Effects of an eLearning course for patients on osteoarthritis knowledge and pain self-efficacy in people with hip and/or knee osteoarthritis: A randomised controlled trial.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2025;13(22):13 Patient Educ Couns . 2025 Aug:137:108792.¿Qué significa esto para mi consulta?
A structured, patient-informed eLearning course substantially improves OA knowledge but does not increase pain self-efficacy and produces only modest secondary behavioral benefits. Clinically, this suggests eLearning is an efficient tool for scalable OA education but likely needs to be paired with clinician support or additional strategies to influence long-term self-management behaviors. Limitations include a highly motivated, technologically confident sample and declining course engagement, which may reduce generalizability.
Resumen del estudio
One hundred and twenty-four adults with hip and/or knee osteoarthritis (OA) were randomized to receive either a 4-week interactive eLearning program (n=62) or an electronic OA information pamphlet (n=62). The primary outcomes were changes in OA knowledge (OAKS) and pain self-efficacy (ASES pain) over 5 weeks. Secondary outcomes included exercise self-efficacy, fear of movement, OA illness perceptions, physical activity levels, and use of various self-management behaviors. Outcomes were assessed at 5 and 13 weeks. Overall, the results of the study revealed that eLearning produced significantly greater improvements in OA knowledge at both 5 and 13 weeks but had no effect on pain self-efficacy. Small benefits in exercise self-efficacy, illness perceptions, fear of movement, and weight-loss behaviors also favored eLearning. These findings suggest that a structured eLearning course can effectively enhance OA knowledge, though its impact on self-efficacy and behavior change is more limited.
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