Knee Osteoarthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Participants will be eligible if they are diagnosed with primary knee osteoarthritis according to the Chinese Guidelines for the Diagnosis and Treatment of Osteoarthritis (2024 Edition) and are aged 60 years or older. 2.They should have sufficient physical capacity to perform low- to moderate-intensity home-based exercise following professional assessment and have no apparent contraindications to exercise. 3.Participants should also have adequate communication and cognitive abilities to understand the study objectives and procedures and be able to complete the digital exercise diary independently or with appropriate assistance. 4.They should own a smartphone or be willing to use a device provided by the research team, be able to install and use the mobile application developed for the study, 5. Voluntarily participate throughout the intervention period after providing written informed consent for ecological momentary assessment data collection, system-delivered feedback, interviews, and questionnaire assessments.
Exclusion criteria
Exclusion criteria: 1. Participants will be excluded if they have severe cognitive impairment or mental illness, including moderate-to-severe dementia, severe depression, or another psychiatric disorder that prevents adequate participation in the study. 2. Contraindications to exercise or severe cardiopulmonary disease, such as fracture, unstable angina, uncontrolled heart failure, severe respiratory disease, or a cardiovascular or cerebrovascular event, including myocardial infarction or stroke, within the previous three months. 3. Participants with other musculoskeletal or neurological conditions that affect exercise capacity, such as severe hip disease, spinal disorders, or gait instability caused by peripheral neuropathy, will also be excluded. 4. Recent knee surgery, being in the postoperative recovery period, or planning to undergo joint replacement or arthroscopic treatment within the following three months; 5. Inability or unwillingness to use smart devices, including inability to interact with the system because of severe visual or hearing impairment; 6. Concurrent participation in another study or intervention that may affect exercise adherence or interfere with interpretation of the results; 7. Other conditions that may prevent study completion, such as severe malignancy, terminal illness, or an anticipated inability to complete follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recruitment rate;Participant retention rate;Objective exercise adherence rate;Incidence of intervention-related adverse events;System usability;Intervention satisfaction;Intervention acceptability; | — |
Secondary
| Measure | Time frame |
|---|---|
| Exercise adherence;Knee pain intensity;Knee joint function;Health-related quality of life; | — |
Countries
China
Contacts
Xiangya School of Nursing, Central South University, Changsha, China