About this trial
The aim of this pragmatic randomized controlled trial is to test the effects of a brief proactive care intervention involving mailed material and two phone calls on: (1) increasing participation in SilverSneakers exercise programs among older adults with osteoarthritis; (2) improving physical, social and psychological outcomes identified as important to older adults with osteoarthritis; and (3) reducing costly osteoarthritis-related health service use. Approximately 1,454 older adults with osteoarthritis who have SilverSneakers access through their Medicare Advantage plan, but no prior SilverSneakers use, will be recruited to participate across the United States. Key outcome measures will be assessed over a two-year follow-up period.
Eligibility criteria
Qualifiers
Aged 65 and older.
ICD-9 or ICD-10 code for hip, knee, or general osteoarthritis.
Positive response to a standardized question from the Medical Expenditure Panel Survey that asks if patient was diagnosed with osteoarthritis/arthritis and self-report confirmation of hip and/or knee pain due to their osteoarthritis/arthritis.
Continuous enrollment for at least one year in a Humana Medicare Advantage plan which provides free SilverSneakers access and both medical and prescription drug coverage.
Disqualifiers
Another person in the same household is enrolling/enrolled in the study (to prevent treatment contamination, only one participant per household can participate).
Medicare/Medicaid dual enrollment due to limited data accessibility for this group.
Receiving hospice care or under long-term institutional care (Part C) due to limited data accessibility for this group.
Receiving care from a provider credentialed through a delegated arrangement (i.e., delegated provider), due to limited data accessibility for this group.
Trial design
Treatments tested in this trial
- Proactive Care
Treatment groups
Sponsors and collaborators
Milton S. Hershey Medical Center
Lead sponsor
Humana Healthcare Research
Collaborator
Kaiser Permanente
Collaborator
Global Healthy Living Foundation
Collaborator
Patient-Centered Outcomes Research Institute
Collaborator
CVS Healthspire Life Sciences Solutions
Collaborator
Tivity Health
Collaborator