Physical Activity Pathway for Patients With Osteoarthritis in Primary Care (OA-PCP)
| Status: | Recruiting |
|---|---|
| Conditions: | Arthritis, Osteoarthritis (OA) |
| Therapuetic Areas: | Rheumatology |
| Healthy: | No |
| Age Range: | 65 - Any |
| Updated: | 3/29/2019 |
| Start Date: | March 21, 2019 |
| End Date: | August 2019 |
| Contact: | Kelli D Allen, PhD |
| Email: | kdallen@email.unc.edu |
| Phone: | 919-966-0558 |
Physical Activity Pathway for Patients With Osteoarthritis in Primary Care
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.
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.
This study will be a single group pilot trial of the OA-PCP. The feasibility and
acceptability of the OA-PCP will be assessed among n=60 patients with hip and knee OA in two
primary care clinics. All patients in the trial will participate in the OA-PCP and will
complete assessments at baseline and 4-month follow-up. Feasibility metrics will include
rates of recruitment, intervention engagement and retention; acceptability will be assessed
from both patients and health care providers.
acceptability of the OA-PCP will be assessed among n=60 patients with hip and knee OA in two
primary care clinics. All patients in the trial will participate in the OA-PCP and will
complete assessments at baseline and 4-month follow-up. Feasibility metrics will include
rates of recruitment, intervention engagement and retention; acceptability will be assessed
from both patients and health care providers.
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
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