Cross-Sectional Evaluation of a Physiotherapist-Led Hip and Knee Osteoarthritis Program: Perceived Benefits and Factors that Influence Patient Access and Adherence

Osteoarthritis (OA) affects millions of Canadians with substantial healthcare costs, yet education and exercise can improve outcomes. This study explored the perceived benefits, facilitators, and barriers influencing perceived access and adherence to an 8-week physiotherapist-supervised exercise and education program in a private clinic. Adults with hip and/or knee OA enrolled in the program were invited to complete a cross-sectional online survey. Descriptive statistics and qualitative content analyses were used to describe participant demographics, clinical features, and perceptions. Of 102 participants, 61 completed the survey (60% response rate). Perceived benefits identified by participants included physical improvements, socialization, increased confidence, expert support, and improved self-efficacy. Perceived facilitators supporting adherence were physical ability, financial support, transportation, and provider expertise. While most participants reported no major barriers, some noted financial constraints, physical limitations, inconvenient class times, and work demands. A group-based hip and knee OA program delivered by physiotherapists can provide substantial perceived physical, psychological, and social benefits, though self-reported adherence may be influenced by financial, physical, and social factors.