Program evaluation of GLA:D® Australia: Physiotherapist training outcomes and effectiveness of implementation for people with knee osteoarthritis

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorLa Trobe University-
Autor(es): dc.contributorUniversity of Melbourne-
Autor(es): dc.contributorUniversity of Southern Denmark-
Autor(es): dc.contributorNæstved-Slagelse-Ringsted Hospitals-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorMonash University-
Autor(es): dc.contributorAlfred Health-
Autor(es): dc.creatorBarton, Christian J.-
Autor(es): dc.creatorKemp, Joanne L.-
Autor(es): dc.creatorRoos, Ewa M.-
Autor(es): dc.creatorSkou, Soren T.-
Autor(es): dc.creatorDundules, Karen-
Autor(es): dc.creatorPazzinatto, Marcella F.-
Autor(es): dc.creatorFrancis, Matthew-
Autor(es): dc.creatorLannin, Natasha A.-
Autor(es): dc.creatorWallis, Jason A.-
Autor(es): dc.creatorCrossley, Kay M.-
Data de aceite: dc.date.accessioned2025-08-21T20:20:40Z-
Data de disponibilização: dc.date.available2025-08-21T20:20:40Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2021-09-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.ocarto.2021.100175-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/306635-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/306635-
Descrição: dc.descriptionObjective: Evaluate the implementation of Good Life with osteoArthritis from Denmark (GLA:D®) for knee osteoarthritis in Australia using the RE-AIM QuEST (Reach, Effectiveness, Adoption, Implementation, Maintenance Qualitative Evaluation for Systematic Translation) framework. Design: Physiotherapists completed surveys before and after GLA:D® training (2017–2020) to assess practices, and barriers and enablers to implementation. Patients completed online baseline, 3-month (post-treatment) and 12-month patient reported outcomes. Effective implementation was defined as within-participant moderate effect size (ES, ≥0.50) for average pain (100 ​mm VAS) and Knee Injury and Osteoarthritis Outcome Score quality of life scores (KOOS-QoL), and small effect size (≥0.20) for health-related quality of life (EQ-5D-5L). Results: Reach: 1064 physiotherapists and 1945 patients from all states and territories participated. Key barriers included out-of-pocket cost to patients, and program suitability for culturally and linguistically diverse communities. Effectiveness: Following training, more physiotherapists reported discussing treatment goals and weight management, and prescribing supervised, neuromuscular exercise. Patient outcomes at 3- and 12-months (n ​= ​1044 [54%] and 927 [48%]) reflected effective implementation, including reduced pain (ES, 95%CI ​= ​0.72, 0.62–0.84; and 0.65, 0.54–0.77) and improved KOOS-QoL (0.79, 0.69–0.90; and 0.93, 0.81–1.04) and EQ-5D-5L (0.43, 0.31–0.54; and 0.46, 0.35–0.58) scores. Adoption: 297 sites (264 private, 33 public) implemented GLA:D®. Implementation: Most patients completed at least one education (90%), and 10 exercise-therapy (78%) sessions. Adequate staffing to support program delivery was a key enabler. Maintenance: 99% of sites (293/297) continued offering the program in July 2020. Conclusion: Training changed practice and was associated with effective widespread implementation of GLA:D® in Australia.-
Descrição: dc.descriptionEuropean Research Council-
Descrição: dc.descriptionHorizon 2020-
Descrição: dc.descriptionLundbeckfonden-
Descrição: dc.descriptionRegion Sjælland-
Descrição: dc.descriptionNational Health and Medical Research Council-
Descrição: dc.descriptionNational Heart Foundation of Australia-
Descrição: dc.descriptionDepartment of Physiotherapy Podiatry and Prosthetics and Orthotics School of Allied Health Human Services and Sport La Trobe University-
Descrição: dc.descriptionLa Trobe Sport and Exercise Medicine Research Centre School of Allied Health Human Services and Sport La Trobe University-
Descrição: dc.descriptionDepartment of Surgery St Vincent's Hospital University of Melbourne-
Descrição: dc.descriptionDepartment of Sports Science and Clinical Biomechanics University of Southern Denmark-
Descrição: dc.descriptionThe Research Unit PROgrez Department of Physiotherapy and Occupational Therapy Næstved-Slagelse-Ringsted Hospitals-
Descrição: dc.descriptionLaboratory of Biomechanics and Motor Control School of Science and Technology Sao Paulo State University (UNESP)-
Descrição: dc.descriptionDepartment of Neuroscience Central Clinical School Monash University-
Descrição: dc.descriptionAlfred Health-
Descrição: dc.descriptionMonash Department of Clinical Epidemiology Cabrini Institute and Department of Epidemiology and Preventive Medicine School of Public Health and Preventive Medicine Monash University-
Descrição: dc.descriptionLaboratory of Biomechanics and Motor Control School of Science and Technology Sao Paulo State University (UNESP)-
Descrição: dc.descriptionNational Health and Medical Research Council: APP1119971-
Descrição: dc.descriptionNational Heart Foundation of Australia: GNT 102055-
Idioma: dc.languageen-
Relação: dc.relationOsteoarthritis and Cartilage Open-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectEducation-
Palavras-chave: dc.subjectExercise-
Palavras-chave: dc.subjectImplementation-
Palavras-chave: dc.subjectOsteoarthritis-
Palavras-chave: dc.subjectPhysiotherapy-
Palavras-chave: dc.subjectProgram evaluation-
Título: dc.titleProgram evaluation of GLA:D® Australia: Physiotherapist training outcomes and effectiveness of implementation for people with knee osteoarthritis-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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