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Evaluation of the functional goal-setting and self-management tool for osteoarthritis, a patient-centred tool to improve osteoarthritis care.

Authors
  • Sathe, Nila A1
  • Polacek, Cate1
  • Christopher, Roni1
  • Simonson, Julie K2
  • Udall, Margarita2
  • Anderson, Misty1
  • 1 Premier Applied Sciences, Premier, Inc., Charlotte, North Carolina, USA.
  • 2 Pfizer Medical Affairs, Pfizer Inc., New York, New York, USA.
Type
Published Article
Journal
Musculoskeletal care
Publication Date
Jun 01, 2022
Volume
20
Issue
2
Pages
396–402
Identifiers
DOI: 10.1002/msc.1587
PMID: 34514720
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Recent American College of Rheumatology guidelines emphasise functional improvement as part of osteoarthritis (OA) management. We developed and evaluated a tool to promote provider and patient engagement in functional goal setting in OA care. We developed the Functional Goal-setting And Self-management Tool (FAST-OA) with clinician input and pilot tested it in two US outpatient clinics. Baseline and end-of-project surveys addressed attitudes toward incorporating function into care and tool evaluation. We analysed survey data descriptively. Nineteen providers and 49 patients completed surveys. At baseline, both groups endorsed the importance of functional assessment and goal setting. Providers perceived challenges to patients' ability to communicate about function. Both patients and providers highly valued the FAST-OA to promote collaborative discussion and prioritising function. More than half of both groups agreed that they would recommend it to others. End-of-project results suggested changes in provider attitudes toward patients' ability to communicate functional progress. While participants valued the FAST-OA, streamlining content may foster ongoing use. This pilot study illustrates the potential of a function-focused, patient-facing tool to introduce self-management goal-setting strategies into busy clinical workflow, foster the provider-patient relationship, and encourage alignment with guidelines. These results can inform tailoring of tools for use in practice and to address needs of patients and providers optimally. © 2021 John Wiley & Sons Ltd.

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