Pilot Testing a Patient and Provider Intervention for Managing Osteoarthritis in Hispanic Adults.
| Status: | Completed |
|---|---|
| Conditions: | Arthritis, Osteoarthritis (OA) |
| Therapuetic Areas: | Rheumatology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | February 2013 |
| End Date: | June 2015 |
Hispanics are affected by arthritis at a slightly lower age-adjusted rate compared to
non-Hispanic whites and African Americans. However, compared to other groups, Hispanics have
a higher prevalence of arthritis-attributed activity limitations (primarily related to OA),
are less likely to receive hip replacement independent of health care access, and are less
likely to receive knee replacement. The study is conducted to develop and test a telephone
delivered intervention for the management of OA in Hispanic adults. This study is conducted
as a minority supplement to the Patient and Provider Interventions for Managing
Osteoarthritis in Primary Care (PRIMO) NCT01435109 and Pro00022836.
non-Hispanic whites and African Americans. However, compared to other groups, Hispanics have
a higher prevalence of arthritis-attributed activity limitations (primarily related to OA),
are less likely to receive hip replacement independent of health care access, and are less
likely to receive knee replacement. The study is conducted to develop and test a telephone
delivered intervention for the management of OA in Hispanic adults. This study is conducted
as a minority supplement to the Patient and Provider Interventions for Managing
Osteoarthritis in Primary Care (PRIMO) NCT01435109 and Pro00022836.
Arthritis affects approximately 50 million adults in the United States (US), making it one
of the most common causes of disability in this county. In addition, is associated with
significant physical activity limitations, increased prevalence of obesity, decreased health
related quality of life, and increased health care costs. Hispanics are affected by
arthritis at a slightly lower age-adjusted rate compared to non-Hispanic whites and African
Americans. However, compared to other groups, Hispanics have a higher prevalence of
arthritis-attributed activity limitations (primarily related to OA), are less likely to
receive hip replacement independent of health care access, and are less likely to receive
knee replacement. In addition, there have been very few interventions to improve either
medical or behavioral aspects of OA treatment recommendations among the Hispanic population.
The study will developed and test a culturally appropriate Spanish educational materials and
telephone scripts for the patient- and provider-based interventions and will test the
patient and provider intervention in a group of Adult Hispanics with OA.
of the most common causes of disability in this county. In addition, is associated with
significant physical activity limitations, increased prevalence of obesity, decreased health
related quality of life, and increased health care costs. Hispanics are affected by
arthritis at a slightly lower age-adjusted rate compared to non-Hispanic whites and African
Americans. However, compared to other groups, Hispanics have a higher prevalence of
arthritis-attributed activity limitations (primarily related to OA), are less likely to
receive hip replacement independent of health care access, and are less likely to receive
knee replacement. In addition, there have been very few interventions to improve either
medical or behavioral aspects of OA treatment recommendations among the Hispanic population.
The study will developed and test a culturally appropriate Spanish educational materials and
telephone scripts for the patient- and provider-based interventions and will test the
patient and provider intervention in a group of Adult Hispanics with OA.
Inclusion Criteria:
- Radiographic evidence of hip OA and/or radiographic evidence of or meets clinical
criteria for knee OA
- Current joint (hip and/or knee) symptoms
- BMI >= 25
- Physically inactive
- Spanish speakers
Exclusion Criteria:
- Diagnosis of rheumatoid arthritis, fibromyalgia, or other systemic rheumatic disease
- Diagnosis of a motor neuron disease, Parkinson's disease, multiple sclerosis, or
Paget's disease
- Diagnosis of metastatic cancer
- Hospitalized for a stroke, myocardial infarction or coronary artery revascularization
in the past 3 months
- On waiting list for or planning arthroplasty
- Total joint replacement (hip or knee) surgery, other hip or knee surgery, meniscus
tear (verified by MRI), or (anterior cruciate ligament) ACL tear in the past 6 months
- History of gout in hip or knee
- Quadriplegia or paraplegia
- Active diagnosis of psychosis or serious personality disorder
- Diagnosis of dementia or other memory loss condition
- Current, uncontrolled substance abuse disorder
- Severly impaired speech or hearing (patients must be able to respond to phone calls)
- No access to a telephone
- Resident in nursing home
- Serious / terminal illness as indicated by referral to hospice or palliative care
- For females: currently pregnant or planning to become pregnant
- Participating in another OA intervention of other lifestyle change study
- Other self-reported medical problem that would prohibit participation in the study
- Other health condition or personal issue judged by a study team member or primary
care physician to make the patient inappropriate for study participation.
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