JointADventure: A Worksite Activity-Diet Intervention for Chronic Knee Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 38
- 试验地点
- 4
- 主要终点
- change in kilocalorie intake
研究概览
简要总结
JointADventure: A worksite activity-diet intervention for chronic knee pain is a randomized controlled trial evaluation of a physical activity and nutritional worksite intervention to decrease symptoms and disability associated with knee osteoarthritis (OA), a major public health problem and a leading cause of work disability and work absenteeism/presenteeism in the US workforce.
The overarching goal of this project is to find an effective and sustainable intervention strategy that can assist large populations of persons with or at risk for knee OA to attain and maintain healthy dietary and physical activity behaviors. This project has to potential to have a tremendous impact on improving symptoms and quality of life of persons with chronic knee pain and decreasing the functional limitation, work absenteeism/presenteeism, and soaring healthcare utilization associated with knee OA.
详细描述
We will utilize a partnership with Blue Cross Blue Shield of Illinois (BCBSIL), a highly supportive wellness partner, with a strong history of investment in the health of its employees and subscribers. The combined Activity/Dietary (AD) intervention is administered by health professionals trained in motivational interviewing as healthy lifestyle coaches.
Over the first 6 months, the coaches provide:
- individualized counseling based on a comprehensive assessment of baseline clinical, functional and behavioral factors that are barriers to healthy physical activity and dietary behaviors
- group education, the content of which is modeled after the highly successful Diabetes Prevention Program physical activity/dietary intervention, and customized for those with knee symptoms.
Follow-up assessments continue for 6 additional months.
Specific aims are to:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •BCBSIL employee
- •Must be able to ambulate household distances (50 ft)
- •Must be able to read and speak English
- •Pain, aching, stiffness in or around one or both knees on most days for at least one month during the past 12 months
- •BMI of >25, but <40
排除标准
- •Primary diagnosis of fibromyalgia
- •Any co-morbidity that is more functionally limiting than the knee symptoms (e.g. spinal stenosis, peripheral vascular disease or residual effects of stroke)
- •Comorbid condition (based on medication review) that contraindicates a physical activity or dietary intervention
- •Total joint replacement surgery within 1 year or plans for total joint replacement in the next 12 months
- •Plans to relocate away from the Chicago-land area in the next 12 months
- •Being on a special diet that is inconsistent with the DASH diet
- •Concurrent involvement in a weight loss program
结局指标
主要结局
change in kilocalorie intake
时间窗: Baseline, 3, 6 and 12 months
percent change in body weight
时间窗: Baseline, 3, 6 and 12 months
change in accelerometer counts/day
时间窗: Baseline, 3, 6 and 12 months
次要结局
- chair stand test(Baseline, 3, 6 and 12 months)
- 20 meter walk(Baseline, 3, 6 and 12 months)
研究者
Rowland W. Chang
Professor of Preventive Medicine, Medicine, and Physical Medicine & Rehabilitation
Northwestern University