Collaborative Model of Care Between Orthopaedics and Allied Healthcare Professionals Trial (CONnACT)
Osteoarthritis
About this trial
This is an interventional treatment trial for Osteoarthritis focused on measuring Knee, Osteoarthritis, Model of care, Multi-disciplinary
Eligibility Criteria
Inclusion Criteria
- National Institute for Health and Care Excellence (NICE) clinical criteria for knee osteoarthritis
- Radiographic severity of knee osteoarthritis - Kellgren Lawrence Score > 1
- Knee Injury and Osteoarthritis Outcome Score (KOOS4) ≤ 75
- Independent community ambulator with or without walking aid
- Age ≥ 45 years old
- Conversant in English/Chinese
- Subject will need to fulfill all the inclusion criteria for eligibility.
Exclusion Criteria
- Alternative diagnosis to knee osteoarthritis e.g. referred pain from the spine or hip
- Secondary arthritis e.g. inflammatory, post-traumatic
- Inability to comply with study protocol e.g. cognitive impairment
- Previous knee arthroplasty on the symptomatic knee
- Wheelchair bound patients
- Any other medical condition that study team determines may interfere with study involvement
Sites / Locations
- St Luke Eldercare (AMK)
- Tan Tock Seng Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Control Arm
Intervention Arm
Current model of care Patients will undergo the current standard of care in the Orthopaedic Outpatient Clinic in Tan Tock Seng Hospital. Patients will undergo routine consultation with an orthopaedic surgeon and will be provided with standard treatment as necessitated based on the assessment of the orthopaedic surgeon. Subsequent follow up appointments will be scheduled at the discretion of the orthopaedic surgeon. Patients will be referred to the physiotherapists, dietitian and psychologists as necessary for regular or adhoc sessions at the discretion of the allied health professional.
Multidisciplinary Community Program Community based, personalized, structured, 12-week multidisciplinary program that includes Orthopaedics, Physiotherapy, Dietitics, Psychology interventions. This intervention involves the use of formal assessment such as BMI and psychological questionnaires to determine the need for dietetics or psychological intervention. In addition, there are educational sessions to improve patient's understanding of osteoarthritis and improve their activation level. An optional support group session will be arranged at approx. 3-4 months after completion of the 12-week intervention program to improve sustainability of treatment effect.