Please select the eligibility criteria that correspond to the clinical trial below.
Title: Patient and Provider Interventions for Managing Osteoarthritis in Primary Care
Brief Summary: Osteoarthritis (OA) is one of the most common chronic conditions and a leading cause of pain and disability among adults. Many adults with OA have significant pain and functional limitations, even though they receive some medical care for their OA. Efforts are needed to help adults improve OA-related outcomes. This study will examine three different approaches for helping adults manage their OA-related symptoms. The study will compare a patient-based intervention (involving exercise, weight management, and cognitive behavioral pain management), a provider-based intervention (involving provision of patient-specific recommendations for care, based on evidence-based guidelines), and a combination of the two interventions, relative to usual care among patients with hip and/or knee osteoarthritis. The interventions are relatively low cost and easy to disseminate, with the patient component being telephone based. This study will provide novel, valuable information of the effectiveness (and cost-effectiveness) of these three interventions in the context of real-world clinical settings.


Options:
A: Inclusion Criteria:

* Radiographic evidence of hip OA and/or radiographic evidence of or meets clinical criteria for knee OA
* Current joint (hip and/or knee) symptoms
* BMI \>= 25
* Physically inactive

Exclusion Criteria:

* Diagnosis of rheumatoid arthritis, fibromyalgia, or other systemic rheumatic disease
* Diagnosis of a motor neuron disease, Parkinson's disease, multiple sclerosis, or Paget's disease
* Diagnosis of metastatic cancer
* Hospitalized for a stroke, myocardial infarction or coronary artery revascularization in the past 3 months
* On waiting list for or planning arthroplasty
* Total joint replacement (hip or knee) surgery, other hip or knee surgery, meniscus tear (verified by MRI), or ACL tear in the past 6 months
* History of gout in hip or knee
* Quadriplegia or paraplegia
* Active diagnosis of psychosis or serious personality disorder
* Diagnosis of dementia or other memory loss condition
* Current, uncontrolled substance abuse disorder
* Severly impaired speech or hearing (patients must be able to respond to phone calls)
* No access to a telephone
* Inability to understand and speak English
* Blindness
* Resident in nursing home
* Serious / terminal illness as indicated by referral to hospice or palliative care
* For females: currently pregnant or planning to become pregnant
* No visit to their Duke primary health care provider in the last 18 months
* Participating in another OA intervention of other lifestyle change study
* Other self-reported medical problem that would prohibit participation in the study
* Other health condition or personal issue judged by a study team member or primary care physician to make the patient inappropriate for study participation
B: Inclusion Criteria:

* radiographic evidence of hip OA and / or radiographic of or meets clinical criteria for knee OA
* current joint symptoms
* BMI \>=25
* physically inactive

Exclusion Criteria:

* Diagnosis of rheumatoid arthritis, fibromyalgia, or other systemic rheumatic disease
* Hospitalized for a stroke, myocardial infarction or coronary artery revascularization in the past 3 months
* Active diagnosis of psychosis or serious personality disorder
* On waiting list for / planning arthroplasty
* Severely impaired hearing or speech (patients must be able to respond to phone calls)
* Unable to speak English
* No access to a telephone
* Participating in another OA intervention or other lifestyle change study
* Dementia or other memory loss condition
* Current, uncontrolled substance abuse disorder
* Motor neuron diseases, Parkinson's Disease, multiple sclerosis
* Quadriplegic or paraplegic
* Serious / terminal illness as indicated by referral to hospice or palliative care
* Other self-reported health problem that would prohibit participation in the study
* Nursing home resident
* Other health conditions or personal issues judged by a study team member or primary care physician to make the patient inappropriate for the study
* Female participants: pregnant or planning to become pregnant
* Metastatic Cancer
* History of gout in knee or hip
* Total joint replacement (knee or hip) surgery, other knee or hip surgery, meniscus tear (verified by MRI), or ACL tear in the past 6 months
* Have not seen their VA-assigned primary health care provider for more than a year
C: Inclusion Criteria:

* Clinical diagnosis of osteoarthritis

Exclusion Criteria:

* Must be able to speak and understand swedish
D: Inclusion Criteria:

* Radiographic evidence of hip or knee osteoarthritis
* Current / persistent joint symptoms (pain, aching, stiffness)

Exclusion Criteria:

* Other rheumatic disease (i.e., rheumatoid arthritis, fibromyalgia)
* Hospitalization for stroke or cardiovascular event within past 3 months
* Metastatic cancer
* Active diagnosis of psychosis
* Terminal illness
* On waiting list for arthroplasty
* Resident of nursing home
* Severely impaired in hearing or speech (participants must be able to respond to phone calls)
* Significant cognitive dysfunction
* No access to a telephone
* Current participation in another interventional study for osteoarthritis

Answer: A