Implementation of Tele-Exercise for Management of Knee Osteoarthritis in Older Rural Primary Care Patients

University of Washington

Status

Unknown

Conditions

Knee Osteoarthritis

Treatments

Behavioral: Tele-EnhanceFitness

Study type

Interventional

Funder types

Other

Identifiers

NCT04706702

STUDY00012144

Details and patient eligibility

About

Knee osteoarthritis (OA) is highly prevalent and a leading cause of pain that limits physical functioning in older adults. Clinical practice guidelines recommend physical exercise for managing symptoms of knee OA. As a result, several evidence-based exercise programs have been implemented in community centers. However, access to these programs is severely limited in rural settings. Considering that rural communities have a higher disease burden and higher proportion of older adults than non-rural areas, there is a critical need to (1) adapt evidence-based exercise programs for remote delivery to increase access for rural older adults and (2) develop pathways to implement exercise programs in rural health care systems that consistently reach and engage patients with knee OA. Accordingly, we aim to engage rural primary care practices (including medical directors, clinicians, and staff) to develop a clinical pathway that refers patients to an evidence-based exercise program, called Enhance Fitness® (EF), which we have adapted for remote delivery (tele-EF). Enhance Fitness is a group exercise program that is recommended by the CDC for OA management. It is available in over 800 sites nationally and is covered by Medicare Advantage plans, but it is generally not available in rural communities. In addition, we will assess the feasibility and acceptability of implementing the clinical pathway that identifies physically inactive older patients with knee OA, facilitates exercise prescription, and streamlines referral to tele-EF in a rural primary care clinic over a 5-month period.

Enrollment

15 estimated patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age ≥65 years
Community-dwelling
English-speaking
Physician diagnosed knee osteoarthritis
Physically inactive as determined by the 2-item Physical Activity Vital Sign questionnaire

Exclusion criteria

Cognitive impairment determined by a Mini Montreal Cognitive Assessment score of <11
Significant, non-corrected visual or hearing impairment
Plans to move out of the area in the next 6 months
Cancer requiring treatment (except for non-melanoma skin cancer) in the past 6 months
Heart attack in the past 6 months
Stroke in the past 6 months
Hip fracture in the past 6 months
Hip/knee replacement in the past 6 months
Spinal surgery in the past 6 months
Heart surgery in the past 6 months
Deep vein thrombosis in the past 6 months
Pulmonary embolus in the past 6 months
Hospitalization within the last month
≥3 falls within the past month