About this trial
The goal of this study is to evaluate the acceptability and feasibility of a group telehealth exercise program for Veterans with lower extremity osteoarthritis (OA). Methods: This is a randomized pilot trial where Veterans (n=50) receive a group telehealth exercise program (3 months), followed by an exercise maintenance phase (6 months) that includes either text messaging alone or text messaging plus group telehealth exercise booster sessions. The primary outcomes for this study are feasibility and acceptability of the intervention. Feasibility will be assessed through number and source of referrals, recruitment, and retention. Acceptability will be assessed through surveys and interviews for participants and providers addressing reasons for participation, satisfaction, perceived appropriateness, and overall experience containing Likert scales and both yes/no and open-ended questions. Exploratory outcomes, assessed at multiple time points during the course of the study, will measure changes in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and changes in performance measure and physical activity assessed remotely through individual telehealth sessions. Data will be collected at baseline, 3-, 6-, and 9-month follow-up.
Eligibility criteria
Qualifiers
diagnosis of symptomatic knee or hip OA
Veterans at Eastern Colorado Healthcare System Primary Care Clinics with at least one VA visit within the past year
physically inactive (add definition)
Disqualifiers
No telephone access
hip or knee surgery or acute meniscus or anterior cruciate ligament tear in the past six months
recent hospitalization for cardiovascular/cerebrovascular event
serious mental health condition or behavioral issues precluding participating in group exercise
Trial design
Treatments tested in this trial
- Group Telehealth Exercise Sessions with text messaging plus booster sessions