Implementing a Group Physical Therapy Program for Veterans (GroupPT): Function QUERI 3.0

NCT07215572 | Recruiting

• 1 other identifier: QUX 25-002
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Implementing Group Physical Therapy for Veterans with Knee Osteoarthritis (Group PT): Function QUERI 3.0 aims to compare two implementation approaches for implementing Group PT in 20 VA facilities using a type III effectiveness-implementation hybrid study framework and parallel cluster randomized trial (CRT) design.

Conditions

Knee Osteoarthritis

Keywords

Veterans; Implementation Science; Functional Status; Physical Therapy; Osteoarthritis

Outcome Measures

Primary Outcomes (1)

• Reach

  Reach will be defined as the number of patients initiating (completing the first session of) Group PT at a site.

  18 months

Secondary Outcomes (4)

• Reach

  12 months

• Time to Adoption

  18 months

• Patient Engagement

  12 months

• Patient Engagement

  18 months

Study Arms (2)

Foundational Arm

ACTIVE COMPARATOR

Foundational Arm uses the Replicating Effective Program (REP) implementation strategy and includes 3 elements that were developed and tested in our prior Function QUERI work: program initiation, self-guided resources, and technical assistance.

Other: Implementation Strategy: Foundational Arm

REACH (Reach Equity And Collective Health) Arm

EXPERIMENTAL

The REACH Arm will include the same activities as the foundational arm plus REACH activities: 1) external facilitation and 2) equity-focused data-driven monitoring.

Other: Implementation Strategy: REACH Arm

Interventions

Implementation Strategy: Foundational Arm OTHER

The Foundational Arm includes the following activities: Toolkit, kickoff call, SharePoint, TEAMS channel, office hours calls, site specific data reports.

Foundational Arm

Implementation Strategy: REACH Arm OTHER

The REACH Arm includes everything in the Foundational Arm, plus additional components: targeted data reports and external facilitation.

REACH (Reach Equity And Collective Health) Arm

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Sites are eligible to participate if they have:
• outpatient PT clinicians (one primary and one back-up) for delivering Group PT
• space to conduct group sessions (if delivering Group PT in person) or ability to conduct visits via telehealth (video)
• Patients will be eligible for Group PT if they have a clinician diagnosis of symptomatic knee OA.

You may not qualify if:

• Site will be ineligible to participate if they are already conducting a group physical therapy class for patients with knee OA.
• Patients will be ineligible for Group PT if they have a substantial fall risk or co-occurring health conditions that would make participation in a group exercise class unsafe.

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

Durham VA Medical Center, Durham, NC

Durham, North Carolina, 27705-3875, United States

RECRUITING

MeSH Terms

Conditions

Osteoarthritis, Knee; Osteoarthritis

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Officials

• Kelli Dominick Allen, PhD

  Durham VA Medical Center, Durham, NC

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Caitlin B Kappler, MSW

CONTACT

(919) 286-6936; Caitlin.Kappler@va.gov

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

Model Details: Parallel cluster-randomized trial (parallel-CRT): used in pragmatic evaluations of health program or policy interventions, where half the clusters (in this case, VA sites) are randomly assigned to two interventions: Foundational Arm (active comparator) vs. Reach Equity And Collective Health (REACH) arm (experimental).

Study Record Dates

• First Submitted: October 6, 2025
• First Posted: October 10, 2025
• Study Start: April 30, 2026
• Primary Completion (Estimated): September 30, 2030
• Study Completion (Estimated): September 30, 2030
• Last Updated: May 7, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Available upon request.
• Access Criteria: Data will only be released per appropriate authorizations or agreements. Written agreements will specify that recipients are prohibited from taking steps to re- identify any individual whose data are included in the dataset.

Locations

US (1)