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โ† Trials
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Rehabilitation for Arthritis of The Knee: mainTaining Improvement for Veterans

RecruitingPhase 3Ages 40 Years - 90 YearsAllVA Office of Research and Development
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In plain words

What the trial is, and whether it could suit you

The aims are to determine whether 1) an incentive based on behaviorally-enhanced gamification and social incentives and 2) health coaching can promote adherence to exercise and physical activity after physical therapy for osteoarthritis of the knee (KOA). The research design is a randomized clinical trial with factorial design This randomized clinical trial of 254 patients using a factorial design will leverage a clinical trial platform developed through the University of Pennsylvania that allows for the remotely capture important patient-reported outcomes and other interaction through a participant's smart phone. The investigators will randomize participants to receive social incentives with gamification to promote adherence to prescribed exercises as well as maintenance of greater levels of physical activity and compare to controls that receive a Fitbit but no additional incentive. Pa

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Clinical diagnosis or chronic knee osteoarthritis. * Age between 40-90 years * Initiating physical therapy for KOA (has initial appointment within the next month or had first PT visit within the last 7 days) * To be randomized: PT feels that they are able to safely and reliably participate in ongoing exercise. * To be randomized: must have completed at least 4 virtual or in-person appointments with PT * To be randomized: must sync their Fitbit at least monthly. Exclusion Criteria: * Lack of a smart phone allowing interaction with the WTH platform * Inability to walk 2 blocks without assistance * Poorly controlled crystalline arthritis or other diagnosis of inflammatory arthritis. * Treating provider or LSI believes life-expectancy is \<1 year * Based on LSI or treating provider discretion: exclusions may occur for severe heart failure, unstable angina, end stage renal disease, severe chronic obstructive or other pulmonary disease, or other chronic illness felt to limit participants ability to participate in exercise or resulting in potential safety risk * Severe pain in a non-knee area limiting daily function * Non-English speakers or poor reading ability limiting ability to interact with text messages. * Pregnancy * Receiving physical therapy outside of the VA.
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What it tests

  • Health coach
  • Remote Incentive Program
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Where

5 sites
Birmingham VA Medical Center, Birmingham, AL
Birmingham, United States
Omaha VA Nebraska-Western Iowa Health Care System, Omaha, NE
Omaha, United States
VA Portland Health Care System, Portland, OR
Portland, United States
Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA
Philadelphia, United States
VA Puget Sound Health Care System Seattle Division, Seattle, WA
Seattle, United States
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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