- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04490395
Increasing Physical Activity in Older Adults With Osteoarthritis Pain: Examining a Brief Behavioral Intervention
December 12, 2022 updated by: Duke University
Increasing Physical Resilience in Older Adults With Osteoarthritis Pain: Feasibility and Acceptability of a Brief Behavioral Physical Activity Intervention
The purpose of this study is to evaluate how older adults might benefit from sessions that teach behavioral coping skills for increasing physical activity and reducing interference from arthritis pain.
This study will randomize individuals to receive Engage-PA, or continue to receive treatment as usual.
Engage-PA involves two sessions (about 45 minutes each) with a study therapist that teaches individuals behavioral skills for increasing daily steps.
These behavioral skills include identifying their personal values and instructions on how to pace their daily physical activity to avoid creating severe pain when walking.
All participants in the study will wear small devices that track physical activity such as daily steps throughout the study, which also allow participants to see their daily step counts and overall level of activity.
All participants will answer a set of questions about how much arthritis gets the way of many important life activities, their success at living in line with their personal values, and how much thoughts, feelings and body sensations get in the way of living a satisfying life.
These questions will be asked at the beginning of the study and 6 weeks into the study.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
40
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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North Carolina
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Durham, North Carolina, United States, 27705
- Duke University
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
65 years and older (Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age 65 or older
- English speaking
- Diagnosis of osteoarthritis in knee or hip
- Able to ambulate even if assisted with ambulatory device such as walker or cane
- Endorse worst pain and pain interference as ≥ 3 out of 10 within the last week
Exclusion Criteria:
- Planned surgery during study duration that would limit mobility (e.g., due to recommended rehabilitation or recovery period) for more than 3 weeks
- Current enrollment in cardiac rehabilitation
- Myocardial infarction in the past 3 months
- Major surgery requiring limited movement or mobility for recovery within the past 3 months
- Presence of a serious psychiatric condition (e.g., schizophrenia, suicidal intent) indicated by medical chart, treating medical provider or other staff, or study staff interactions that would contraindicate safe study participation
- Medical provider indicating that exercise (even walking) should only be medically supervised; as determined by medical record review or patient reported
- Fall or falls within the last 3 months that led to immediate medical treatment/hospitalization
- Reported or suspected moderate or severe cognitive impairment subsequently informed by a Folstein Mini-Mental Status Examination of <19
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Engage PA
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Engage PA will consist of a 2-session intervention delivered to participants at the medical center or virtual visit by their study therapist, and includes a wearable personal fitness monitor for tracking their daily activity levels throughout.
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Other: Treatment as usual plus fitness tracker
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The comparison condition will receive treatment as usual throughout the study, and are given a wearable personal fitness monitor for tracking their daily activity levels throughout the study.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants Enrolled in the Study
Time Frame: 9 months
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How many participants, up to the expected 40 participants, enroll in the study within the study period
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9 months
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Number of Participants Who Completed the Entire Program
Time Frame: 6 weeks
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Participants who complete all assessments and required study sessions
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6 weeks
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Percentage of Participants Who Were Mostly or Very Satisfied With the Intervention
Time Frame: Post treatment (6 weeks)
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Client Satisfaction Questionnaire asks 12 questions related to patient satisfaction on a Likert scale of 1 = very satisfied to 7 = very dissatisfied.
There is one item assessing overall satisfaction with the intervention, and the percentage of participants responding to this item with "mostly" or "very" satisfied is reported below.
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Post treatment (6 weeks)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Arthritis Pain (AIMS 2 Symptom Subscale)
Time Frame: Baseline, post-treatment (6 weeks)
|
The Arthritis Impact Measurement Scale (AIMS 2) measures arthritis pain related disability across areas of living both with a total score and on several subscales (i.e., pain severity, physical functioning/pain-related disability, psychological distress), where 1 indicates very good functioning, and 5 indicates very poor functioning.
Symptom subscale includes items assessing pain severity, stiffness, and physical discomfort.
Range is 5 to 25 where higher scores indicate worse functioning.
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Baseline, post-treatment (6 weeks)
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Arthritis-related Physical Functioning (AIMS 2 Physical Functioning Subscale)
Time Frame: Baseline, post-treatment (6 weeks)
|
The Arthritis Impact Measurement Scale (AIMS 2) measures arthritis pain related disability across areas of living on several subscales (i.e., pain severity, physical functioning/pain-related disability, psychological distress), where 1 indicates very good functioning, and 5 indicates very poor functioning.
Physical functioning subscale includes items assessing mobility level, walking and bending, self-care and household tasks.
Range is 5-25 where higher scores indicate worse functioning.
|
Baseline, post-treatment (6 weeks)
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Psychological Distress (AIMS 2 Affect Subscale)
Time Frame: Baseline, post-treatment (6 weeks)
|
The Arthritis Impact Measurement Scale (AIMS 2) measures arthritis pain related disability across areas of living on several subscales (i.e., pain severity, physical functioning/pain-related disability, psychological distress), where 1 indicates very good functioning, and 5 indicates very poor functioning.
Psychological distress subscale includes items assessing mood and anxiety/tension.
Range is 5-25 where higher scores indicate worse functioning.
|
Baseline, post-treatment (6 weeks)
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Daily Step Count in 7 Day Period
Time Frame: Baseline, post-treatment (6 weeks)
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Daily step counts as reported to study staff, after participants recorded them from wearable fitness trackers at end of day.
Each assessment period consisted of 7 continuous days of wear.
Summed totals of steps in the 7 day period were calculated, and then means calculated between groups of these summed step counts for the 7 day assessment period.
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Baseline, post-treatment (6 weeks)
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Rapid Assessment of Physical Activity
Time Frame: Baseline, post-treatment (6 weeks)
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The RAPA is a self-reported measure that assesses participants engagement in a variety of activities, such as light movement, moderate activity, vigorous activity, and other activities such as strength-training or yoga.
Scores range from 0 - 7, where higher scores indicate greater involvement in physical activity overall.
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Baseline, post-treatment (6 weeks)
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Psychological Flexibility
Time Frame: Baseline, post-treatment (6 weeks)
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The Acceptance and Action Questionnaire-II asks about psychological flexibility, defined as how often thoughts, feelings and body sensations get in the way of living a fulfilling life.
Responses are on a 1 to 7 Likert scale with 1 indicating that these issues never get in the way, and 7 indicating that these issues always get in the way.
Range is 7 - 49, with lower scores indicating better outcomes.
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Baseline, post-treatment (6 weeks)
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Valued Living - Health Domain
Time Frame: Baseline, post-treatment (6 weeks)
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The Bulls-Eye Values measure assesses how successfully participants are at living in line with 4 domains of personal values (relationships, leisure, health, and work) on a visual dart-board scale with 1 indicating perfect success, and 14 indicates being unsuccessful.
Range for each domain is 1 - 14 with lower as better outcome.
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Baseline, post-treatment (6 weeks)
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Valued Living - Leisure Domain
Time Frame: Baseline, post-treatment (6 weeks)
|
The Bulls-Eye Values measure assesses how successfully participants are at living in line with 4 domains of personal values (relationships, leisure, health, and work) on a visual dart-board scale with 1 indicating perfect success, and 14 indicates being unsuccessful.
Range for each domain is 1 - 14 with lower as better outcome.
|
Baseline, post-treatment (6 weeks)
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Valued Living - Relationship Domain
Time Frame: Baseline, post-treatment (6 weeks)
|
The Bulls-Eye Values measure assesses how successfully participants are at living in line with 4 domains of personal values (relationships, leisure, health, and work) on a visual dart-board scale with 1 indicating perfect success, and 14 indicates being unsuccessful.
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Baseline, post-treatment (6 weeks)
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Valued-Living - Work/Community Domain
Time Frame: Baseline, post-treatment (6 weeks)
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The Bulls-Eye Values measure assesses how successfully participants are at living in line with 4 domains of personal values (relationships, leisure, health, and work) on a visual dart-board scale with 1 indicating perfect success, and 14 indicates being unsuccessful.
|
Baseline, post-treatment (6 weeks)
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Jennifer Plumb Vilardaga, PhD, Duke University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Plumb Vilardaga JC, Kelleher SA, Diachina A, Riley J, Somers TJ. Linking physical activity to personal values: feasibility and acceptability randomized pilot of a behavioral intervention for older adults with osteoarthritis pain. Pilot Feasibility Stud. 2022 Aug 1;8(1):164. doi: 10.1186/s40814-022-01121-0.
- Vilardaga JCP, Kelleher S, Diachina A, Riley J, Somers T. Linking Physical Activity to Personal Values: Feasibility and Acceptability Randomized Pilot of a Behavioral Intervention for Older Adults with Osteoarthritis Pain. Res Sq. 2022 Jan 3:rs.3.rs-1182374. doi: 10.21203/rs.3.rs-1182374/v1. Preprint.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 5, 2021
Primary Completion (Actual)
October 6, 2021
Study Completion (Actual)
October 6, 2021
Study Registration Dates
First Submitted
July 24, 2020
First Submitted That Met QC Criteria
July 24, 2020
First Posted (Actual)
July 29, 2020
Study Record Updates
Last Update Posted (Actual)
January 5, 2023
Last Update Submitted That Met QC Criteria
December 12, 2022
Last Verified
December 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00105573
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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