylitis show limited deterioration in a ten-year prospective cohort study.