💬In plain words
What the trial is, and whether it could suit you
The experience of chronic pain powerfully and negatively affects quality of life and functional independence in aging. Unfortunately, while as many as three in four older adults experience chronic pain, few have access to effective non-pharmacological pain management strategies. Participating in regular physical activity, avoiding sustained sitting, and maintaining a healthy weight are important and interrelated lifestyle inputs to chronic pain, and socially rich behavioral interventions informed by contemporary theories of behavior change appear important for engaging in activity and healthy eating in the long term. Our group has demonstrated in a series of Stage I trials that a group-mediated behavioral intervention combining dietary behavior change and a physical activity program focused on moving often throughout the day contributes to meaningful weight loss, and lasting weight maint
Sign in to get the eligibility rules as simple questions to take to your doctor.
📋 Eligibility rules (as published)
Inclusion Criteria:
* Aged 65+ years
* Body mass index of 30-45 kg/m2 or \>45 kg/m2 with physician's approval
* No loss or gain of more than 5% body mass in previous 6 months
* Presence of knee or hip osteoarthritis as ascertained via the Roux questionnaire
* Independently living
* Low active (i.e., not participating in regular resistance training and/or \>20 mins/day of aerobic exercise on more than 2 days/week in past 3 months as ascertained via a modified CHAMPS questionnaire)
* Have no contraindication for safe and optimal participation in exercise based on EASY screening (pertaining to chest pain and discomfort during physical activity, dizziness or light headedness, or frequent falls and use of assistive devices)
* Not currently using a weight loss medication (medications for diabetes management are permitted if weight stable)
* Approved for participation by medical director
* Willing to provide informed consent and agree to all study procedures and assessments.
Exclusion Criteria:
* Reside in skilled nursing facility, rehab or assisted living environment
* History of pharmacologic treatment for a psychiatric disorder other than depression/anxiety within past year
* Current untreated and/or unstable clinical depression or anxiety (Patient Health Questionnaire (PHQ-9) \>15)
* Hospitalization for psychiatric event within past year prior to screening
* History of mild cognitive impairment or dementia
* Cognitive impairment (\<32) on Modified Telephone Interview for Cognitive Status survey (TICS-M)
* Hearing or visual impairment that would preclude use of the videoconferencing software
* Severe arthritis or other musculoskeletal disorder that is a contraindication for safe walking
* Presently undergoing treatment for orthopedic fracture
* Currently using a weight loss medication (medications for diabetes management are permitted if weight stable)
* Contraindication based on EASY screening (pertaining to chest pain and discomfort during physical activity, dizziness or light headedness, or frequent falls and use of assistive devices) without physician approval
* Joint replacement or other orthopedic surgery in past 6 months
* Joint replacement or other orthopedic surgery planned in next 18 months
* Have a diagnosis of uncontrolled hypertension; current or recent past (within 1 year) severe symptomatic heart disease, uncontrolled angina, stroke, chronic respiratory disease other than asthma or COPD, any disease requiring oxygen use, neurological or hematological disease; cancer requiring current treatment, except non-melanoma skin cancers; kidney failure requiring dialysis; have a Katz ADL disability; or engage in heavy alcohol use \>14 drinks/week.
* Current participation in other research study with a prospective intervention
* Unable/unwilling to commit to study protocol, including random assignment and use of technology tools
* Unable/unwilling to attend three virtual testing appointments
Wake Forest University
Winston-Salem, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
HealthTeky