Evaluation of the Use of an E-health Therapeutic Education Application for Osteoarthritis Patients (ARTHe 2)

Osteoarthritis is the most common joint disease affecting the joint in a comprehensive and progressive manner. It leads to increasing disability.

The recommendations of recent years favor the non-pharmacological treatment of osteoarthritis including regular physical activity, therapeutic education and weight loss Osteoarthritis population has a low level of physical activity due to a lack of information, motivation and false beliefs related to physical activity and kinesiophobia (fear of movement) A preliminary qualitative study (ARTHe1) evaluating the barriers and levers of the use of an e-health therapeutic education application in patients with osteoarthritis was carried out in order to guide the development of the ARTHe application.

The objective of this study is to have the application tested on a panel of patients in order to assess the benefits of using the application in terms of adherence to the practice of physical activity but also in clinical terms on function and pain, and the satisfaction of the patient

Study Overview

• Status: Completed
• Conditions: Osteo Arthritis Knee
• Intervention / Treatment: Behavioral: Application ARTHe

Detailed Description

This is a prospective observational study including the evaluation of the use of the ARTH-e application after 3 weeks, 6 weeks and 3 months of use.

Patient recruitment will be done in the PRM department of Clermont-Ferrand University Hospital A subgroup of patients will receive a Garmin VivoSmart 4 connected wristband, which will record intrinsic stress measurement data during the test.

• Study Type: Observational
• Enrollment (Actual): 32

Contacts and Locations

Study Locations

• France
  • Aura
    • Clermont-Ferrand, Aura, France, 63000
      • Clermont-Ferrand University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patient with knee arthritis and using a smartphone

Description

Inclusion Criteria:

• Patients older than 18 years
• Patients with osteoarthritis according to the ACR (American College of Rheumatology) criteria, symptomatic and diagnosed before inclusion by a specialist or not.
• Patients with least one knee impairment
• Patients with a smartphone or tablet with at least Android 5 or iOS 11.
• Volunteer patients willing to participate in the study.

Exclusion Criteria:

• Patients with no diagnostic criteria for ACR.
• Patients with comprehension disorders making it impossible to interview and complete questionnaires or use the application.
• Refusal to participate or being already included in a research protocol that could influence the current protocol.
• Patients under guardianship, curatorship or deprived of liberty.

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Excercie adherence	Measured with Exercice Adherence Rating Scale (EARS) on 5 point Likert scale, 0= totally agree, 5 = totally disagree	3 weeks
Excercie adherence	Measured with Exercice Adherence Rating Scale (EARS) on 5 point Likert scale, 0= totally agree, 5 = totally disagree	6 weeks
Excercie adherence	Measured with Exercice Adherence Rating Scale (EARS) on 5 point Likert scale, 0= totally agree, 5 = totally disagree	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain with analogic visual scale	average pain of the 3 prior days, collected on phone interview with analogic visual scale (0 = no pain, 10 = maximum pain )	3 weeks, 6 weeks, 3 months
Functional evaluation	Collected on the phone with Knee injury and Osteoarthritis Outcome Score (KOOS). This questionnaire contains 17 statements answering the question "During the last eight days, what was your difficulty with each of the following activities?" ". The responses range from "absent" (0 points) to "extreme" (4 points). The maximum score is 68. A high score is predictive of functional degradation.	3 weeks, 6 weeks, 3 months
Satisfaction questionnaire	Collection after 3 months of use, of the evaluation of the application via a quality questionnaire in 3 parts including the general user experience, closed questions on the user interface and open questions on user expectations, this questionnaire will be sent by email.	3 months
Frequency of opening the application per week	Collection of application usage parameters in a codified manner	From day 1 to 3 months
Frequency of opening the application with on exercice session per week	Collection of application usage parameters in a codified manner	From day 1 to 3 months
Time spent on the application at each opening	Collection of application usage parameters in a codified manner	From day 1 to 3 months
Number of sessions carried out on a level before moving to the next level	Collection of application usage parameters in a codified manner	From day 1 to 3 months
Rating of exercice session (out of 5 stars)	Collection of application usage parameters in a codified manner	From day 1 to 3 months
Rate of positive responses to questionnaires true / false	Collection of application usage parameters in a codified manner	From day 1 to 3 months
Average weekly pain level	Average pain level will be asked on the application at most twice a week. Collection of application usage parameters in a codified manner	From day 1 to 3 months
Daily number of steps	Collection of intrinsic activity data for a subgroup using a connected bracelet Garmin in vivo 4, in a codified manner	From day 1 to 3 months
Intensity of movement	Intensity of movement per day using Metbolic Equivalebt Task (MET) scale will be collected for a subgroup using a connected bracelet Garmin in vivo 4, in a codified manner	From day 1 to 3 months
Daily heart rate	Daily average, minimum and maximum heart rate will be collected for a subgroup using a connected bracelet Garmin in vivo 4, in a codified	From day 1 to 3 months
Daily heart variability	Collection of intrinsic activity data for a subgroup using a connected bracelet Garmin in vivo 4, in a codified manner	From day 1 to 3 months
Daily energy expenditure in calories	Daily energy expenditure in calories will be collected for a subgroup using a connected bracelet Garmin in vivo 4, in a codified manner	From day 1 to 3 months

Collaborators and Investigators

• Sponsor: University Hospital, Clermont-Ferrand
• Collaborators: Innovatherm; BPIfrance; Openium; Caleden

Study record dates

Study Major Dates

• Study Start (Actual): January 31, 2022
• Primary Completion (Actual): July 7, 2022
• Study Completion (Actual): July 7, 2022

Study Registration Dates

• First Submitted: February 10, 2021
• First Submitted That Met QC Criteria: February 10, 2021
• First Posted (Actual): February 11, 2021

Study Record Updates

• Last Update Posted (Actual): July 11, 2022
• Last Update Submitted That Met QC Criteria: July 8, 2022
• Last Verified: February 1, 2022

More Information

Terms related to this study

• Keywords: Osteoarthritis; Gonarthrosis; e-Health; smarthpone application
• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis; Osteoarthritis; Osteoarthritis, Knee
• Other Study ID Numbers: RNI 2020 COUDEYRE

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No