Development of a core capability framework for qualified health professionals to optimise care for people with osteoarthritis: an OARSI initiative

Research output: Contribution to journalArticle


Objective: Develop a generic trans-disciplinary, skills-based capability framework for health professionals providing care for people with OA. Design: e-Delphi survey. An international inter-professional Delphi Panel (researchers; clinicians; consumer representatives) considered a draft framework (adapted from elsewhere) of 131 specific capabilities mapped to 14 broader capability areas across four domains (A: person-centred approaches; B: assessment, investigation and diagnosis; C: management, interventions and prevention; D: service and professional development). Over three rounds, the Panel rated their agreement (Likert or numerical rating scales) on whether each specific capability in Domains B and C was essential (core) for all health professionals when providing care for all people with OA. Those achieving consensus (≥80% of Panel) rating of ≥ seven out of ten (Round 3) were retained. Generic domains (A and D) were included in the final framework and amended based on Panel comments. Results: 173 people from 31 countries, spanning 18 disciplines and including 26 consumer representatives, participated. The final framework comprised 70 specific capabilities across 13 broad areas i) communication; ii) person-centred care; iii) history-taking; iv) physical assessment; v) investigations and diagnosis; vi) interventions and care planning; vii) prevention and lifestyle interventions; viii) self-management and behaviour change; ix) rehabilitative interventions; x) pharmacotherapy; xi) surgical interventions; xii) referrals and collaborative working; and xiii) evidence-based practice and service development). Conclusion: Experts agree that health professionals require an array of skills in person-centred approaches; assessment, investigation and diagnosis; management, interventions and prevention; and service and professional development to provide optimal care for people with OA.


  • R. S. Hinman
  • K. D. Allen
  • K. L. Bennell
  • F. Berenbaum
  • N. Betteridge
  • A. M. Briggs
  • P. K. Campbell
  • L. E. Dahlberg
  • K. S. Dziedzic
  • J. P. Eyles
  • David J Hunter
  • S. T. Skou
  • A. Woolf
  • S. P. Yu
  • Martin van der Esch
External organisations
  • University of Melbourne
  • University of North Carolina
  • Curtin University
  • Keele University
  • Kolling Institute of Medical Research
  • University of Southern Denmark
  • Paris-Sorbonne University
  • Hospital Saint-Antoine
  • Neil Betteridge Associates Limited
  • University of Sydney
  • Region Sjælland
  • Royal Cornwall Hospitals NHS Trust
  • Amsterdam University of Applied Sciences
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Health Care Service and Management, Health Policy and Services and Health Economy


  • Capability, Competency, Education, Health professionals, OA, Osteoarthritis, Quality care
Original languageEnglish
Pages (from-to)154-166
Number of pages13
JournalOsteoarthritis and Cartilage
Issue number2
Early online date2019 Dec 12
Publication statusPublished - 2020 Feb
Publication categoryResearch