The effect of tele-rehabilitation nursing on the pain, joint stiffness, physical functions of knees and Health locus of control (HLC) among persons with knee osteoarthritis

Determining the effect of tele-rehabilitation nursing on the pain, joint stiffness, physical functions of knees and Health locus of control (HLC) among persons with knee osteoarthritis

A clinical trial with a control group, with parallel groups, single blind, randomized on 36 patients

After receiving ethics code and IRCT code, In the Imam Reza Clinic and Shahid Rajaei Hospital located in Shiraz, after reviewing the existing files based on the entry and exit criteria, called people to enter the study via SMS or phone call. Will then be assigned to the intervention and control groups by a 4-block randomization method. People will not know which group they belong to (blind one-way blinding)

Major admission requirements: Primary osteoarthritis of the knee, ages 18-60, chronic knee pain over the past three months, no disease-related surgery, or no intra-articular injection in the knee for the past three months, having a smartphone and internet access. Major conditions of non-entry: Concomitant treatment with physiotherapy, chiropractic or acupuncture, secondary osteoarthritis of the knee, history of trauma, severe cognitive or psychological disorder.

In the intervention group, in addition to routine visits and care, they receive multidisciplinary tele-rehabilitation care in the form of 8 Absentee meeting using the Internet and via a smartphone with WhatsApp platform. this program includes training and performance improvement in 3 dimensions: 1- The nature, symptoms and problems of the disease and methods of controlling them 2- Care related to diet and medication 3- Exercise. Then, for 6 weeks, people will exercise 3 times a week and perform rehabilitation care and will be followed up by phone.

pain, joint stiffness, physical functions of knees, Health locus of control (HLC)

Volunteers are assigned to one of the two groups of control and intervention using block randomization (A form of restricted randomization). Blocking is usually used to balance the number of samples assigned to each of the study groups. This feature helps researchers to equate the number of samples assigned to each of the study groups in cases where intermediate analyzes are required during the sampling process. The size of all blocks is equal and in this two-group experiment we will have 4 blocks (including 2 participants in the intervention group and 2 participants in the control group). Randomization tools are also available from the website https://www.sealedenvelope.com) A useful site for generating a random sequence will be used for Block randomization. For concealment, random allocation concealment will be used, which is the method used to execute a random sequence on the study participants, so that the assigned group is not known before the individual is assigned. Using opaque envelopes sealed with a random sequence, in this method, each of the random sequences created is recorded on a card and the cards are placed inside the envelopes in order. In order to maintain a random sequence, the envelopes are numbered in the same way on the outer surface. Finally, the letter envelopes are glued and placed in a box, respectively. At the beginning of the registration of participants, one of the envelopes of the letter will be opened, respectively, based on the order in which the eligible participants enter the study. After the random assignment concealment method, in order to protect their personal information, the subjects' names are entered in a booklet along with a numeric code that is not related to their national code or ID number or personnel number, and all information is based on computers, forms and analyzes. It is a numerical code and the booklet will only be kept safe by the researcher and out of the reach of others, and the information reported in the research will not be such that the identities of the subjects can be ascertained.

To reduce bias or bias related to the intervention and evaluate the consequences, the method of blind or covering a single blind blind is followed, with this method, the outcome can be measured objectively. In this method, the trial is planned in such a way that the participant does not know which of the two control or test groups belongs to. Because both groups go to the doctor according to routine visits and are routinely treated and ask the nurse and the doctor any questions they have about the disease and care. In addition, both groups are given a pamphlet on the set of nursing care related to the disease.

study protocol, information about the type of intervention, location, participants, statistical analysis (formula used and calculations and related tables), informed consent form, study report on whether the intervention was effective or not, and information about the main outcome

The access period starts 7 months after the results are published

Researchers working in academic and scientific institutions as well as personnel working in hospitals and other rehabilitation centers

To educate patients To increase self-care For guidance for similar research works To improve health Access conditions: People who have a valid certificate of qualified people (researchers or medical personnel) mentioned in the box above.

Fatemeh Keshavrazian, contact number 00989107000794 Email address: mahsakeshavarzian27@gmail.com

Review of the application by the principal investigator Examination of the application by the scientific officer Review by tutors and advisors

Greetings and Regards. The above study is related to my master's thesis, if possible, check my request as soon as possible. Thank you very much