MobilWise: Mobile Phone Remote Coaching After Worksite Joint ADventure Exposure

NCT02950090 | Completed

• 1 other identifier: R21AR065054-01
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 1

Brief Summary

MobilWise, a worksite physical activity intervention for employees at high risk for knee osteoarthritis (OA), is being tested in a developmental randomized controlled trial at a collaborating worksite to determine if remotely- coached physical activity counseling can increase and sustain physical activity in this population. Knee osteoarthritis is a major public health problem and a leading cause of disability and work absenteeism/presenteeism in the US workforce. The overarching goal of this program is to develop and disseminate an affordable, efficient, efficacious physical activity intervention to large groups of employees at risk for knee OA. The Mobil Wise intervention is administered by health professionals, who will use data transmitted from an affordable accelerometer-based personal monitor (Fitbit Flex) via customized remote coach interface to 1) allow the remote coach to view and collect physical activity data generated by the personal monitor, and 2) use that data to formulate and provide tailored behavioral support, using motivational interviewing. This project has the potential to have a tremendous impact on improving symptoms and quality of life of persons with chronic knee pain and decreasing the functional limitation, work absenteeism/presenteeism, and soaring healthcare utilization associated with knee OA.

Conditions

Osteoarthritis, Knee

Keywords

Knee symptoms; physical activity; Fitbit; Accelerometer; remote coaching

Outcome Measures

Primary Outcomes (3)

• Accelerometer counts/day;

  Minutes of non-sedentary activity/day

  change from baseline and 3 months

• Accelerometer counts/day;

  Minutes of non-sedentary activity/day;

  change from baseline to 6 months

• Accelerometer counts/day;

  Minutes of non-sedentary activity/day

  change from 3 months to 6 months

Secondary Outcomes (1)

• Fitbit measured physical activity

  6 months of study

Study Arms (3)

MobilWise

EXPERIMENTAL

MobilWise will use data transmitted from an affordable accelerometer-based personal monitor (Fitbit Flex) via Fitabase to: allow a remote coach to view and collect physical activity data generated by the personal monitor, and use that data to formulate and provide tailored behavioral support, using motivational interviewing. The coach has a phone conversation weekly x 12 using motivational interviewing with participants to set goals and encourage activity. Coaches mention patient use of treatment elements (accountability) and will be positively reinforcing for adherent participants, or will include positive statements for those who are not adherent (supportive).Participants are also encouraged to use all the features of Fitbit (social networking, challenges, email reminders).

Behavioral: MobilWise

Fitbit Only

ACTIVE COMPARATOR

will use data transmitted from an affordable accelerometer-based personal monitor (Fitbit Flex) to monitor their own progress and physical activity level without coaching support. Participants are again encouraged to use all the features of Fitbit (social networking, challenges, email reminders) to achieve activity levels.

Behavioral: Fitbit Only

Waitlist Control

NO INTERVENTION

Participants in the waitlist arm have exposure to the usual wellness supports provided by the company: Motiva is the internal corporate wellness program that is under the direction of the Chief Medical Officer. Initiated in 2000, Motiva is staffed by two full- time health professionals and two full-time healthy lifestyle professionals. Motiva provides wellness programming year round on a BCBSIL intranet web page plus an individual page called myMotiva, where self- assessment of health risks, including weight and physical activity behavior, is encouraged. Participating in myMotiva allows individuals to earn up to $200 per year in an incentive program called Wellness Rewards

Interventions

MobilWise BEHAVIORAL

see arm description for MobilWise above

MobilWise

Fitbit Only BEHAVIORAL

see arm description for Fitbit above

Fitbit Only

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• y/o men and women after completion of the Joint ADventure intervention (included only overweight or obese persons over age 18 with chronic knee symptoms)
• naive to Joint ADventure (no Minimum BMI) but with knee symptoms of pain, aching or stiffness on most days over the past 3 months, and have the ability to ambulate at least household distances (50ft), the ability to speak and read English.

You may not qualify if:

• no primary diagnosis of fibromyalgia or inflammatory arthritis
• no co-morbidity that is more functionally limiting than the knee symptoms (e.g. spinal stenosis, peripheral vascular disease or residual effects of stroke)
• no co-morbid condition (based on medical history review) that contraindicates a physical activity intervention
• no total joint re- placement surgery within the past 1 year and no plans for total joint replacement in the next 12 months
• no plans to relocate away from the Chicago-land area in the next 12 months.

Sponsors & Collaborators

• Rush University Medical Center: lead
• Northwestern University: collaborator

Study Sites (1)

Rush University

Chicago, Illinois, 60612, United States

Location

MeSH Terms

Conditions

Osteoarthritis, Knee; Motor Activity

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 24, 2016
• First Posted: October 31, 2016
• Study Start: September 1, 2015
• Primary Completion: August 30, 2017
• Study Completion: August 30, 2017
• Last Updated: May 24, 2018

Record last verified: 2018-05

Locations

US (1)