Effects of adding an internet-based pain coping skills training protocol to a standardized education and exercise program for people with persistent hip pain (Hope trial): Randomized controlled trial protocol

Bennell, Kim L., Rini, Christine, Keefe, Francis, French, Simon, Nelligan, Rachel, Kasza, Jessica, Forbes, Andrew, Dobson, Fiona, Abbott, J. Haxby, Dalwood, Andrew, Vicenzino, Bill, Harris, Anthony and Hinman, Rana S. (2015) Effects of adding an internet-based pain coping skills training protocol to a standardized education and exercise program for people with persistent hip pain (Hope trial): Randomized controlled trial protocol. Physical Therapy, 95 10: 1408-1422. doi:10.2522/ptj.20150119


Author Bennell, Kim L.
Rini, Christine
Keefe, Francis
French, Simon
Nelligan, Rachel
Kasza, Jessica
Forbes, Andrew
Dobson, Fiona
Abbott, J. Haxby
Dalwood, Andrew
Vicenzino, Bill
Harris, Anthony
Hinman, Rana S.
Title Effects of adding an internet-based pain coping skills training protocol to a standardized education and exercise program for people with persistent hip pain (Hope trial): Randomized controlled trial protocol
Journal name Physical Therapy   Check publisher's open access policy
ISSN 1538-6724
0031-9023
Publication date 2015-10-01
Year available 2015
Sub-type Article (original research)
DOI 10.2522/ptj.20150119
Open Access Status Not Open Access
Volume 95
Issue 10
Start page 1408
End page 1422
Total pages 15
Place of publication Alexandria, VA United States
Publisher American Physical Therapy Association
Language eng
Subject 3612 Physical Therapy, Sports Therapy and Rehabilitation
Formatted abstract
Background. Persistent hip pain in older people is usually due to hip osteoarthritis (OA), a major cause of pain, disability, and psychological dysfunction.

Objective. The purpose of this study is to evaluate whether adding an Internet-based pain coping skills training (PCST) protocol to a standardized intervention of education followed by physical therapist–instructed home exercise leads to greater reductions in pain and improvements in function.

Design.
An assessor-, therapist-, and participant-blinded randomized controlled trial will be conducted.

Setting. The study will be conducted in a community setting.

Participants. The participants will be 142 people over 50 years of age with self-reported hip pain consistent with hip OA.

Intervention. Participants will be randomly allocated to: (1) a control group receiving a 24-week standardized intervention comprising an 8-week Internet-based education package followed by 5 individual physical therapy exercise sessions plus home exercises (3 times weekly) or (2) a PCST group receiving an 8-week Internet-based PCST protocol in addition to the control intervention.

Measurements. Outcomes will be measured at baseline and 8, 24, and 52 weeks, with the primary time point at 24 weeks. Primary outcomes are hip pain on walking and self-reported physical function. Secondary outcomes include health-related quality-of-life, participant-perceived treatment response, self-efficacy for pain management and function, pain coping attempts, pain catastrophizing, and physical activity. Measurements of adherence, adverse events, use of health services, and process measures will be collected at 24 and 52 weeks. Cost-effectiveness will be assessed at 52 weeks.

Limitations. A self-reported diagnosis of persistent hip pain will be used.

Conclusions. The findings will help determine whether adding an Internet-based PCST protocol to standardized education and physical therapist–instructed home exercise is more effective than education and exercise alone for persistent hip pain. This study has the potential to guide clinical practice toward innovative modes of psychosocial health care provision.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
 
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