- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02413411
Race and Preference for Knee Replacement: A Patient-Centered Intervention (REPAIR)
A randomized, controlled design will be utilized to examine and compare the effectiveness of the proposed educational intervention, which includes a combination of an educational decision aid and motivational interviewing with attention control on select key patient-centered and process of care outcomes. The study sample will consist of approximately 450 African-American patients with osteoarthritis of the knee. Patients will be recruited from the University of Pennsylvania Health System and the Philadelphia VA Medical Center and will be randomized to one of the two study arms.
The immediate goal of this randomized controlled trial is to assess the effect of a high-quality, evidence-based, patient-centered educational intervention supplemented with targeted counseling (motivational interviewing) on African American patient preferences, expectations, and the likelihood of achieving a referral for surgical evaluation. The long-term goal of this research is to widely implement a patient-centered educational intervention targeting African Americans who are potential candidates for joint replacement, in a national effort to reduce and ultimately eliminate racial disparities in the utilization of this effective treatment option.
Study Aim:To examine the effect of the knee osteoarthritis Decision Aid (DA)/Motivational Interviewing (MI) intervention on orthopedic surgery referral rates for African American (AA) patients. Hypothesis: Compared to attention control, the DA/MI intervention will lead to higher orthopedic surgery referral rates for AA patients.
Secondary aim: To examine the effect of the DA/MI intervention on the rate of knee replacement receipt among AA patients. Hypothesis: AA patients randomized to receive the intervention will have higher rates of knee replacement compared to those in the attention control group.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, Forenede Stater, 19104
- University of Pennsylvania
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- African American primary care patients
- Age 50 or older
- Chronic, frequent knee pain based on the NHANES questions
- Moderate to sever knee osteoarthritis based on WOMAC index score greater than or equal to 39 or positive answer to knee treatment questions
- Radiographic evidence of knee osteoarthritis
Exclusion Criteria:
- Prior history of any major joint replacement
- Terminal illness (e.g. end stage cancer)
- Physician-diagnosed inflammatory arthritis (i.e., rheumatoid arthritis, connective tissue disease, ankylosing spondylitis, or other seronegative sypondylarthoplasty.)
- Contra-indications to replacement surgery (e.g., lower extremity paralysis as a result of stroke.)
- Prosthetic leg
- Cognitive impairment (e.g., dementia)
- No home telephone service
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
---|---|
Eksperimentel: DA/MI Intervention
Patients randomized to the DA/MI intervention arm will be shown a decision aid video entitled, Treatment Choices for Knee Osteoarthritis.
Following the viewing of the decision aid video, the participant will be engaged in a motivational interview by the research study interventionist.
|
Patients randomized to the DA/MI intervention arm will be shown a decision aid video entitled, Treatment Choices for Knee Osteoarthritis.
Following the viewing of the decision aid video, the participant will be engaged in a motivational interview by the research study interventionist.
|
Aktiv komparator: Attention Control
Patients randomized to the attention control arm will receive an educational program (an NIH-developed booklet) that summarizes how to live with knee OA but does not specifically mention joint replacement.
This booklet provides examples of exercises one could do to improve pain and reduce stiffness from knee OA.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Referral to knee joint replacement
Tidsramme: 12-months post-intervention
|
Referral to knee joint replacement will be assessed for all patients 12 months post-intervention initially through telephone survey and then validated by medical record review
|
12-months post-intervention
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Receipt of knee joint replacement
Tidsramme: 12-months post-intervention
|
Receipt of knee joint replacement will be assessed for all patients 12-months post-intervention initially through telephone survey and then validated by medical record review
|
12-months post-intervention
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Said A Ibrahim, MD, MPH, University of Pennsylvania
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 1-RO1-AR-054474-5
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Knæ slidgigt
-
Smith & Nephew, Inc.Nor Consult, LLCAfsluttetJourney II XR Total Knee SystemForenede Stater
-
Smith & Nephew, Inc.AfsluttetSikkerhed og ydeevne af Journey II BCS Total Knee System Patient rapporterede resultatmål (JIIPROMS)Journey II BCS Total Knee SystemForenede Stater, Belgien, New Zealand
-
Smith & Nephew, Inc.Nor ConsultAfsluttetJourney II CR Total Knee SystemForenede Stater
-
Maxx Orthopedics IncRekrutteringKnogletab | Periprotetiske frakturer | Infektion | Aseptisk Løsning | MCL - Medial Collateral Ligament Rupture of the KneeForenede Stater
Kliniske forsøg med DA/MI Intervention
-
Massachusetts General HospitalRekrutteringHjertefejl | Hjertesvigt NYHA klasse II | Hjertesvigt NYHA klasse III | Hjertesvigt NYHA klasse IForenede Stater
-
Massachusetts General HospitalAktiv, ikke rekrutterendeMetabolisk syndromForenede Stater
-
University of MichiganAnn & Robert H Lurie Children's Hospital of Chicago; American Academy of...AfsluttetPædiatrisk fedmeForenede Stater
-
The University of Hong KongRekrutteringÆldre voksne | Forudgående plejeplanlægning | Familie medlemmer | ForhåndsdirektiverHong Kong
-
VA Office of Research and DevelopmentJames A. Haley Veterans Administration HospitalAfsluttetSøvnapnø, obstruktiv | Hjerneskader, traumatiskeForenede Stater
-
I.R.C.C.S. Fondazione Santa LuciaUniversity of Roma La Sapienza; Istituto Superiore di SanitàAfsluttetSlag | Motoriske lidelserItalien
-
Hunter College of City University of New YorkNational Institute on Drug Abuse (NIDA)AfsluttetHIV | Stofbrug | Seksuelt overførte infektionerForenede Stater
-
Columbia UniversityNational Institute on Minority Health and Health Disparities (NIMHD); Icahn... og andre samarbejdspartnereAktiv, ikke rekrutterende
-
I.R.C.C.S. Fondazione Santa LuciaUniversity of Roma La SapienzaRekrutteringRygmarvsskader | Motoriske lidelserItalien
-
Massachusetts General HospitalAfsluttetType 2 diabetesForenede Stater