May 20, 2021, by bmillar

The East Midlands Knee Pain Multiple Randomised Controlled Trial Cohort Study

Acceptability of a nurse-led non-pharmacological complex intervention for knee pain: Nurse and patient views and experiences

The research team led by Professor Abhishek developed and tested the feasibility of a complex intervention for knee pain delivered by a nurse, and comprising both non-pharmacological and pharmacological interventions. In the first phase, the acceptability of the non-pharmacological component of the intervention, issues faced in delivery, and possible challenges were examined and resolved. Eighteen adults with chronic knee pain received patient education, exercise, weight-loss advice (where appropriate) and advice on adjunctive treatments such as hot/cold treatments, footwear modification and walking aids.


After nurse training, the intervention was delivered in four sessions spread over five weeks. Participants had one to one semi-structured interview at the end of the intervention. The nurse was interviewed after the last visit of the last participant. These were audio recorded and transcribed verbatim. Themes were identified by one author through framework analysis of the transcripts, and cross-checked by another.

Most participants found the advice from the nurse easy to follow and were satisfied with the package, though some felt that too much information was provided too soon. The intervention changed their perception of managing knee pain, learning that it can be improved with self-management. However, participants thought that the most challenging part of the intervention was fitting the exercise regime into their daily routine. The nurse found discussion of goal setting to be challenging. We found that nurse-led package of care is acceptable within a research setting.

Polykarpos Nomikos

Co-Investigators: Michelle C HallAmy Fuller, Bonnie Millar, Jo Mallinson, Reuben OgollahAna M ValdesMichael DohertyDavid Andrew WalshRoshan das Nair, Paul Greenhaff 

Posted in AgeingExerciseJointsmobilityMuscleMusculoskeletalOsteoarthritisPainRheumatology