Publications by authors named "Jonathan Room"

Objectives: The OsteoPorosis Tailored exercise adherence INtervention (OPTIN) trial is a two-arm, multi-centre randomised controlled trial. It compares the effectiveness of physiotherapy exercise rehabilitation with integrated support for exercise adherence, to physiotherapy exercise rehabilitation alone, for people with vertebral fragility fracture (VFF) and back pain. This paper describes the development of the physiotherapist-led adherence enhanced intervention.

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Article Synopsis
  • The study aimed to identify key unanswered questions about preventing, diagnosing, treating, and rehabilitating first-time soft-tissue knee injuries in children and adults.
  • Using the James Lind Alliance methodology, over 1,000 questions were gathered from patients and healthcare professionals in the UK, narrowing down the inquiries to 74 based on common concerns.
  • The final ranking revealed the top ten priorities for future research, with the top question addressing the urgency of treatment for optimal outcomes, which has been submitted to the National Institute for Health and Care Research.
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Introduction: Exercise is a widely used treatment modality for older people with musculoskeletal conditions. The effectiveness of exercise programmes is limited by adherence. The aims of this study were to examine the acceptability and feasibility of the AERO intervention in facilitating exercise adherence in older people with musculoskeletal conditions, and to inform the design of a future randomised controlled trial.

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Introduction: Vertebral fragility fractures affect at least 20% of the older population in the UK. Best practice guidelines recommend the use of exercise to slow the rate of bone loss, to maintain muscle strength and physical function, and to prevent falls and further fractures. However, treatment effects are often small and difficult to sustain and adherence, or the extent to which patients engage in treatment, has been identified as an important issue by many studies.

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Objectives: The aim of this study was to explore physiotherapists' perceptions of how patients' adherence and non-adherence to recommended exercise affects their practice.

Design: A qualitative study with a focus group and semi-structured interviews. The focus group and interviews were audio recorded and transcribed verbatim.

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Objectives: To evaluate whether a home-based rehabilitation programme for people assessed as being at risk of a poor outcome after knee arthroplasty offers superior outcomes to traditional outpatient physiotherapy.

Design: A prospective, single-blind, two-arm randomised controlled superiority trial.

Setting: 14 National Health Service physiotherapy departments in the UK.

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Introduction: Historically persons with haemophilia (PWH) were not encouraged to participate in exercise due to the risk of bleeding and the lack of factor products available. This has now changed, and the availability of safe products allows PWH to be active and participate in sports. Studies have found that exercise has a positive effect on pain, joint health and movement with PWH.

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Objectives: To conduct a systematic review of interventions used to improve exercise adherence in older people, to assess the effectiveness of these interventions and to evaluate the behavioural change techniques underpinning them using the Behaviour Change Technique Taxonomy (BCTT).

Design: Systematic review.

Methods: A search was conducted on AMED, BNI, CINAHL, EMBASE, MEDLINE and PsychINFO databases.

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Purpose: Small reductions in body weight can decrease osteoarthritic knee pain. Intuitively this should provide a strong incentive for weight-loss. However many people undergoing knee joint replacement (KJR) are categorised as obese.

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