# Consumer‐Focused Osteoarthritis e‐Learning to Complement Physiotherapy Care in People With Knee Osteoarthritis: Protocol for the PEEKO Randomised Controlled Trial

## TL;DR

This study tests if adding an online course to standard physiotherapy care improves knee pain and function in people with osteoarthritis.

## Contribution

The study introduces a consumer-focused e-learning course as a supplement to traditional physiotherapy for knee osteoarthritis.

## Key findings

- The trial will assess if e-learning improves pain and physical function outcomes at 24 weeks.
- Secondary outcomes include quality of life, exercise self-efficacy, and medication use.
- The study compares two groups: one with e-learning and one without.

## Abstract

To investigate whether the addition of a consumer e‐learning course to verbal information on OA and a home strengthening exercise programme prescribed by a physiotherapist enhances pain and/or physical function outcomes at 24 weeks in people with knee OA.

Primary outcomes are (i) severity of knee pain while walking (11‐point numeric rating scale) at 24 weeks and (ii) physical function at 24 weeks using the Western Ontario and McMaster Universities Osteoarthritis Index subscale. Secondary outcomes include measures of knee‐related quality of life; sport and recreation; self‐efficacy for exercise; pain self‐efficacy; physical activity levels; OA knowledge; perceptions of OA (illness perceptions); fear of movement; belief in the inevitability of needing a knee joint replacement; global rating of change; satisfaction with treatment; exercise adherence; and use of recommended OA self‐management approaches and oral pain medication.

Two‐arm parallel‐design superiority randomised controlled trial. One hundred thirty‐six community dwelling Australian adults with clinically diagnosed knee OA will be randomly allocated into one of two groups: (i) verbal OA education and a home strengthening programme (control) or (ii) the same intervention plus access to a freely available 4‐module e‐learning course on OA and its recommended management (e‐learning group). Both groups will receive the same scripted verbal OA information and a lower limb strengthening programme over two 30‐min video consultations with a physiotherapist over six weeks. Those in the e‐learning group will receive access to the e‐learning course from their physiotherapist.

Primary outcomes are (i) severity of knee pain while walking (11‐point numeric rating scale) at 24 weeks and (ii) physical function at 24 weeks using the Western Ontario and McMaster Universities Osteoarthritis Index subscale. Secondary outcomes include measures of knee‐related quality of life; sport and recreation; self‐efficacy for exercise; pain self‐efficacy; physical activity levels; OA knowledge; perceptions of OA (illness perceptions); fear of movement; belief in the inevitability of needing a knee joint replacement; global rating of change; satisfaction with treatment; exercise adherence; and use of recommended OA self‐management approaches and oral pain medication.

This RCT evaluates whether supplementing physiotherapy care with consumer‐focused e‐learning improves outcomes for people with knee OA.