OPEN (Osteoarthritis Physical Activity & Exercise Net): Can an Interactive Website Increase Physical Activity in People with Previously Undiagnosed Early Knee Osteoarthritis?

Study Start Date

August 2012

Study End Date

August 2013

Why Did We Do This Research?

Being physically active has been shown to reduce pain, improve quality of life and have potential to reduce joint damage. However, our recent survey in British Columbia found only 1 in 4 people with mild osteoarthritis symptoms (pain; stiffness) met the recommended level of physical activity. Research in people without arthritis shows that web-based tools can increase walking behaviour, but none of these tools are designed with the needs of people with arthritis in mind. Research in other chronic diseases has found that people are more likely to quit smoking shortly after the diagnosis of a smoking-related disease. Thus, the diagnosis of osteoarthritis presents an ideal ‘teachable moment’ to engage those who have been sedentary to become physically active.

The website, called OPEN (Osteoarthritis Physical Activity & Exercise Net), will be created based on a well developed behavioural theory. Our project directly targets physical inactivity at a time when the joint damage tends to be mild, and when people are more motivated to adopt a healthy behaviour. If the OPEN is found to be effective in improving physical activity, it opens further opportunities to promote early diagnosis and to implement lifestyle interventions.

What Did We Do?

We will then recruit 252 sedentary people with early knee osteoarthritis in British Columbia to test the website. Half of them will be assigned to use the OPEN website for 3 months and will receive an education pamphlet produced by The Arthritis Society; the other half will only receive the pamphlet. During the test period, participants will complete online questionnaires at 0, 3 and 6 months to allow us to follow changes in physical activity, knee symptoms and outcomes related to their motivation to become physically active. We will also compare changes between the two groups.

The Research Team?

Principal Investigator:

Linda Li, BSc(PT), MSc, PhD, FCAHS, Senior Scientist, Implementation Science, Arthritis Research Canada (University of British Columbia)

Co-investigators:

Sydney Lineker – BScPT, MSc, Director of Research, The Arthritis Society

Allyson Jones, PT, PhD, Affiliate Scientist, Rehabilitation Sciences, Arthritis Research Canada, (University of Alberta)

Jacek Kopec, MD, MSc, PhD, Senior Scientist Emeritus, Epidemiology, Arthritis Research Canada (University of British Columbia)

Jolanda Cibere, MD, FRCPC, PhD, Senior Scientist, Rheumatology, Arthritis Research Canada (University of British Columbia)

John Esdaile, MD, MPH, FRCPC, FCAHS, MACR, Scientific Director Emeritus, Arthritis Research Canada (University of British Columbia)

Scott Lear – BSc, PhD, Associate Professor and Pfizer/Heart & Stroke Foundation Chair in Cardiovascular Prevention Research, (Simon Fraser University)

Ryan Rhodes – BA, MA, PhD, Professor of Behavioural Medicine, (University of Victoria)

Valorie Crooks – PhD, Health Geographer and Assistant Professor, (Simon Fraser University)

James Pencharz – MD, MSc, General Practitioner, Credit Valley Hospital

Research Staff:

Jenny Leese, MA, PhD, Post-Doctoral Fellow, Arthritis Research Canada Trainee

Joanna Ye, Research Assistant, ARC

Collaborators:

Arthritis Health Professions Association

Alberta Bone and Joint Health Institute

Consumer Collaborators: 


Sue Borwick, Canadian Arthritis Patient Alliance

Nadia Prestley and Joyce Ma, Arthritis Patient Advisory Board, ARC

Who Funded This Research?

This project has received seed-funding from the CIHR Vancouver Integrated Study of Aging (VISA) team, and a 2 –year grant from the Canadian Institute of Health Research (CIHR) through the Knowledge-to-Action competition

Contact

To learn more, please contact Joanna Ye at 604-207-4032 or jye@arthritisresearch.ca