Arthritis, Osteo Arthritis Knee
Conditions
Keywords
healthcare providers, arthritis, primary care
Brief summary
The purpose of this pilot study is to test OACareTools+, an intervention for healthcare providers that combines education, patient resources and support from a national organization, to help them make referrals of patients with arthritis to the Walk With Ease program. This intervention was designed to increase referrals of patients with arthritis to the Walk With Ease program.
Detailed description
Participants will be clinicians (n= 50) in a primary care practice and a subset of patients (n=10). The study team will deliver education and resources to providers in a training session about Walk With Ease. After the provider training, providers will use the study resources to refer patients with arthritis to Walk With Ease. Healthcare provider participants will complete surveys after their first referral and at the end of the study (12-months). Patient participants who are referred to Walk With Ease through the OACareTools+ intervention will participate in interviews about their experience (6-weeks) with the referral process. Primary endpoints of the study will be 1) number of healthcare providers that referred patients to Walk With Ease 2) number of Walk With Ease patient participants 3) healthcare provider acceptability and feasibility 4) patient acceptability of the intervention.
Interventions
BEHAVIORALOACareTools+
OACareTools+ is a healthcare provider intervention that combines healthcare provider education, customized patient and clinical resources, and technical support from a national organization to facilitate provider counseling on and referral to as well as patient engagement in Walk With Ease. There are 2 main parts to this intervention: 1) Healthcare provider education: The study team will deliver the provider education and resources (including information about Walk With Ease and the established referral process/smartphrase) in a presentation providers at a weekly clinician meeting and in follow-up emails. 2) Implementation: Providers will use the resources to briefly counsel patients about physical activity and Walk With Ease and use the smartphrase to refer patients to Walk With Ease. Patients will register for and participate in the online Walk With Ease program. Patients and providers can seek assistance from the national organization as needed during these processes.
Sponsors
Centers for Disease Control and Prevention
University of North Carolina, Chapel Hill
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
Yes
Inclusion criteria
* Healthcare provider participants: currently a healthcare provider or staff person in the UNC pilot clinic * Patient participants: 18 years or older; received a referral to Walk With Ease from a provider at the UNC pilot clinic; agreed to participate in the phone interview on the post-Walk With Ease evaluation form
Exclusion criteria
* Both: non-English speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of healthcare providers who referred patients | 12 months | Healthcare providers in the pilot clinic who refer patients to the Walk With Ease program using the study referral process and resources |
| Number of patients who registered for Walk With Ease | 12 months | Patients from the pilot clinic who are referred to and register in the Walk With Ease program |
| Healthcare provider acceptability | Measure collected up to 2 months after provider's first referral | The Acceptability of Intervention Measure is a measure of implementation outcomes, including 4 items ranked on a Likert scale of 1 (completely disagree) to 5 (completely agree), with a summed total ranging from 4-20 where higher scores indicate greater acceptability; measured via electronic survey. |
| Healthcare provider feasibility | Measure collected up to 2 months after provider's first referral | The Feasibility of Intervention Measure is a measure of implementation outcomes, including 4 items ranked on a Likert scale of 1 (completely disagree) to 5 (completely agree), with a summed total ranging from 4-20 where higher scores indicate greater feasibility; measured via electronic survey. |
| Patient acceptability | 6-weeks post- Walk With Ease registration | The Acceptability of Intervention Measure is a measure of implementation outcomes, including 4 items ranked on a Likert scale of 1 (completely disagree) to 5 (completely agree), with a summed total ranging from 4-20 where higher scores indicate greater acceptability; measured via telephone interview. |
| Patient usefulness: educational resources | 6-weeks post- Walk With Ease registration | During a phone interview, patients will be asked, How helpful were the education materials given to you by your healthcare provider? They will be asked to use a scale, 0-10, where 0 is not helpful at all and 10 is extremely helpful. Higher scores indicate greater levels of helpfulness. |
| Patient usefulness: clinician referral to Walk With Ease | 6-weeks post- Walk With Ease registration | During a phone interview, patients will be asked, How helpful was it to talk with healthcare provider about physical activity and Walk With Ease? They will be asked to use a scale, 0-10, where 0 is not helpful at all and 10 is extremely helpful. Higher scores indicate greater levels of helpfulness. |
Countries
United States
Outcome results
None listed