OBJECTIVE: This study assessed the feasibility and preliminary efficacy of an online-assisted, occupational therapist-delivered, cognitive-behavioral therapy intervention to promote physical function in patients with knee osteoarthritis (KOA). METHOD: Fifty-seven participants with KOA were randomized 2:1 to the Engage program (eight clinic-based sessions supported by online modules) or usual care. Using analysis of covariance, we estimated Engage's effect on physical function (Western Ontario and McMaster Universities Osteoarthritis Index's Physical Function subscale (WOMAC-PF)) at 6 mo. RESULTS: Data were analyzed on 46 completers. Engage was associated with a small effect (partial-eta2 = 0.01) on the WOMAC-PF. More Engage participants than controls reported much or very much improvement (45% versus 13%; p = 0.03). Satisfaction was high, and 30 of 31 participants attended six sessions or more. CONCLUSION: An online-supported cognitive-behavioral program for people with KOA delivered by occupational therapists is feasible and may contribute to improved physical function.
Copyright by the Amerrican Occupational Therapy Association Inc. Reprinted with permission.

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