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Activity Increase Despite Arthritis: developing and evaluating an active management booklet for hip and knee pain
ISRCTN ISRCTN24554946
ClinicalTrials.gov identifier
Public title Activity Increase Despite Arthritis: developing and evaluating an active management booklet for hip and knee pain
Scientific title Developing an active management booklet for hip and knee pain: an interventional single centre randomised controlled trial
Acronym AIDA
Serial number at source SPON381-07
Study hypothesis Evidence-based booklet for older patients with hip or knee pain encourages physical activity and promoting autonomy.
Ethics approval North East Wales Research Ethics Committee approved on 28th February 2008 (ref: 08/WNo03/5)
Study design Interventional randomised controlled single-centre study
Countries of recruitment United Kingdom
Disease/condition/study domain Osteoarthritis of hip and knee
Participants - inclusion criteria 1. Patients over 50 years old, either sex
2. Presenting in primary care with hip or knee pain within the last 12 months

Inclusion will not be dependent upon any diagnostic criteria for osteoarthritis, as these are inconsistently applied in primary care populations.
Participants - exclusion criteria 1. Inflammatory joint disease
2. Fractures
3. Arthroplasty referral
4. Prescription of potent opioid analgesia

Patients who have already participated in the focus groups and cognitive debriefing interviews will be excluded from the trial.
Anticipated start date 20/01/2009
Anticipated end date 30/06/2009
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 200 patients in total from four practices, 100 with hip pain, 100 with knee pain
Interventions Participants randomised to the intervention arm will receive new educational booklet. Participants randomised to the control arm will receive a patient information booklet about osteoarthritis produced by the Arthritis Research Campaign (ARC) at 1 month and 3 months follow-up.
Primary outcome measure(s) 1. Illness beliefs will be measured with the hip and knee pain beliefs questionnaire (HKBQ) measuring illness beliefs; score (1 = strongly disagree, 5 = strongly agree) at baseline, 1 month and 3 months follow-up
2. Treatment beliefs will be measured with a modified Exercise Attitude Questionnaire-18 (EAQ-18); score (1 = strongly disagree, 5 = strongly agree) at baseline, 1 month and 3 months follow-up
Secondary outcome measure(s) 1. Western Ontario McMaster University Arthritis Index (WOMAC) measuring pain, stiffness and difficulty performing daily activities; score (0 = no pain, no stiffness, no difficulty; 10 = extreme pain, extreme stiffness, extreme difficulty) at baseline, 1 month and 3 months follow up
2. Tampa Scale for Kinesiophobia measuring fear of movement/re-injury; score on 4 point likert scale from strongly disagree to strongly agree at baseline, 1 month and 3 months follow-up
3. 12-item short form health survey (SF-12) measuring health and well-being by indicating which statement best describes your health at baseline, 1 month and 3 month follow-up
4. EQ-5D, a measure of health utility by indicating which statement describe health state at baseline, 1 month and 3 months follow-up
5. Client Service Inventory (CSRI) asking about contact with health care services at 3 months follow-up
6. International Physical Activity Questionnaire (IPAQ), a measure of physical activity at baseline, 1 month and 3 months follow up
Sources of funding Wales Office of Research and Development for Health and Social Care (WORD) (UK) (ref: 06/2/234)
Trial website
Publications 2009 protocol in http://www.ncbi.nlm.nih.gov/pubmed/19732415
Contact name Dr  Nefyn  Williams
  Address Department of Primary Care and Public Health
Cardiff University
School of Medicine
North Wales Clinical School
Gwenfro Unit 6/7
Wrexham Technology Park
  City/town Wrexham
  Zip/Postcode LL13 7YP
  Country United Kingdom
  Tel +44(0)1978 727 430
  Email williamsnh@cf.ac.uk
Sponsor Cardiff University (UK)
  Address Newport Road
  City/town Cardiff
  Zip/Postcode CF24 0DE
  Country United Kingdom
  Email AmoakwaEN@cardiff.ac.uk
  Sponsor website: http://www.cardiff.ac.uk
Date applied 18/05/2009
Last edited 08/12/2009
Date ISRCTN assigned 02/07/2009
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