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JointADventure: A Worksite Activity-Diet Intervention for Chronic Knee Pain

2014年12月29日 更新者：Rowland W. Chang、Northwestern University

JointADventure: A worksite activity-diet intervention for chronic knee pain is a randomized controlled trial evaluation of a physical activity and nutritional worksite intervention to decrease symptoms and disability associated with knee osteoarthritis (OA), a major public health problem and a leading cause of work disability and work absenteeism/presenteeism in the US workforce.

The overarching goal of this project is to find an effective and sustainable intervention strategy that can assist large populations of persons with or at risk for knee OA to attain and maintain healthy dietary and physical activity behaviors. This project has to potential to have a tremendous impact on improving symptoms and quality of life of persons with chronic knee pain and decreasing the functional limitation, work absenteeism/presenteeism, and soaring healthcare utilization associated with knee OA.

研究概览

地位

完全的

条件

干预/治疗

详细说明

We will utilize a partnership with Blue Cross Blue Shield of Illinois (BCBSIL), a highly supportive wellness partner, with a strong history of investment in the health of its employees and subscribers. The combined Activity/Dietary (AD) intervention is administered by health professionals trained in motivational interviewing as healthy lifestyle coaches.

Over the first 6 months, the coaches provide:

  • individualized counseling based on a comprehensive assessment of baseline clinical, functional and behavioral factors that are barriers to healthy physical activity and dietary behaviors
  • group education, the content of which is modeled after the highly successful Diabetes Prevention Program physical activity/dietary intervention, and customized for those with knee symptoms.

Follow-up assessments continue for 6 additional months.

Specific aims are to:

  1. assess the feasibility of conducting a randomized controlled trial of the JointADventure intervention at this worksite
  2. estimate the effectiveness of the intervention to decrease body weight, improve dietary habits, and increase objectively-measured physical activity
  3. to improve objectively measured functional performance
  4. to improve self-reported arthritis-specific and generic health status and health utility

研究类型

介入性

注册 (实际的)

38

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 美国
    • Illinois
      • Chicago、Illinois、美国、60601
        • Blue Cross Blue Shield of Illinois
      • Chicago、Illinois、美国、60611
        • Northwestern University Feinberg School of Medicine Department of Preventive Medicine

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

  • BCBSIL employee
  • Must be able to ambulate household distances (50 ft)
  • Must be able to read and speak English
  • Pain, aching, stiffness in or around one or both knees on most days for at least one month during the past 12 months
  • BMI of >25, but <40

Exclusion Criteria:

  • Primary diagnosis of fibromyalgia
  • Any co-morbidity that is more functionally limiting than the knee symptoms (e.g. spinal stenosis, peripheral vascular disease or residual effects of stroke)
  • Comorbid condition (based on medication review) that contraindicates a physical activity or dietary intervention
  • Total joint replacement surgery within 1 year or plans for total joint replacement in the next 12 months
  • Plans to relocate away from the Chicago-land area in the next 12 months
  • Being on a special diet that is inconsistent with the DASH diet
  • Concurrent involvement in a weight loss program

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：预防
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：单身的

武器和干预

参与者组/臂
干预/治疗
实验性的：A worksite activity-diet intervention
A 12 month intensive program that includes individual sessions, interactive group sessions and online activities.
行为的：A worksite activity-diet intervention
无干预：Motiva Program
The Motiva Program is the internal corporate wellness program offered to all BCBSIL employees.

研究衡量的是什么？

主要结果指标

结果测量
大体时间
change in accelerometer counts/day
大体时间：Baseline, 3, 6 and 12 months
Baseline, 3, 6 and 12 months
change in kilocalorie intake
大体时间：Baseline, 3, 6 and 12 months
Baseline, 3, 6 and 12 months
percent change in body weight
大体时间：Baseline, 3, 6 and 12 months
Baseline, 3, 6 and 12 months

次要结果测量

结果测量
措施说明
大体时间
20 meter walk
大体时间：Baseline, 3, 6 and 12 months
Change in walking velocity
Baseline, 3, 6 and 12 months
chair stand test
大体时间：Baseline, 3, 6 and 12 months
Change in chair-stand rate
Baseline, 3, 6 and 12 months

其他结果措施

结果测量
措施说明
大体时间
Quality of Life
大体时间：Baseline, 3 months, 6 months, 12 months
Change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)pain and function scores, Patient-Reported Objective Measurement Information System (PROMIS)scores, and change in Short Form 6D (SF-6D) utility scores
Baseline, 3 months, 6 months, 12 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Northwestern University

合作者

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Blue Cross Blue Shield

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2012年6月1日

初级完成 (实际的)

2014年6月1日

研究完成 (实际的)

2014年6月1日

研究注册日期

首次提交

2013年10月31日

首先提交符合 QC 标准的

2013年10月31日

首次发布 (估计)

2013年11月7日

研究记录更新

最后更新发布 (估计)

2014年12月30日

上次提交的符合 QC 标准的更新

2014年12月29日

最后验证

2014年12月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • R21AR062317 (美国 NIH 拨款/合同)

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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