Expanding Exercise Programming for Veterans Through Telehealth
1 other identifier
interventional
50
1 country
1
Brief Summary
The goal of this study is to evaluate the acceptability and feasibility of a group telehealth exercise program for Veterans with lower extremity osteoarthritis (OA). Methods: This is a randomized pilot trial where Veterans (n=50) receive a group telehealth exercise program (3 months), followed by an exercise maintenance phase (6 months) that includes either text messaging alone or text messaging plus group telehealth exercise booster sessions. The primary outcomes for this study are feasibility and acceptability of the intervention. Feasibility will be assessed through number and source of referrals, recruitment, and retention. Acceptability will be assessed through surveys and interviews for participants and providers addressing reasons for participation, satisfaction, perceived appropriateness, and overall experience containing Likert scales and both yes/no and open-ended questions. Exploratory outcomes, assessed at multiple time points during the course of the study, will measure changes in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and changes in performance measure and physical activity assessed remotely through individual telehealth sessions. Data will be collected at baseline, 3-, 6-, and 9-month follow-up.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2023
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 17, 2022
CompletedFirst Posted
Study publicly available on registry
December 27, 2022
CompletedStudy Start
First participant enrolled
April 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 31, 2027
April 8, 2026
April 1, 2026
3.5 years
November 17, 2022
April 7, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Number of Referrals
The number of referrals made by providers, through chart review, and the number of self-referrals by Veterans will be collected as a measure of feasibility.
3 months
Number of sessions attended
The number of sessions attended as a percentage of the number offered will be gathered as a measure of feasibility and acceptability.
3 months
Recruitment
The goal is that 50% of eligible provider and self-referrals and 25% of chart review referrals will participate in the program as a measure of success.
3 months
Secondary Outcomes (1)
Change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Scores
Baseline, 3 months, 6 months, and 9 months.
Other Outcomes (5)
Change in 30-second chair stand test
Baseline, 3 months, 9 months
Change in 2-minute Step Test
baseline, 3 months, 9 months
Change in Arm Curls
Baseline, 3 months, 9 months
- +2 more other outcomes
Study Arms (2)
Exercise Initiation and Maintenance with Text Messaging and Booster Sessions
EXPERIMENTALParticipants receive 3 months of group telehealth exercise initiation plus text messaging followed by 6 months of text messaging plus monthly group telehealth exercise booster sessions.
Exercise Initiation and Maintenance with Text Messaging alone
ACTIVE COMPARATORParticipants receive 3 months of group telehealth exercise initiation plus text messaging followed by 6 months of text messaging alone.
Interventions
Participants receive 3 months of group telehealth exercise initiation plus text messaging followed by 6 months of text messaging plus monthly group telehealth exercise booster sessions.
Eligibility Criteria
You may qualify if:
- diagnosis of symptomatic knee or hip OA
- Veterans at Eastern Colorado Healthcare System Primary Care Clinics with at least one VA visit within the past year
- physically inactive (add definition)
You may not qualify if:
- No telephone access
- hip or knee surgery or acute meniscus or anterior cruciate ligament tear in the past six months
- recent hospitalization for cardiovascular/cerebrovascular event
- serious mental health condition or behavioral issues precluding participating in group exercise
- terminal illness
- motor neuron diseases
- severely impaired hearing, vision, or speech
- non-English speaking
- current participation in another OA or exercise intervention or lifestyle change study
- other self-reported or study team/primary care physician deemed health condition that would prohibit participation in the study
- no primary care physician visit in past 12 months
- pregnant women
- insufficient internet connectivity to participate in group telehealth
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Rocky Mountain Regional VA Medical Center, Aurora, CO
Aurora, Colorado, 80045-7211, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lauren Abbate, MD
Rocky Mountain Regional VA Medical Center, Aurora, CO
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 17, 2022
First Posted
December 27, 2022
Study Start
April 1, 2023
Primary Completion (Estimated)
September 30, 2026
Study Completion (Estimated)
March 31, 2027
Last Updated
April 8, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share