Status:
RECRUITING
Rehabilitation for Arthritis of The Knee: mainTaining Improvement for Veterans
Lead Sponsor:
VA Office of Research and Development
Conditions:
Osteoarthritis, Knee
Eligibility:
All Genders
40-90 years
Phase:
PHASE3
Brief Summary
The aims are to determine whether 1) an incentive based on behaviorally-enhanced gamification and social incentives and 2) health coaching can promote adherence to exercise and physical activity after...
Detailed Description
Knee osteoarthritis (KOA) is a high-priority problem among the aging population, and in particular, among Veterans. Few interventions have been shown effective in the long-term management of symptoms....
Eligibility Criteria
Inclusion
- Clinical diagnosis or chronic knee osteoarthritis.
- Age between 40-90 years
- Initiating physical therapy for KOA (has initial appointment within the next month or had first PT visit within the last 7 days)
- To be randomized: PT feels that they are able to safely and reliably participate in ongoing exercise.
- To be randomized: must have completed at least 4 virtual or in-person appointments with PT
- To be randomized: must sync their Fitbit at least monthly.
Exclusion
- Lack of a smart phone allowing interaction with the WTH platform
- Inability to walk 2 blocks without assistance
- Poorly controlled crystalline arthritis or other diagnosis of inflammatory arthritis.
- Treating provider or LSI believes life-expectancy is \<1 year
- Based on LSI or treating provider discretion: exclusions may occur for severe heart failure, unstable angina, end stage renal disease, severe chronic obstructive or other pulmonary disease, or other chronic illness felt to limit participants ability to participate in exercise or resulting in potential safety risk
- Severe pain in a non-knee area limiting daily function
- Non-English speakers or poor reading ability limiting ability to interact with text messages.
- Pregnancy
- Receiving physical therapy outside of the VA.
Key Trial Info
Start Date :
December 10 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
January 1 2030
Estimated Enrollment :
254 Patients enrolled
Trial Details
Trial ID
NCT06488144
Start Date
December 10 2025
End Date
January 1 2030
Last Update
January 8 2026
Active Locations (5)
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1
Birmingham VA Medical Center, Birmingham, AL
Birmingham, Alabama, United States, 35233-1927
2
Omaha VA Nebraska-Western Iowa Health Care System, Omaha, NE
Omaha, Nebraska, United States, 68105-1850
3
VA Portland Health Care System, Portland, OR
Portland, Oregon, United States, 97207-2964
4
Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA
Philadelphia, Pennsylvania, United States, 19104-4551