Chronic Knee Pain, Osteoarthritis, Knee
Conditions
Keywords
Arthritis, Physical Activity, Diet
Brief summary
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.
Detailed description
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
Interventions
BEHAVIORALA worksite activity-diet intervention
Sponsors
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Blue Cross Blue Shield
Northwestern University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| percent change in body weight | Baseline, 3, 6 and 12 months |
| change in accelerometer counts/day | Baseline, 3, 6 and 12 months |
| change in kilocalorie intake | Baseline, 3, 6 and 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 20 meter walk | Baseline, 3, 6 and 12 months | Change in walking velocity |
| chair stand test | Baseline, 3, 6 and 12 months | Change in chair-stand rate |
Other
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life | 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 |
Countries
United States
Outcome results
None listed