Physical Activity Pathway for Patients With Osteoarthritis in Primary Care
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Osteoarthritis
- Sponsor
- University of North Carolina, Chapel Hill
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Change From Baseline to Month 4 for Minutes of Moderate to Vigorous Intensity PA Per Week
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
This is a multi-phase study that will develop and test an osteoarthritis (OA) primary care Physical activity Care Pathway (OA-PCP), a scalable intervention that includes: 1) a practical process for physical inactivity screening in primary care, 2) a brief, tailored physical activity (PA) counseling intervention via telephone, 3) connection of patients with community programs and other resources to support PA, and 4) follow-up with patients to deliver additional appropriate counseling and referrals to PA resources.
Detailed Description
This study will be a single group pilot trial of the OA-PCP. The feasibility and acceptability of the OA-PCP will be assessed among n=60 patients with hip and knee OA in two primary care clinics. All patients in the trial will participate in the OA-PCP and will complete assessments at baseline and 4-month follow-up. Feasibility metrics will include rates of recruitment, intervention engagement and retention; acceptability will be assessed from both patients and health care providers.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Physician diagnosis of knee or hip OA
- •Current Joint Symptoms
- •Current Weekly Physical Activity \<150 minutes per week.
Exclusion Criteria
- •Pain in chest when performing physical activity
- •Pain in chest when not performing physical activity
- •Loss of balance because of dizziness or loss of consciousness
- •Recommendation from doctor to only perform physical activity under medical supervision
- •No documented diagnosis of knee or hip OA
- •Dementia or other memory loss condition
- •Active diagnosis of psychosis
- •Active Substance abuse disorder
- •Total knee or hip replacement surgery, meniscus tear, ligament tear, or other significant lower extremity injury or surgery in the last 6 months
- •Severe hearing or visual impairment
Outcomes
Primary Outcomes
Change From Baseline to Month 4 for Minutes of Moderate to Vigorous Intensity PA Per Week
Time Frame: Baseline, Month 4 (Follow-up)
Minutes of moderate to vigorous intensity physical activity (MVPA) per week measured via accelerometer
Secondary Outcomes
- Change From Baseline to Month 4 for Minutes of Sedentary Activity(Baseline, Month 4 (Follow-up))
- Change From Baseline to Month 4 for Steps Per Day(Baseline, Month 4 (Follow-up))
- Change From Baseline to Month 4 in Western Ontario and McMasters Universities Osteoarthritis (WOMAC) Pain Subscale(Baseline, Month 4 (Follow-up))
- Change From Baseline to Month 4 in Western Ontario and McMasters Universities Osteoarthritis (WOMAC) Function Subscale(Baseline, Month 4 (Follow-up))