JointADventure: A Worksite Activity-Diet Intervention for Chronic Knee Pain

NCT ID: NCT01977872

Last Updated: 2014-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2014-06-30

Brief Summary

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JointADventure: A worksite activity-diet intervention for chronic knee pain is a randomized controlled trial evaluation of a physical activity and nutritional worksite intervention to decrease symptoms and disability associated with knee osteoarthritis (OA), a major public health problem and a leading cause of work disability and work absenteeism/presenteeism in the US workforce.

The overarching goal of this project is to find an effective and sustainable intervention strategy that can assist large populations of persons with or at risk for knee OA to attain and maintain healthy dietary and physical activity behaviors. This project has to 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.

Detailed Description

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We will utilize a partnership with Blue Cross Blue Shield of Illinois (BCBSIL), a highly supportive wellness partner, with a strong history of investment in the health of its employees and subscribers. The combined Activity/Dietary (AD) intervention is administered by health professionals trained in motivational interviewing as healthy lifestyle coaches.

Over the first 6 months, the coaches provide:

* individualized counseling based on a comprehensive assessment of baseline clinical, functional and behavioral factors that are barriers to healthy physical activity and dietary behaviors
* group education, the content of which is modeled after the highly successful Diabetes Prevention Program physical activity/dietary intervention, and customized for those with knee symptoms.

Follow-up assessments continue for 6 additional months.

Specific aims are to:

1. assess the feasibility of conducting a randomized controlled trial of the JointADventure intervention at this worksite
2. estimate the effectiveness of the intervention to decrease body weight, improve dietary habits, and increase objectively-measured physical activity
3. to improve objectively measured functional performance
4. to improve self-reported arthritis-specific and generic health status and health utility

Conditions

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Chronic Knee Pain Osteoarthritis, Knee

Keywords

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Arthritis Physical Activity Diet

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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A worksite activity-diet intervention

A 12 month intensive program that includes individual sessions, interactive group sessions and online activities.

Group Type EXPERIMENTAL

A worksite activity-diet intervention

Intervention Type BEHAVIORAL

Motiva Program

The Motiva Program is the internal corporate wellness program offered to all BCBSIL employees.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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A worksite activity-diet intervention

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* BCBSIL employee
* Must be able to ambulate household distances (50 ft)
* Must be able to read and speak English
* Pain, aching, stiffness in or around one or both knees on most days for at least one month during the past 12 months
* BMI of \>25, but \<40

Exclusion Criteria

* Primary diagnosis of fibromyalgia
* Any co-morbidity that is more functionally limiting than the knee symptoms (e.g. spinal stenosis, peripheral vascular disease or residual effects of stroke)
* Comorbid condition (based on medication review) that contraindicates a physical activity or dietary intervention
* Total joint replacement surgery within 1 year or plans for total joint replacement in the next 12 months
* Plans to relocate away from the Chicago-land area in the next 12 months
* Being on a special diet that is inconsistent with the DASH diet
* Concurrent involvement in a weight loss program
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

NIH

Sponsor Role collaborator

Blue Cross Blue Shield

OTHER

Sponsor Role collaborator

Northwestern University

OTHER

Sponsor Role lead

Responsible Party

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Rowland W. Chang

Professor of Preventive Medicine, Medicine, and Physical Medicine & Rehabilitation

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Blue Cross Blue Shield of Illinois

Chicago, Illinois, United States

Site Status

Northwestern University Feinberg School of Medicine Department of Preventive Medicine

Chicago, Illinois, United States

Site Status

Countries

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United States

Other Identifiers

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R21AR062317

Identifier Type: NIH

Identifier Source: secondary_id

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R21AR062317

Identifier Type: NIH

Identifier Source: org_study_id

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