BABS (Becoming Active in Overcoming Osteoarthritis): A Cluster Randomized Controlled Trial Assessing an Educational Initiative to Enhance Osteoarthritis Management in Dutch General Practices - Scorecard - MDSpire
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BABS (Becoming Active in Overcoming Osteoarthritis): A Cluster Randomized Controlled Trial Assessing an Educational Initiative to Enhance Osteoarthritis Management in Dutch General Practices
Clinical Scorecard: BABS (Becoming Active in Overcoming Osteoarthritis): A Cluster Randomized Controlled Trial Assessing an Educational Initiative to Enhance Osteoarthritis Management in Dutch General Practices
At a Glance
Category
Detail
Condition
Knee and Hip Osteoarthritis (KHOA)
Key Mechanisms
Educational campaign promoting positive beliefs and adherence to non-surgical treatments using evidence-based persuasive communication techniques
Target Population
Patients with knee and hip osteoarthritis and their healthcare providers in Dutch general practices
Care Setting
Primary care (general practices) with referral to secondary care as needed
Key Highlights
Osteoarthritis is a leading cause of disability with underutilization of effective non-surgical treatments.
Negative patient and healthcare provider beliefs contribute to poor adherence and premature surgical referrals.
The BABS campaign uses multi-modal education to improve knowledge, beliefs, and management of OA in primary care.
Guideline-Based Recommendations
Diagnosis
Early diagnosis of OA with clear communication to counter misconceptions such as OA being 'wear and tear' or normal aging.
Management
Use stepped-care approach prioritizing non-surgical treatments before surgery.
Provide consistent, evidence-based patient education on OA and treatment options.
Promote physical activity and self-management strategies.
Monitoring & Follow-up
Assess patient beliefs and adherence to non-surgical treatments regularly.
Monitor healthcare utilization patterns to optimize referral timing to secondary care.
Risks
Avoid premature surgical referrals due to underuse or misunderstanding of non-surgical options.
Address conflicting information from different healthcare providers to prevent poor adherence.
Patient & Prescribing Data
Individuals with knee and hip osteoarthritis attending Dutch general practices
Educational interventions targeting both patients and healthcare providers can improve beliefs about non-surgical treatments, increase physical activity, and potentially reduce unnecessary secondary care referrals.
A long-term cohort study found that obesity was not associated with worse patient-reported outcomes or higher reoperation rates following total ankle replacement in optimized surgical candidates.
