Mobilizing Hispanics With Knee Osteoarthritis
Mobilizing Hispanics With Knee Osteoarthritis Using a Dyad-based Approach: Pilot Randomized Controlled Trial
University of Arizona
44 participants
Nov 15, 2024
INTERVENTIONAL
Conditions
Summary
The objective is to conduct an early-stage clinical trial in order to provide data required to support a future clinical trial to demonstrate the effectiveness of a culturally acceptable treatment program to increase exercise and regular physical activity among Hispanics with knee osteoarthritis (OA). Hispanic patients with knee OA paired with a chosen family member/close friend will be recruited for study participation. A pilot randomized controlled trial will be conducted. Study pairs will be randomized to receive either: 1) an intervention that will be administered by live video consultations and will include educational sessions about OA, a muscle strengthening program, and a program that will aim to promote regular physical activity involving study pairs; or 2) a control treatment that only includes live video educational sessions about OA. Study participants will fill out a survey before the start of the study and 3 months after.
Eligibility
Inclusion Criteria5
- Hispanic/Latino ethnicity
- ≥ 50 years of age
- Access to a device with internet connection
- Chronic, frequent knee pain (National Health and Nutrition Examination Survey criteria)
- Meet American College of Rheumatology criteria for knee OA WOMAC pain score of ≥4 and at least moderate pain (score 2) for at least 2 questions
Exclusion Criteria6
- Unknown or non-Hispanic ethnicity
- Condition that prevents ability to provide consent
- Illness with a life expectancy <12 months
- History of arthroplasty or prosthetic leg
- Inflammatory arthritis (e.g., rheumatoid arthritis, systemic lupus erythematosus, gout)
- Condition that prevents exercise or physical activity (e.g., unstable cardiovascular disease)
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Interventions
Patients will be offered five video consultations (30-45 minutes each) with a physical therapist over 3 months. The physical therapist will prescribe an exercise program individualized to the OA patient that will include strengthening exercises (2 quadriceps, 1 hip/gluteal, 1 hamstrings/gluteal, 1 calf, and 1 other) to be performed at home 3x/week.
The general program will consist of four 60-minute live video consultations conducted by a promotora. The first three sessions will be conducted every 2 weeks, with a booster session occurring one month later. The promotora will help dyads set achievable personalized physical activity goals.
Administered by a promotora, treatment will include 4 live video educational sessions about OA
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06522906