N/A
N=60
Physical Activity Pathway for Patients With Osteoarthritis in Primary Care (OA-PCP)
Osteoarthritis
Bottom Line
View on ClinicalTrials.gov: NCT03780400 ↗Enrolled (actual)
60
Serious AEs
0.0%
Results posted
Aug 2020
Primary outcome: Primary: Change From Baseline to Month 4 for Minutes of Moderate to Vigorous Intensity PA Per Week — 0.78 minutes — p=0.5145
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Osteoarthritis Physical Activity Care Pathway (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- University of North Carolina, Chapel Hill
- Primary completion
- Dec 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline to Month 4 for Minutes of Moderate to Vigorous Intensity PA Per Week |
0.78 | 0.5145 |
| SECONDARY Change From Baseline to Month 4 for Steps Per Day |
143.7 | 0.3683 |
| SECONDARY Change From Baseline to Month 4 for Minutes of Sedentary Activity |
-0.15 | 0.9858 |
| SECONDARY Change From Baseline to Month 4 in Western Ontario and McMasters Universities Osteoarthritis (WOMAC) Function Subscale |
-6.1 | <0.0001 sig |
| SECONDARY Change From Baseline to Month 4 in Western Ontario and McMasters Universities Osteoarthritis (WOMAC) Pain Subscale |
-1.9 | <0.0001 sig |
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.
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
- Serious/terminal illness as indicated by referral to hospice or palliative care
- Unstable angina
- Hospitalization for cardiovascular event in last 6 months
- History of ventricular tachycardia
- Unstable chronic obstructive pulmonary disease (2 hospitalizations within the previous 6 months and/or on oxygen)
- Stroke with moderate to severe aphasia
- Recent history (last 6 months) of three or more falls
Data sourced from ClinicalTrials.gov (NCT03780400). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.