رادار التجارب AI | ||
|---|---|---|
حالة التجربة السريرية NCT06493903 (PMSJ) لـ التهاب المفاصل العظمي في الركبة هي قيد التجنيد. اطلعوا على جميع التفاصيل في عرض البطاقة الخاص برادار التجارب السريرية وأدوات اكتشاف الذكاء الاصطناعي. أو يمكنكم طرح أي سؤال هنا. | ||
تجربة واحدة تطابق معايير الفلتر
عرض البطاقة
Positive Minds Strong Joints for Knee Osteoarthritis (PMSJ)
تفاصيل التجربة السريرية متاحة بشكل أساسي باللغة الإنجليزية. ومع ذلك، يمكن لـ 'رادار التجارب AI' أن يساعدك؛ ما عليك سوى النقر على 'وصف الدراسة' لعرض ومناقشة معلومات التجربة باللغة التي اخترتها.
التجربة السريرية NCT06493903 (PMSJ) هي دراسة تدخُّلية لـالتهاب المفاصل العظمي في الركبة وهي قيد التجنيد. بدأت في ١٨ شعبان ١٤٤٦ هـ مع خطة لتجنيد ٤٠ مشاركًا. يقودها جامعة بوسطن، ومن المتوقع اكتمالها بحلول ٢١ رجب ١٤٤٨ هـ. تم تحديث البيانات الأخيرة من ClinicalTrials.gov في ١٨ ذو القعدة ١٤٤٦ هـ.
الملخص
The aim of this research study is to test the feasibility of a physical and mental health intervention (Positive Minds, Strong Joints or PMSJ) for Black adults with knee osteoarthritis (OA).
وصف مفصل
In this feasibility study, at least 20 and up to 40 Black Adults will be enrolled to receive PMSJ intervention. Participants who will take part in this research study will be in it for about 26 weeks. Participants will receive a one-hour individual session of psychoeducation, mindfulness, and cognitive behavior therapy skills for 10 weeks via a HIPAA-protected zoom video-call or over the telephone. In addition, they will receive a community-based group exercise and pain education program once a week for 10 weeks. Participants will also continue to receive their usual care. Participants will be asked to take surveys at five time points (i.e.) before the start of the 10-week intervention (baseline visit), mid-way through the intervention (week 5), end of the 10-week intervention (post-intervention), 6 weeks after the intervention (week 16) and 12 weeks after the intervention (week 22). Brief surveys will also be completed weekly throughout the study. The surveys will be about pain, function, quality of life, mood, social support, sleep, etc. At baseline and post-intervention visits, all participants will also be asked to wear a small movement sensor on their lower back for 7 days of continuous movement and physical activity monitoring. During both of these 7-day periods, participants will complete a single remote assessment of their walking. Feasibility of the intervention will be determined post-intervention by outcome measures such as recruitment rate, retention rate, and adherence.
العنوان الرسمي
Physical and Mental Health Intervention for Black Adults With Knee Osteoarthritis: A Feasibility Study
الحالات الطبية
التهاب المفاصل العظمي في الركبةالمنشورات
مقالات علمية وأوراق بحثية منشورة حول هذه التجربة السريرية:- Bannuru RR, Osani MC, Vaysbrot EE, Arden NK, Bennell K, Bierma-Zeinstra SMA, Kraus VB, Lohmander LS, Abbott JH, Bhandari M, Blanco FJ, Espinosa R, Haugen IK, Lin J, Mandl LA, Moilanen E, Nakamura N, Snyder-Mackler L, Trojian T, Underwood M, McAlindon TE. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage. 2019 Nov;27(11):1578-1589. doi: 10.1016/j.joca.2019.06.011. Epub 2019 Jul 3.
- Dillon CF, Rasch EK, Gu Q, Hirsch R. Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-94. J Rheumatol. 2006 Nov;33(11):2271-9. Epub 2006 Oct 1.
- Iversen MD, Schwartz TA, von Heideken J, Callahan LF, Golightly YM, Goode A, Hill C, Huffman K, Pathak A, Cooke J, Allen KD. Sociodemographic and Clinical Correlates of Physical Therapy Utilization in Adults With Symptomatic Knee Osteoarthritis. Phys Ther. 2018 Aug 1;98(8):670-678. doi: 10.1093/ptj/pzy052.
- Jimenez DE, Cook B, Bartels SJ, Alegria M. Disparities in mental health service use of racial and ethnic minority elderly adults. J Am Geriatr Soc. 2013 Jan;61(1):18-25. doi: 10.1111/jgs.12063. Epub 2012 Dec 18.
- Jordan JM, Helmick CG, Renner JB, Luta G, Dragomir AD, Woodard J, Fang F, Schwartz TA, Abbate LM, Callahan LF, Kalsbeek WD, Hochberg MC. Prevalence of knee symptoms and radiographic and symptomatic knee osteoarthritis in African Americans and Caucasians: the Johnston County Osteoarthritis Project. J Rheumatol. 2007 Jan;34(1):172-80.
- Kolasinski SL, Neogi T, Hochberg MC, Oatis C, Guyatt G, Block J, Callahan L, Copenhaver C, Dodge C, Felson D, Gellar K, Harvey WF, Hawker G, Herzig E, Kwoh CK, Nelson AE, Samuels J, Scanzello C, White D, Wise B, Altman RD, DiRenzo D, Fontanarosa J, Giradi G, Ishimori M, Misra D, Shah AA, Shmagel AK, Thoma LM, Turgunbaev M, Turner AS, Reston J. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Rheumatol. 2020 Feb;72(2):220-233. doi: 10.1002/art.41142. Epub 2020 Jan 6.
- McClendon J, Essien UR, Youk A, Ibrahim SA, Vina E, Kwoh CK, Hausmann LRM. Cumulative Disadvantage and Disparities in Depression and Pain Among Veterans With Osteoarthritis: The Role of Perceived Discrimination. Arthritis Care Res (Hoboken). 2021 Jan;73(1):11-17. doi: 10.1002/acr.24481.
- Vaughn IA, Terry EL, Bartley EJ, Schaefer N, Fillingim RB. Racial-Ethnic Differences in Osteoarthritis Pain and Disability: A Meta-Analysis. J Pain. 2019 Jun;20(6):629-644. doi: 10.1016/j.jpain.2018.11.012. Epub 2018 Dec 10.
معرّفات دراسة أخرى
- PMSJ
- 7517
NCT معرّف
تاريخ البدء (فعلي)
2025-02-17
آخر تحديث مُنشور
2025-05-16
تاريخ الاكتمال (المقدر)
2026-12-30
عدد المشاركين المخطط لهم
٤٠
نوع الدراسة
تدخُّلية
المرحلة
غ/م
الحالة
قيد التجنيد
الكلمات الرئيسية
chronic pain
depression
anxiety
exercise
cognitive behavioral therapy
Black adults
depression
anxiety
exercise
cognitive behavioral therapy
Black adults
الغرض الأساسي
العلاج
طريقة توزيع المشاركين
غ/م
نموذج التدخل
المجموعة الواحدة
التعمية
لا شيء (مفتوحة)
مجموعات/التدخلات
| مجموعة المشاركين/مجموعة | تَدَخُّل/علاج |
|---|---|
تجريبيةPositive Minds Strong Joints Participants will receive an individual mental health intervention through a zoom video-call once a week for 10 weeks and a community-based group exercise intervention once a week for 10 weeks. | Positive Minds, Strong Joints In this10-week physical and mental health intervention, participants will receive recommended exercise intervention and evidence-based mental health intervention for pain, depression and anxiety. |
النتيجة الرئيسية
النتيجة الثانوية
| مقياس النتيجة | وصف القياس | الإطار الزمني |
|---|---|---|
Recruitment Rate | Number of participants enrolled out of those screened | Throughout the recruitment process |
Retention | Proportion of participants who complete patient-reported outcome surveys at 10 week timepoint | From the start of the study to end of the 10 week intervention |
Attendance | Proportion of participants that attended at least 80% of intervention sessions | During 10 weeks intervention period |
Satisfaction with treatment | Custom 2-item (0-10 scale) to determine satisfaction with individual components of the intervention (i.e., Positive Minds, Strong Joints). There are 2 items and each item is scored separately. Higher scores for each item mean greater satisfaction for that dimension. | week 10 and week 22 |
Participant Feedback | Custom survey asking the participants to provide feedback on a 5-point scale from very poor to excellent on various aspects of the intervention including content, interventionists, group aspects, overall rating, etc. | week 10 and week 22 |
| مقياس النتيجة | وصف القياس | الإطار الزمني |
|---|---|---|
Knee Injury and Osteoarthritis Outcome Score | Patient-reported outcome for knee pain and disability; a score from 0 to 100, 0 representing extreme problems and 100 representing no problems. | Baseline, week 5, week 10, week 16 and week 22 |
Patient Health Questionnaire 9-item | 9-item questionnaire assessing depression symptoms. Each question is scored from 0 to 3 where higher scores indicate higher frequency of experiencing depressive symptoms. Total score is the sum of individual item scores. Score range is 0-27. Higher total scores indicate greater severity of depression | Baseline, week 5, week 10, week 16 and week 22 |
Generalized anxiety 7-item scale | It assesses anxiety symptoms. Each question is scored from 0 to 3 and the sum value of individual questions is the total score with range form 0-21. Higher total scores indicate greater severity of anxiety | Baseline, week 5, week 10, week 16 and week 22 |
Arthritis Self Efficacy Scale | It measures confidence in one's capacity to function despite pain. Scores range from 1 (very uncertain) to 10 (very certain). It has three subscales of pain, function, and other symptoms calculated as average of items contributing to that subscale. Higher scores indicate greater self-efficacy to manage osteoarthritis. | Baseline, week 10, and week 22 |
Fear Avoidance Beliefs Questionnaire - Physical Activity | 4-item questionnaire to determine how one's fear avoidance beliefs contributes to the cognitive/affective part of their knee pain. Each item is scored from 0 to 6. Total scores are summation of each item scores. Range is 0-24. Higher total scores indicate greater fear of physical activity | Baseline and week 10 |
Pain Catastrophizing Scale | Questionnaire for a person's thought and feeling about pain. The questionnaire has 3 subscales namely rumination, magnification and helplessness. Each question is rated on a 5-point scale, from 0 (not at all) to 4 (always). It is scored by summing the ratings of its 13 items with a range of 0-52. Higher scores indicate greater pain catastrophizing tendencies in response to pain. | Baseline and week 10 |
Trust in Medical Research Questionnaire | It assesses participants' trust in medical research. It includes items related to confidence in researchers, and the scientific process, rated on a 5 Likert scale (strongly disagree, disagree, neutral, agree and strongly agree) with a total score range of 0-48. Higher scores indicate greater trust in medical research | Baseline and week 10 |
Multidimensional Scale of Perceived Social Support | It measures perceived social support from family, friends, and significant others. It consists of 12 items rated on a 7- Likert scale for a total score range from 12-84. Higher scores indicate greater perceived social support across various domains. | Baseline and week 10 |
International Physical Activity Questionnaire | It assesses physical activity levels across diverse populations. The responses are converted into MET (Metabolic Equivalent of Task) minutes per week. The results can be continuous or categorized. For the categorized results, individuals' physical activity categorized as low, moderate and high | Baseline, week 10, week 22 |
Patient-Reported Outcomes Measurement Information System-sleep | It is used to measure measures perceived sleep quality, difficulty in sleep and having enough and refreshing sleep. The 8 questions are rated on a 5-point scale. The scores are summed together with a raw score of from 8 to 40. The raw scores are then converted to standardized T-scores using conversion tables. | Baseline, week 10 |
Patient Global Rating of Change | This is a single item questionnaire with 15 options ranging from a very great deal worse to a very great deal better. | Week 10, Week 22 |
Numerical Rating Scale-nominated activity | average rating of knee pain from 0-10, where 0 represents no pain and 10 represents worst pain imaginable, in the past week in a nominated activity selected at baseline | Weekly from start of intervention to week 22 |
Patient Global Assessment of Osteoarthritis | It assesses participant's assessment of impact of osteoarthritis on their general health on a 0-100 scale. 0 is very poor and 100 is very well. | Weekly start of intervention to week 22 |
Adherence to exercise | This questionnaire is used to assess participants adhere to exercise. Participants document their engagement in unsupervised exercise throughout the week by noting minutes of exercise per day of the week | Weekly from start of intervention to week 22 |
gait speed | A known distance of20-28 meters divided by time taken to walk this distance in m/s | Baseline and week 10 |
Physical Activity Stages of change (short form) | It assesses participants readiness to engage physical activity. It consists of five stages which include Precontemplation, contemplation, preparation, action and maintenance. | Baseline and week 10 |
معايير الأهلية
الأعمار المؤهلة للدراسة
بالغ, كبار السن
العمر الأدنى للدراسة
50 Years
الجنس المؤهل
الكل
- Age≥50
- BMI ≤ 40 kg/m2
- Self-identify as Black (including African American)
- Knee pain ≥4/10 on a 11 numeric scale over the past week
- Scored 5 or more on either the Patient Health Questionnaire (PHQ-9) and/or the Generalized Anxiety Disorder 7-item Scale (GAD-7)
- Can speak and understand English at a sufficient level to understand the study procedures and informed consent
- Available for study duration
- Able to attend remote sessions
- Knee, hip or ankle replacement
- Intra-articular corticosteroid or hyaluronic acid knee injection within 3 months
- Knee surgery within past 6 months
- Currently receiving or received within 3-months any PT for knee OA
- Currently receiving or received within 3 months any mental health intervention (excluding pharmacologic treatments)
- Planning to initiate physical therapy for joint or low back pain in the next 3months
- Planning to initiate any mental health treatment (excluding pharmacologic treatments) in the next 1 month.
- Systemic inflammatory arthritis (e.g., rheumatoid arthritis)
- Neurologic conditions (e.g., stroke, Parkinson's disease, etc.)
- Contraindications to starting an exercise program.
- Suspected substance abuse
- Lack capacity to consent
- Pregnancy (self-report)
- Participation in another clinical trial for any joint or muscle pain
- Planning for a major surgery in the next 6 months
- Having high risk mental health symptoms (active suicidality, bipolar disorder, mania, psychosis, schizophrenia)
- Receiving chemotherapy or radiation therapy for cancer (except non-melanoma skin cancer)
الجهة المسؤولة عن الدراسة
Deepak Kumar, المحقق الرئيسي, Associate Professor, Boston University Charles River Campus
جهة اتصال مركزية للدراسة
جهة اتصال: Deepak Kumar, PhD,PT, 617-358-3037, [email protected]
جهة اتصال: Hosea Boakye, MPH, PT, 6173588142, [email protected]
1 مواقع الدراسة في 1 بلدان
Massachusetts
Boston University, Boston, Massachusetts, 02215, United States
قيد التجنيد