Evidence map›Paper›PMID 39820549›Full record

ArticleRheumatology international2025

Evaluation of an e-self-management intervention (Happy Hands app) for hand osteoarthritis: Study protocol for a multicentre randomised controlled trial.

Anne Therese Tveter, Kristine Aasness Fjeldstad, Cecilie Varsi, Marit Kristin Maarnes, Stein Jarle Pedersen, Barbara S Christensen, Thalita Blanck, Sissel B Nyheim, Yeliz Prior, Mathilda Björk and 2 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Rheumatology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05568875 (Happy Hands - an E-self-management Intervention for People With Hand Osteoarthritis), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05568875 nacompletednot on this map

Happy Hands - an E-self-management Intervention for People With Hand Osteoarthritis

TypeinterventionalSponsorDiakonhjemmet HospitalRan2022 to 2024Enrolled386ConditionsHand OsteoarthritisArmse-self-management intervention (Happy Hands app), Treatment as usual
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Anne Therese TveterCenter for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Health Service Research and Innovation Unit, Oslo, Norway. a.t.tveter@medisin.uio.no.ORCID 0000-0003-1701-9835
Kristine Aasness FjeldstadCenter for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Health Service Research and Innovation Unit, Oslo, Norway.ORCID 0009-0009-3288-289X
Cecilie VarsiFaculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway.ORCID 0000-0001-5257-7993
Marit Kristin MaarnesDepartment of Medical Services, Unit for Clinical Activity, Diakonhjemmet Hospital, Oslo, Norway.ORCID 0009-0009-2049-6756
Stein Jarle PedersenFaculty of Medicine, University of Oslo, Oslo, Norway.ORCID 0009-0009-5587-5350
Barbara S ChristensenDivision of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway.ORCID 0009-0009-3469-346X
Thalita BlanckCenter for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Health Service Research and Innovation Unit, Oslo, Norway.ORCID 0009-0008-5544-3737
Sissel B NyheimNorwegian Rheumatology Association, Oslo, Norway.ORCID 0009-0006-4926-3081
Yeliz PriorCentre for Human Movement and Rehabilitation, School of Health and Society, University of Salford, Salford, UK.ORCID 0000-0001-9831-6254
Mathilda BjörkPain and Rehabilitation Center, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0002-1607-187X
Tim PelleDepartment of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-6862-5910
Ingvild KjekenCenter for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Health Service Research and Innovation Unit, Oslo, Norway.ORCID 0000-0002-3971-2852

Funding

EkstraStiftelsen Helse og Rehabilitering (Stiftelsen Dam) 22/FO387170Norges Forskningsråd 328657
6 · The paper itself

Abstract

objectiveThis protocol paper describes the rationale and design of a randomised controlled trial (RCT) that aims to evaluate the (cost-)effectiveness of a 12 week e-self-management intervention (Happy Hands app) in people with hand osteoarthritis (HOA).

methodsIn this multicentre RCT, 376 people with HOA will be recruited from all four health regions in Norway. Consenting participants will be randomly allocated to either a control group receiving usual care or an intervention group receiving the Happy Hands app in addition to usual care. Primary outcome will be measured at 3-months follow-up as the proportion of participants classified as OMERACT-OARSI responders (a composite score comprising change in pain, function, and disease activity), analysed using logistic regression. Secondary outcomes, including pain, hand function, stiffness, quality-of-care, health-related quality-of-life, grip strength, adherence and healthcare costs will be measured at 3- and 6-months follow-up.

resultsRecruitment was initiated in November 2022 with a total of 386 participants recruited by August 2023, 194 in the intervention group and 192 in the control group. Data collection was completed in February 2024. DISCUSSION: To our knowledge, this is one of the first large-scale, multicentre RCTs assessing the (cost-)effectiveness of a self-management program delivered through a smartphone app for people with HOA. The results from this trial can enhance our understanding of the role technology can play in managing HOA.

trial registrationNCT05568875 ( https://clinicaltrials.gov/study/NCT05568875 , pre-registered October 3, 2022).

Indexed as

Hand JointsMobile ApplicationsOsteoarthritisSelf-ManagementCost-Benefit AnalysisFemaleHand StrengthHumansMaleMiddle AgedMulticenter Studies as TopicNorwayQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeEHealthHand exercisesHand osteoarthritisMHealthRandomized controlled trialSmartphone app

Identifiers

PMID39820549
PMCPMC11739180

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.