A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Interactive multiobjective optimization for finding the most preferred exercise therapy modality in knee osteoarthritis (2022)

Shavazipour, B., Afsar, B., Multanen, J., Miettinen, K., & Kujala, U. M. (2022). Interactive multiobjective optimization for finding the most preferred exercise therapy modality in knee osteoarthritis. Annals of Medicine, 54(1), 181-194. https://doi.org/10.1080/07853890.2021.2024876

JYU-tekijät tai -toimittajat

Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajat: Shavazipour, Babooshka; Afsar, Bekir; Multanen, Juhani; Miettinen, Kaisa; Kujala, Urho M.

Lehti tai sarja: Annals of Medicine

ISSN: 0785-3890

eISSN: 1365-2060

Julkaisuvuosi: 2022

Ilmestymispäivä: 13.01.2022

Volyymi: 54

Lehden numero: 1

Artikkelin sivunumerot: 181-194

Kustantaja: Taylor & Francis

Julkaisumaa: Britannia

Julkaisun kieli: englanti

DOI: https://doi.org/10.1080/07853890.2021.2024876

Julkaisun avoin saatavuus: Avoimesti saatavilla

Julkaisukanavan avoin saatavuus: Kokonaan avoin julkaisukanava

Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/79391

Rinnakkaistallenteen verkko-osoite (pre-print): https://www.researchsquare.com/article/rs-77399/v1


Background: There are no explicit guidelines or tools available to support clinicians in selecting exercise therapy modalities according to the characteristics of individual patients despite the apparent need.
Objective: This study develops a methodology based on a novel multiobjective optimization model and examines its feasibility as a decision support tool to support healthcare professionals in comparing different modalities and identifying the most preferred one based on a patient’s needs.
Methods: Thirty-one exercise therapy modalities were considered from 21 randomized controlled trials. A novel interactive multiobjective optimization model was designed to characterize the efficacy of an exercise therapy modality based on five objectives: minimizing cost, maximizing pain reduction, maximizing disability improvement, minimizing the number of supervised sessions, and minimizing the length of the treatment period. An interactive model incorporates clinicians’ preferences in finding the most preferred exercise therapy modality for each need. Multiobjective optimization methods are mathematical algorithms designed to identify the optimal balance between multiple conflicting objectives among available solutions/alternatives. They explicitly evaluate the conflicting objectives and support decision-makers in identifying the best balance. An experienced research-oriented physiotherapist was involved as a decisionmaker in the interactive solution process testing the proposed decision support tool.
Results: The proposed methodology design and interactive process of the tool, including preference information, graphs, and exercise suggestions following the preferences, can help clinicians to find the most preferred exercise therapy modality based on a patient’s needs and health status; paving the way to individualize recommendations.
Conclusions: We examined the feasibility of our decision support tool using an interactive multiobjective optimization method designed to help clinicians balance between conflicting objectives to find the most preferred exercise therapy modality for patients with knee osteoarthritis. The proposed methodology is generic enough to be applied in any field of medical and healthcare settings, where several alternative treatment options exist.

YSO-asiasanat: polvet; nivelrikko; kipu; fyysinen toimintakyky; fysioterapia; liikuntahoito; optimointi; päätöksentukijärjestelmät; monitavoiteoptimointi

Vapaat asiasanat: knee osteoarthritis; cost-effective exercise therapy modality; pain; physical function; decision making; decision support

Liittyvät organisaatiot

Hankkeet, joissa julkaisu on tehty

OKM-raportointi: Kyllä

Raportointivuosi: 2022

Alustava JUFO-taso: 2

Viimeisin päivitys 2022-20-09 klo 15:00