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Effects of Motivational Interviewing on Pain Self-Efficacy and Exercise Behavior in Individuals With Knee Osteoarthritis

2026年8月14日 更新者：Ismail Saracoglu、Kutahya Health Sciences University

Investigation of the Effects of Motivational Interviewing on Pain Self-Efficacy and Exercise Behavior in Individuals With Knee Osteoarthritis

This randomized controlled trial aims to investigate the effects of motivational interviewing added to a neuromuscular exercise and home exercise program on pain self-efficacy, exercise behavior, pain intensity, physical performance, and functional status in individuals with knee osteoarthritis. Sixty individuals diagnosed with knee osteoarthritis will be randomly allocated to either an intervention group or a control group. The intervention group will receive motivational interviewing in addition to neuromuscular exercise and a home exercise program, whereas the control group will receive neuromuscular exercise and the same home exercise program. Outcomes will be assessed at baseline, immediately after the intervention, and six weeks after the intervention.

調査の概要

状態

募集

条件

介入・治療

研究の種類

介入

入学 (推定)

56

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究連絡先

研究場所

  • トルコ（Türkiye）
    • Türkiye
      • Afyonkarahisar、Türkiye、トルコ（Türkiye）、03100
        • 募集
        • AFSÜ Health Application and Research Center, Department of Physical Therapy and Rehabilitation
        • コンタクト：
        • 主任研究者：
          • İbrahim YUKSEL, Msc.
        • 主任研究者：
          • Ismail Saracoglu, Phd
        • 副調査官：
          • Nuray EYVAZ, MD

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

  • 大人
  • 高齢者

健康ボランティアの受け入れ

いいえ

説明

Inclusion Criteria:

  • Diagnosis of knee osteoarthritis according to American College of Rheumatology (ACR) criteria
  • Kellgren-Lawrence radiographic grade ≥2
  • Knee pain lasting longer than 3 months

Exclusion Criteria:

  • History of joint arthroplasty
  • Body mass index >40 kg/m²
  • Neuromuscular or neurological diseases such as stroke, Parkinson's disease, or multiple sclerosis
  • History of lower-extremity joint fracture
  • Hip osteoarthritis

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか？

デザインの詳細

  • 主な目的：処理
  • 割り当て：ランダム化
  • 介入モデル：並列代入
  • マスキング：ダブル

武器と介入

参加者グループ / アーム
介入・治療
実験的：Motivational Interviewing + Neuromuscular Exercise + Home Exercise
Participants in this group will receive motivational interviewing in addition to a supervised neuromuscular exercise program and a home exercise program.
行動：Motivational Interviewing
Motivational interviewing will be delivered individually in face-to-face sessions by a researcher trained and certified in motivational interviewing. Sessions will focus on identifying individual barriers and goals, strengthening motivation and commitment to exercise, supporting self-efficacy, and preventing relapse. The intervention will incorporate three stages: increasing exercise motivation, strengthening commitment to exercise, and relapse prevention.
他の：Neuromuscular Exercise Program
Participants will perform neuromuscular exercise sessions five times per week for four weeks. Each 60-minute session will consist of approximately 10 minutes of warm-up, 40 minutes of exercise, and 10 minutes of cool-down. Exercises will include core stabilization and postural control, postural orientation, lower-extremity strengthening, functional exercises, and balance and proprioception exercises. Exercises will be progressed according to participant tolerance and functional performance.
他の：Home Exercise Program
The home exercise program will include isometric strengthening exercises for the quadriceps and hip adductor muscles, straight leg raising, assisted hip and knee flexion, and active knee flexion exercises. Participants will perform the program five days per week, twice daily, for three weeks, with 10 repetitions of each exercise. The program will be explained and demonstrated by a physiotherapist during the first session, and adherence will be followed by telephone contact.
アクティブコンパレータ：Neuromuscular Exercise Program
Participants will perform neuromuscular exercise sessions five times per week for four weeks. Each 60-minute session will consist of approximately 10 minutes of warm-up, 40 minutes of exercise, and 10 minutes of cool-down. Exercises will include core stabilization and postural control, postural orientation, lower-extremity strengthening, functional exercises, and balance and proprioception exercises. Exercises will be progressed according to participant tolerance and functional performance.
他の：Neuromuscular Exercise Program
Participants will perform neuromuscular exercise sessions five times per week for four weeks. Each 60-minute session will consist of approximately 10 minutes of warm-up, 40 minutes of exercise, and 10 minutes of cool-down. Exercises will include core stabilization and postural control, postural orientation, lower-extremity strengthening, functional exercises, and balance and proprioception exercises. Exercises will be progressed according to participant tolerance and functional performance.
他の：Home Exercise Program
The home exercise program will include isometric strengthening exercises for the quadriceps and hip adductor muscles, straight leg raising, assisted hip and knee flexion, and active knee flexion exercises. Participants will perform the program five days per week, twice daily, for three weeks, with 10 repetitions of each exercise. The program will be explained and demonstrated by a physiotherapist during the first session, and adherence will be followed by telephone contact.

この研究は何を測定していますか？

主要な結果の測定

結果測定
メジャーの説明
時間枠
The Exercise Self-Efficacy Scale (ESE)
時間枠：Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention
The Exercise Self-Efficacy Scale (ESE) measures a person's confidence in their ability to maintain regular physical activity or exercise when facing various internal and external barriers. Different validated versions exist, including Albert Bandura's 18-item scale, an older adult 9-item scale, and a 10-item spinal cord injury adaptation.
Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention
Pain Self-Efficacy Questionnaire (PSEQ)
時間枠：Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention
The Pain Self-Efficacy Questionnaire (PSEQ) is a 10-item self-report tool designed to measure a person's confidence in performing daily activities and functioning normally despite ongoing chronic pain. It uses a 7-point scale from 0 to 6, yielding total scores between 0 and 60, where higher scores reflect stronger coping confidence.
Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention

二次結果の測定

結果測定
メジャーの説明
時間枠
Numerical Pain Rating Scale
時間枠：Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention
The Numeric Pain Rating Scale (NPRs) is a fast, 11-point tool used to measure pain intensity. Patients select a whole number from 0 (no pain) to 10 (worst pain imaginable) to rate their discomfort verbally or in writing.
Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention
The WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index)
時間枠：Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention.
The WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) is a widely used, self-administered 24-item questionnaire that evaluates pain (5 items), stiffness (2 items), and physical function (17 items) in patients with knee or hip osteoarthritis.
Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention.
Physical Performance 30-Second Sit-to-Stand Test (30s STS)
時間枠：Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention
The 30s STS measures lower-extremity functional strength by recording the total number of complete sit-to-stand repetitions performed within 30 seconds, with a higher number of repetitions indicating better performance.
Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention
Physical performance timed up and go test (TUG)
時間枠：Baseline, immediately after 4 week intervention and 6 weeks after competition of the intervention
The TUG measures functional mobility as the time, in seconds, required to stand up from a chair, walk 3 meters, turn, walk back, and sit down, with a shorter completion time indicating better performance.
Baseline, immediately after 4 week intervention and 6 weeks after competition of the intervention
Physical performance 40-meter Walking Test
時間枠：Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention
The 40mWT assesses walking speed by recording the time required to complete a 40-meter walking course, with a shorter completion time indicating better walking performance. The results of the three tests will be reported separately and will not be combined into a composite score.
Baseline, immediately after the 4-week intervention, and 6 weeks after completion of the intervention

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

Kutahya Health Sciences University

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2026年2月1日

一次修了 (推定)

2026年11月15日

研究の完了 (推定)

2026年12月31日

試験登録日

最初に提出

2026年8月11日

QC基準を満たした最初の提出物

2026年8月14日

最初の投稿 (実際)

2026年8月17日

学習記録の更新

投稿された最後の更新 (実際)

2026年8月17日

QC基準を満たした最後の更新が送信されました

2026年8月14日

最終確認日

2026年8月1日

詳しくは

本研究に関する用語

キーワード

追加の関連 MeSH 用語

その他の研究ID番号

  • IbrahimPHDtez

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いいえ

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いいえ

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