Table 1.
Digital health for patient education in people with KOAa and KRb.
Study | Population | Design | Intervention | Comparator | Primary outcome findings | ||||
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Description | Sample size | Description | Sample size |
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Brosseau et al [28] | Self-reported osteoarthritis or RAc | Pre or post | Social media (Facebook) | 41 | N/Ad | N/A | Improvements in disease-related knowledge from baseline | ||
Umapathy et al [24] | Knee or hip osteoarthritis | Pre or post | Access to website-based education and use of the website | 104 | Access to website-based education but no use of the website | 91 | Significant improvements in the Osteoarthritis Quality Indicator measures for users of the website vs no significant improvement for nonusers | ||
Timmers et al [23] | Knee pain | RCTe | Phone app providing daily patient education | 91 | Information offered during medical consultation | 122 | Disease-related knowledge was 52% higher in the intervention group | ||
Wang et al [25] | Knee or hip osteoarthritis | Quasi-experimental study | Users of the updated version of My Joint Pain for education | 35 | Nonusers | 87 | No significant difference in the Health Evaluation Impact Questionnaire scores between users and nonusers of the website | ||
Fraval et al [26] | Presurgery (KR or HRf) | RCT | Website+discussion with surgeon | 103 | Discussion with surgeon | 108 | Improvements in disease-related knowledge but not anxiety scores in the intervention vs comparator | ||
Campbell et al [27] | Postsurgery (KR or HR) | RCT | SMS text messaging bot+traditional education | 76 | Traditional education | 83 | Improvements in exercise adherence in the intervention vs comparator | ||
Timmers et al [35] | Postsurgery (KR) | RCT | Phone app providing specific education at specific times from date of discharge | 114 | Phone app providing standard education biweekly | 99 | The intervention group had improvements in pain on NRSg at rest, at night, and during activity vs the comparator at 4 weeks after discharge | ||
Meldrum et al [29] | Knee pain | Qualitative content analysis | Comments on videos related to knee pain on YouTube | 3537 (comments) and 58 (videos) | N/A | N/A | Comments included soliciting advice for knee pain (19%), appreciation for others’ inputs (17%), and asking questions regarding videos (15%) | ||
Barrow et al [30] | Osteoarthritis | Cross-sectional survey | Websites providing educational content for patients with osteoarthritis | 50 | N/A | N/A | 68% of the websites scored more than half of the maximum available quality score | ||
Murray et al [32] | Osteoarthritis | Readability and quality assessment | Websites on osteoarthritis | 37 | N/A | N/A | Readability ranged from 8th- to 12th-grade reading level, and the quality of web-based osteoarthritis information was rated as “poor” to “fair” | ||
Chapman et al [31] | Osteoarthritis | Nonexperimental, descriptive, internet-based study | Websites on self-management in knee, hip, hand osteoarthritis | 49 | N/A | N/A | Reading grade levels ranged from 6 to 15 | ||
Wong et al [34] | Osteoarthritis | Quality assessment | Videos on KOA and KR on YouTube | 56 | N/A | N/A | Approximately 65% of videos had poor educational quality, 30% had acceptable educational quality, and <10% had good educational quality | ||
Bahadori et al [33] | KR | Readability assessment | Information on KR apps | 15 | N/A | N/A | Only one app was found to be “easy to read” |
aKOA: knee osteoarthritis.
bKR: knee replacement.
cRA: rheumatoid arthritis.
dN/A: not applicable.
eRCT: randomized controlled trial.
fHR: hip replacement.
gNRS: Numeric Pain Rating Scale.