Telehealth Exercise Program for Osteoarthritis
What You Need to Know Before You Apply
What is the purpose of this trial?
The goal of this study is to evaluate a telehealth Stepped Exercise Program for Knee OsteoArthritis (STEP-KOA) among rural veterans. Methods: This is a single arm, pre-post pilot trial of the 6-month STEP-KOA program among rural Veterans with a physician diagnosis of knee OA who self-report knee pain ≥3 on a 0-10 scale and self-reported difficulty with either walking or stair climbing. We aim to enroll 20 Veterans in this project but may enroll up to 30 in order to obtain sufficient information to evaluate the program, particularly among Veterans who live in very rural areas. Assessments will be conducted via a combination of telephone and video at baseline and 2-, 4-, and 6-month follow-up. Assessments will include questionnaires related to pain, function and physical activity, as well as several physical performance tests. STEP-KOA begins with a low cost, primarily self-directed exercise program (supported by an internet-based tool; Step 1). Patients are then assessed for degree of improvement in symptoms, and then can step up sequentially to telephone or video-based physical activity coaching (Step 2) and physical therapy (Step 3) if they do not make clinically relevant improvements in prior steps. For this project, patients will be assessed approximately every 2 months to determine step progression. Participants will advance to the next step if they do not meet response criteria for pain and function established by the Outcome Measures in Rheumatology group and the Osteoarthritis Research Society International (OMERACT-OARSI). The Step 2 intervention involves bi-weekly telephone or video calls. Step 3 involves 3 telehealth PT visits, based on standard care for knee OA.
Who Is on the Research Team?
Kelli Allen, PhD
Principal Investigator
Durham VAMC
Are You a Good Fit for This Trial?
This trial is for rural veterans who use VA healthcare, have a doctor's diagnosis of knee osteoarthritis, and experience knee pain rated at least 3 out of 10 with difficulty walking or climbing stairs.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Step 1: Self-directed Exercise Program
Participants begin with a low cost, primarily self-directed exercise program supported by an internet-based tool
Step 2: Physical Activity Coaching
Participants receive bi-weekly telephone or video-based physical activity coaching if they do not make clinically relevant improvements in Step 1
Step 3: Physical Therapy
Participants receive telehealth physical therapy visits if they do not make clinically relevant improvements in Step 2
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Stepped Exercise for Knee Osteoarthritis
Find a Clinic Near You
Who Is Running the Clinical Trial?
Durham VA Medical Center
Lead Sponsor