Background: Osteoarthritis (OA) is the most prevalent chronic joint disease, characterized by joint structural\ndeterioration, pain and loss of function among the elders. It is also associated with several extra-articular symptoms\n(fatigue, sleep disorders, anxiety and depression) and a reduction of life quality. Studies have revealed that patients\nwith OA benefitted from enhanced management via telemedicine. Guangdong Online Hospital (GOH) is the first\nofficially recognized web-based hospital that provides telemedicine service in China. However, the effective\nimplementation of GOH telemedicine (GOHT) to enhance management for patients with OA remains unknown.\nMethods/design: An assessor-blinded, parallel randomized controlled trial will be performed to study the feasibility\nand effectiveness of GOHT in the enhanced management of OA. Forty participants with knee OA will be recruited for a\n6-month study. Patients meeting the inclusion criteria will be randomly allocated to receive conventional therapy (CT)\nor conventional therapy plus a brief GOH-based intervention (CT-GOHT). The primary outcome is the feasibility of a fullscale\nrandomized controlled trial. The secondary outcomes include the self-reported total score of the Western Ontario\nand McMaster Universities Osteoarthritis Index (WOMAC), the Multidimensional Fatigue Inventory (MFI), the Pittsburgh\nSleep Quality Index (PSQI) and the Hospital Anxiety and Depression Scale (HADS). Assessments will be performed at\nbaseline, 2 weeks, 3 months and 6 months later after the initiation of the study.\nDiscussion: This trial is intended to test the application of GOHT in the chronic management in knee OA. The hypothesis\nis that OA patients may receive disease management via this network platform conveniently and effectively, especially\nthose in the remote areas of our country. GOHT telemedicine would be an attractive alternative to traditional methods\nfor disease management in knee OA. The results could provide preliminary experiences and guidance for an upcoming\nfull-scale randomized controlled trial (RCT) in disease management via telemedicine.
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