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Evaluating Osteoarthritis Management Programs: outcome domain recommendations from the OARSI Joint Effort Initiative
K D Allen1, K Huffman2, R J Cleveland2
1Department of Medicine & Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, USA; Durham Department of Veterans Affairs Health Care System, USA.
Osteoarthritis and Cartilage
|March 9, 2023
Summary
The ability to participate in daily activities is the core domain for evaluating Osteoarthritis Management Programs (OAMPs). Optional domains also exist to comprehensively assess OAMP effectiveness for hip and knee osteoarthritis.
Area of Science:
- Rheumatology and Musculoskeletal Health
- Health Services Research
- Program Evaluation
Background:
- Osteoarthritis Management Programs (OAMPs) require standardized evaluation methods.
- Existing frameworks may lack comprehensive domains for describing and assessing OAMPs, particularly for hip and knee osteoarthritis.
Purpose of the Study:
- To develop consensus-based core and optional recommended domains for evaluating Osteoarthritis Management Programs (OAMPs).
- To establish a framework for assessing the effectiveness of OAMPs focusing on hip and knee osteoarthritis.
Main Methods:
- A 3-round modified Delphi survey was conducted with international stakeholders, including patients, clinicians, and administrators.
- Participants ranked and rated the importance and essentiality of 75 domains across five categories.
- Consensus criteria (≥80% agreement) were used to define core and optional recommended domains.
Main Results:
- One core domain, "ability to participate in daily activities," was identified.
- Twenty-five optional domains were recommended across five categories: Patient Impacts (8), Implementation Outcomes (5), Participant Characteristics (5), OAMP Characteristics (3), and Clinician Characteristics (4).
Conclusions:
- The "ability to participate in daily activities" is a critical outcome for all OAMPs.
- Optional domains should be considered for comprehensive OAMP evaluation, tailored to local stakeholder priorities and context.
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