Status:
COMPLETED
Effectiveness of Tailored Activity Pacing for Symptomatic Osteoarthritis
Lead Sponsor:
US Department of Veterans Affairs
Conditions:
Osteoarthritis
Pain
Eligibility:
All Genders
50+ years
Phase:
NA
Brief Summary
The primary objective of this project is to examine effectiveness of a tailored pacing intervention on fatigue, pain, and physical function compared to general pacing intervention and usual care group...
Detailed Description
In the United States, osteoarthritis is a growing public health issue and a leading cause of disability among older adults. Almost 50% of users of the Veterans Affairs (VA) system present with osteoar...
Eligibility Criteria
Inclusion
- Age of 50 years and older
- Reported pain for at least 3 months
- Mild-moderate pain severity according to the WOMAC pain scale
- Radiographic evidence of knee or hip osteoarthritis (Kellgren-Lawrence score of 2 in at least one joint)
- Community-dwelling (i.e. own home, apartment, senior residence)
- Ambulatory with or without a cane or walker
- Adequate cognition to complete study activities (score of 5 on the 6-Item Screener)
- Ability to use the Actiwatch-S (Phillips-Respironics, Mini-Mitter, Bend OR)accelerometer to record symptoms and activity patterns (ascertained by completion of a learning module specific to the use of the device in this study)
- English-speaking
Exclusion
- Self-reported medical history of conditions with pain and/or fatigue as a known and marked symptom (e.g multiple sclerosis, rheumatoid arthritis)
- Medically unstable (e.g. acute conditions or acute presentations of chronic conditions)
- Anemia (hemoglobin of \<10 for men and \<11 for women)
- Unmanaged thyroid dysfunction (Thyroid stimulating hormone \<.035\>5.5 mg/dl)
- 2 or more days of complete bed rest within the last month
- Limb hemiplegia or amputation
- Arthroscopic procedure within the previous 2 months
- Joint injection within the previous 3 months
- Total or partial joint replacement within the previous 6 months
- Self-reported illness or conditions that impair cooperation with the study team or ability to complete study procedures
- Current enrollee in physical or occupational therapy for symptoms associated with osteoarthritis
- Current attendance or attendance within the previous year in a cognitive behavioral therapy program or other self-management program that includes activity pacing instruction
- Any other unforeseen exclusion criteria that, by the opinion of the study personnel, would make the participant unable to safely or effectively complete the study.
Key Trial Info
Start Date :
January 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
September 1 2013
Estimated Enrollment :
195 Patients enrolled
Trial Details
Trial ID
NCT01192516
Start Date
January 1 2010
End Date
September 1 2013
Last Update
April 7 2015
Active Locations (1)
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1
VA Ann Arbor Healthcare System
Ann Arbor, Michigan, United States, 48113