Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
NA
60 participants
INTERVENTIONAL
2025-09-30
2026-06-30
Brief Summary
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This study will not assess the effectiveness of the program, as it is not designed or powered to do so. Instead, the information gathered will be used to refine the trial design and ensure the future full-scale trial that will assess the effectiveness of the program is robust and successful. The acceptability of the new Joint Protection Program will be assessed through a survey that will be administered to the intervention group at the end of the trial, which will be based on a standardized acceptability framework
Participants will:
Gain access to an online Joint Protection Program or continue to receive usual care for 12 weeks Visit the clinic or complete online assessments once every 4 weeks Keep a diary of their symptoms and the number of times they used other interventions to manage their symptoms (i.e. painkillers)
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Detailed Description
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Joint protection refers to a set of techniques and strategies that help reduce stress on the joints, manage pain, and prevent further joint damage. These techniques are particularly important for people with hand arthritis, as the small joints in the hands are often affected, leading to pain, stiffness, and difficulty performing daily tasks. Key principles of joint protection include:
1. Using larger, stronger joints whenever possible (e.g., using the forearm instead of the fingers to push open a door).
2. Reducing strain by spreading the load across multiple joints (e.g., carrying items with two hands instead of one).
3. Avoid tight gripping or pinching motions that can overstrain the joints.
4. Incorporating assistive devices to reduce effort during tasks (e.g., jar openers or ergonomic tools).
5. Pacing and prioritizing activities to avoid overuse of the joints and allow for adequate rest.
By adopting these strategies, people with hand arthritis can minimize discomfort and preserve their ability to perform daily activities. This research is important because hand arthritis can make everyday tasks-like opening jars, getting dressed, or gardening-painful and difficult. Current resources for managing arthritis often lack a focus on practical, evidence-based strategies tailored to the needs of people with hand arthritis.
This feasibility study will test the practicality of running a future full-scale randomized controlled trial and the acceptability of the intervention. The feasibility testing includes evaluating key trial processes such as recruitment rates (how many people agree to participate), randomization (how well participants are assigned to groups), attrition rates (how many people stay in the study until the end), adherence (whether participants follow the program as intended), and clinical outcome completion rates (how many participants complete the required assessments). The acceptability of the intervention will be assessed through a survey that will be administered to the intervention group at the end of the trial, which will be based on a standardized acceptability framework. Importantly, this study will not assess the effectiveness of the program, as it is not designed or powered to do so. Instead, the information gathered will be used to refine the trial design and ensure the future full-scale trial is robust and successful.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Joint Protection Program
The content will be organised into 6 modules (4 asynchronous, 2 live modules). Each module will focus on specific principles or activities.
The first two modules will present general information on Hand Osteoarthritis and Joint Protection Principles, and the third module will be activity-based and will go through different tasks including Activities of Daily Living, Occupational Activities, Household Chores, Hobbies, and Various Functional Everyday Activities. The fourth module will be pre-recorded, and it will include a patient partner talking about their experiences living with hand osteoarthritis.
The two live modules will happen bi-weekly interchangeably. The first module will be a community of practice, where people will get together and exchange information on tools, strategies, and resources for hand osteoarthritis. The second module will include open Q\&A sessions, where patients will get the chance to talk to a clinician and ask questions about managing hand osteoarthritis.
Helping Hand - Joint Protection Program
Joint protection refers to a set of techniques and strategies that help reduce stress on the joints, manage pain, and prevent further joint damage. These techniques are particularly important for people with hand arthritis, as the small joints in the hands are often affected, leading to pain, stiffness, and difficulty performing daily tasks. Key principles of joint protection include:
1. Using larger, stronger joints whenever possible (e.g., using the forearm instead of the fingers to push open a door).
2. Reducing strain by spreading the load across multiple joints (e.g., carrying items with two hands instead of one).
3. Avoid tight gripping or pinching motions that can overstrain the joints.
4. Incorporating assistive devices to reduce effort during tasks (e.g., jar openers or ergonomic tools).
5. Pacing and prioritizing activities to avoid overuse of the joints and allow for adequate rest
Waitlist
The participants in this group will continue to receive Standard Care and they will be offered access to the program after the end of the 12 weeks.
No interventions assigned to this group
Interventions
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Helping Hand - Joint Protection Program
Joint protection refers to a set of techniques and strategies that help reduce stress on the joints, manage pain, and prevent further joint damage. These techniques are particularly important for people with hand arthritis, as the small joints in the hands are often affected, leading to pain, stiffness, and difficulty performing daily tasks. Key principles of joint protection include:
1. Using larger, stronger joints whenever possible (e.g., using the forearm instead of the fingers to push open a door).
2. Reducing strain by spreading the load across multiple joints (e.g., carrying items with two hands instead of one).
3. Avoid tight gripping or pinching motions that can overstrain the joints.
4. Incorporating assistive devices to reduce effort during tasks (e.g., jar openers or ergonomic tools).
5. Pacing and prioritizing activities to avoid overuse of the joints and allow for adequate rest
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
ALL
No
Sponsors
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The Arthritis Society, Canada
OTHER
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
OTHER
Responsible Party
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Locations
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Roth | McFarlane Hand and Upper Limb Centre (HULC)
London, Ontario, Canada
Countries
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Central Contacts
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Facility Contacts
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Dimitra Pouliopoulou, PT, MSc
Role: backup
Other Identifiers
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15417
Identifier Type: -
Identifier Source: org_study_id
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