Biography

A M Davis published latest article in Osteoarthritis and cartilage entitled Cross-cultural adaptation and implementation of Good Life with osteoarthritis in Denmark (GLA:D?): group education and exercise for hip and knee osteoarthritis is feasible in Canada. This article is available in PubMed with an unique identification number PMID: 29146385 and it is published in 2018. The coauthors of this article are Davis AM, Kennedy D, Wong R, Robarts S, Skou ST, McGlasson R, Li LC, Roos E.


Research Interest

Healthcare


Latest Publication Details

Article Title: Cross-cultural adaptation and implementation of Good Life with osteoarthritis in Denmark (GLA:D?): group education and exercise for hip and knee osteoarthritis is feasible in Canada.

Co-Author(s): Davis AM, Kennedy D, Wong R, Robarts S, Skou ST, McGlasson R, Li LC, Roos E

Affiliation(s): Health Care and Outcomes Research, Krembil Research Institute, University Health Network and Institute of Health Policy, Management and Evaluation and Department of Physical Therapy, University of Toronto, Toronto, Canada. Electronic address: adavis@uhnresearch.ca.

PMID 29146385, Year 2018

Abstract: Adapt and evaluate the feasibility of implementing Good Life with osteoArthritis in Denmark (GLA:DTM) in Canada for people with mild to severe hip/knee osteoarthritis.Patients triaged to non-surgical management participated in two education sessions and 12 supervised, neuromuscular exercise classes. We used the RE-AIM implementation framework evaluating outcomes of Reach, Effectiveness/Efficacy, Adoption, Implementation and Maintenance. Patients completed surveys pre-program and at 3 months follow-up. Program fidelity was evaluated at four observations against a priori criteria. We conducted semi-structured interviews with therapists post-program.72 patients consented to participate, 59 started the program and one withdrew on physician advice. The remaining 58 provided follow-up data. Mean age was 67 years; 78% were female and 52% had body mass index (BMI) >25. The effect of the program was demonstrated: 40% improvement in pain with 59% achieving a clinically important improvement of ?2 points on the Numeric Pain Rating scale. Statistically significant improvement also occurred in the Hip disability/Knee injury and Osteoarthritis Outcome Score subscales. 24% reported increased physical activity. Program fidelity was demonstrated with all criteria met. Therapists emphasized that rolling recruitment allowed appropriate supervision and resulted in participants encouraging each other. 99% of participants indicated they benefitted from and were satisfied with the program and 90% reported using the knowledge daily. 52% were willing to pay >$250 Cdn for the program.GLA:DTMimplementation was feasible in the Canadian context with results similar to those of >7,000 participants in Denmark. Implementation and evaluation of GLA:DTMCanada is now occurring nationally.

Journal: Osteoarthritis and cartilage

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