Pilot Testing a Patient and Provider Intervention for Managing Osteoarthritis in Hispanic Adults. (PRIMO-Latino)

Duke University

Status

Completed

Conditions

Osteoarthritis

Treatments

Behavioral: patient and provider intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT01782417

Pro00022836_1

Details and patient eligibility

About

Hispanics are affected by arthritis at a slightly lower age-adjusted rate compared to non-Hispanic whites and African Americans. However, compared to other groups, Hispanics have a higher prevalence of arthritis-attributed activity limitations (primarily related to OA), are less likely to receive hip replacement independent of health care access, and are less likely to receive knee replacement. The study is conducted to develop and test a telephone delivered intervention for the management of OA in Hispanic adults. This study is conducted as a minority supplement to the Patient and Provider Interventions for Managing Osteoarthritis in Primary Care (PRIMO) NCT01435109 and Pro00022836.

Full description

Arthritis affects approximately 50 million adults in the United States (US), making it one of the most common causes of disability in this county. In addition, is associated with significant physical activity limitations, increased prevalence of obesity, decreased health related quality of life, and increased health care costs. Hispanics are affected by arthritis at a slightly lower age-adjusted rate compared to non-Hispanic whites and African Americans. However, compared to other groups, Hispanics have a higher prevalence of arthritis-attributed activity limitations (primarily related to OA), are less likely to receive hip replacement independent of health care access, and are less likely to receive knee replacement. In addition, there have been very few interventions to improve either medical or behavioral aspects of OA treatment recommendations among the Hispanic population. The study will developed and test a culturally appropriate Spanish educational materials and telephone scripts for the patient- and provider-based interventions and will test the patient and provider intervention in a group of Adult Hispanics with OA.

Enrollment

16 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Radiographic evidence of hip OA and/or radiographic evidence of or meets clinical criteria for knee OA
Current joint (hip and/or knee) symptoms
BMI >= 25
Physically inactive
Spanish speakers

Exclusion criteria

Diagnosis of rheumatoid arthritis, fibromyalgia, or other systemic rheumatic disease
Diagnosis of a motor neuron disease, Parkinson's disease, multiple sclerosis, or Paget's disease
Diagnosis of metastatic cancer
Hospitalized for a stroke, myocardial infarction or coronary artery revascularization in the past 3 months
On waiting list for or planning arthroplasty
Total joint replacement (hip or knee) surgery, other hip or knee surgery, meniscus tear (verified by MRI), or (anterior cruciate ligament) ACL tear in the past 6 months
History of gout in hip or knee
Quadriplegia or paraplegia
Active diagnosis of psychosis or serious personality disorder
Diagnosis of dementia or other memory loss condition
Current, uncontrolled substance abuse disorder
Severly impaired speech or hearing (patients must be able to respond to phone calls)
No access to a telephone
Resident in nursing home
Serious / terminal illness as indicated by referral to hospice or palliative care
For females: currently pregnant or planning to become pregnant
Participating in another OA intervention of other lifestyle change study
Other self-reported medical problem that would prohibit participation in the study
Other health condition or personal issue judged by a study team member or primary care physician to make the patient inappropriate for study participation.