Exploring individuals’ perspectives on participating in a feasibility trial assessing a combined program of education plus exercise versus general advice for ankle osteoarthritis
Year: 2025
Type: article
Abstract: BACKGROUND: The effectiveness of exercise and education in individuals with ankle osteoarthritis (OA) has not been investigated, and their perspectives on these interventions remain underexplored. OBJECTIVE: To understand the experiences of individuals with ankle OA on participating in a feasibility trial comparing general advice and education plus exercise and their views on such interventions. DESIGN: Descriptive qualitative study. METHODS: We invited adults with ankle OA who participated in a feasibility trial for an interview. Data were transcribed, de-identified and analysed using Reflexive Thematic Analysis. RESULTS: We interviewed twenty-two participants (age range 45-84 years, 14 females) and identified three themes: 1) The trial team made the trial a great experience, with some room for improvement (e.g., online weekly diaries, access to assessment results); 2) Both general advice and education plus exercise interventions can have a meaningful impact on participants' lives. For some who received general advice, the physiotherapy assessment and the advice received were catalysts for change, while exercise was expected and enjoyable for those who received education plus exercise. However, some thought the general advice and education did not add to their existing knowledge; 3) Lack of discipline and 'life' aspects (e.g., being a student, getting sick) can hinder participation. CONCLUSION: Participants in a feasibility study comparing general advice and education plus exercise had a positive experience with the trial processes, research team, physiotherapists and exercise program. However, perspectives on general advice and education varied, and they had suggestions for improvement that should be considered in future ankle OA trials.
Authors: Nathalia Costa, Bill Vicenzino, Viana Vuvan, Natalie J. Collins, Melinda M. Franettovich Smith, Melinda M. Franettovich Smith, Zachary Southern, Tim Duffy, Alexander Downie, David J. Hunter, Michelle D. Smith, Michelle D. Smith
Language: English
Subfield: Pharmacology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,500
Funder: Arthritis Australia
OpenAlex ID: W4413302919