Self-directed versus supervised exercise therapy program combined with digitally supported patient education for knee osteoarthritis: a randomised, parallel-group feasibility trial
Authors' conclusion
A larger-scale non-inferiority RCT is feasible, with strategies to increase recruitment rate and data completion.
Study context
- Population
- People with a clinical diagnosis of knee OA living in Greater Melbourne, recruited via community notice boards and social medianone dropped out
- Participants
- 24 people
- Comparison
- Self-directed vs supervised exercise therapy, both combined with digitally supported patient education
- Self-directedn = 17
- Supervisedn = 7reference
- Primary endpoint
- Feasibility: recruitment, retention, data completion, education and exercise therapy session completion
Methodological detailsfeasibility trial, parallel-group
- Feasibility trial
- Parallel-group
Primary result
As reported in the abstract
Feasibility
Over 6 months: expressed interest
67
Eligible
26
Further findings
| Outcome | Self-directed | Supervised |
|---|---|---|
| Logbook completion | Eighty-eight percent | 57 % |
| ≥12 exercise sessions completed (completed logbook data) | 93 % | all |
KOOS-12 subscales and EQ-5D-5L, clinically meaningful treatment effects
- Clinically meaningful treatment effects were contained within the 95 % CI for all KOOS-12 subscales and the EQ-5D-5L in the self-directed group
Original publication
Self-directed versus supervised exercise therapy program combined with digitally supported patient education for knee osteoarthritis: a randomised, parallel-group feasibility trial. Semin Arthritis Rheum. Published 20 July 2025. doi:10.
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