Occupational Therapist-Delivered Cognitive-Behavioral Therapy for Knee Osteoarthritis: A Randomized Pilot Study.


Journal Article

OBJECTIVE: This study assessed the feasibility and preliminary efficacy of an online-assisted, occupational therapist-delivered, cognitive-behavioral therapy intervention to promote physical function in patients with knee osteoarthritis (KOA). METHOD: Fifty-seven participants with KOA were randomized 2:1 to the Engage program (eight clinic-based sessions supported by online modules) or usual care. Using analysis of covariance, we estimated Engage's effect on physical function (Western Ontario and McMaster Universities Osteoarthritis Index's Physical Function subscale [WOMAC-PF]) at 6 mo. RESULTS: Data were analyzed on 46 completers. Engage was associated with a small effect (η² = 0.01) on the WOMAC-PF. More Engage participants than controls reported much or very much improvement (45% vs. 13%; p = .03). Satisfaction was high, and 30 of 31 participants attended six sessions or more. CONCLUSION: An online-supported cognitive-behavioral program for people with KOA delivered by occupational therapists is feasible and may contribute to improved physical function.

Full Text

Duke Authors

Cited Authors

  • Murphy, SL; Janevic, MR; Lee, P; Williams, DA

Published In

Volume / Issue

  • 72 / 5

Start / End Page

  • 7205205040p1 - 7205205040p9

PubMed ID

  • 30157016

Pubmed Central ID

  • 30157016

International Standard Serial Number (ISSN)

  • 0272-9490

Digital Object Identifier (DOI)

  • 10.5014/ajot.2018.027870


  • eng

Conference Location

  • United States