Collaborative model of care between orthopaedics and allied healthcare professionals (CONNACT) in knee osteoarthritis: Effectiveness-implementation hybrid randomized controlled trial of a community-based, multidisciplinary, stratified intervention
Authors' conclusion
CONNACT was not superior to usual care at 1 year.
Study context
- Population
- Community-dwelling, ambulant adults with knee osteoarthritis (OA) (Kellgren-Lawrence grade > 1; KOOS4 ≤75)randomised
- Participants
- 110 participants
- Comparison
- CONNACT community-based, stratified, multidisciplinary intervention vs usual hospital care
- CONNACTn = 55
- Controln = 55reference
- Primary endpoint
- KOOS4
- Follow-up
- 12 months
Methodological detailseffectiveness-implementation hybrid, pragmatic, parallel-arm, single-blinded, superiority, embedded economic evaluation (societal approach)
- Effectiveness-implementation hybrid
- Pragmatic
- Parallel-arm
- Single-blinded
- Superiority
- Embedded economic evaluation (societal approach)
Primary result
As reported in the abstract
No between-group difference for the primary outcome
−1.86 [−9.11. 5.38] (MD [95%CI])
Secondary outcomes
Dietary change · 12 months
- Superior in CONNACT
Physical performance measures · 3 months
- Superior in CONNACT
Global perceived effect · 6 months
- Superior in CONNACT
Costs
- No between-group difference in total cost; significant productivity gains (reduced indirect cost) in CONNACT
Original publication
Collaborative model of care between orthopaedics and allied healthcare professionals (CONNACT) in knee osteoarthritis: Effectiveness-implementation hybrid randomized controlled trial of a community-based, multidisciplinary, stratified intervention. Osteoarthritis Cartilage. Published 6 May 2024. doi:10.
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