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Rehabilitation Applications Based on Behavioral Therapy for People With Knee Osteoarthritis: Systematic Review
Dian Zhu1, Jianan Zhao1, Mingxuan Wang1
1School of Design, Shanghai Jiao Tong University, Shanghai, China.
JMIR Mhealth and Uhealth
|May 2, 2024
Summary
Digital apps using behavioral therapies show promise for knee osteoarthritis (KOA) management. Combining techniques like goal setting and repetition, alongside multi-channel communication, effectively improves pain, function, and physical activity for KOA patients.
Area of Science:
- Digital health interventions
- Rehabilitation technologies
- Behavioral science in healthcare
Background:
- Knee osteoarthritis (KOA) management is increasingly leveraging digital applications.
- Behavioral therapies are central to these digital tools for patient support.
- This review systematically examines digital applications for KOA patients.
Approach:
- Systematic literature search (Jan 2013-July 2023) using keywords: Knee Osteoarthritis, Behavior Therapy, Digitization.
- Databases searched: Web of Science, Embase, Science Direct, Ovid, PubMed.
- Mixed Methods Assessment Tool (MMAT) for quality assessment; data extracted by two researchers.
Key Points:
- 36 studies analyzed, frequently combining behavioral change techniques (BCTs) and cognitive behavioral therapy (CBT).
- Prevalent techniques: goals and planning (n=31), repetition and substitution (n=27) for physical activity (PA) adherence.
- Most common strategy: app/website + SMS/telephone/email (n=12), showing benefits in pain mitigation (n=24), reduced dysfunction (n=21), and increased PA (n=12).
Conclusions:
- "Goals and planning" and "repetition and substitution" are key for PA goals and adherence.
- Integrated digital strategies (app/website + messaging) show significant potential.
- Stakeholder involvement in design is crucial for user experience and addressing application shortcomings.
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