Implementation of GLA:D Program in West Virginians With Osteoarthritis of the Knee

Study Overview
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Brief Summary
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This study will examine feasibility of implementing Good Life with Osteoarthritis in Denmark (GLA:D) program in West Virginians with osteoarthritis of the knee

Detailed Description
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Using West Virginia (WV) as an implementation site, this study will examine the feasibility of process implementation and effectiveness of the Good Life with Osteoarthritis in Denmark (GLA:D) program in individuals with osteoarthritis of the knee (KOA). Specifically, the study will examine the feasibility and acceptability of the GLA:D program in individuals with KOA. This study will also assess the magnitude of changes in self-reported knee pain and functional impairments as well as physical performance in individuals who receive GLA:D compared to those who receive control interventions consisting of disease-specific education and exercises for KOA.

Official Title
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A Pilot Randomized Controlled Trial to Assess the Implementation and Outcomes of Good Life With Osteoarthritis (GLA:D) Program in West Virginians Suffering From the Osteoarthritis of the Knee

Conditions
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Osteoarthritis, Knee

Intervention / Treatment
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* Other: GLA:D program (Good Life with osteoArthritis in Denmark)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Between 45 to 90 years of age, Osteoarthritis of the knee (KOA) (Kellgren and Lawrence grade 2, 3, or 4) confirmed by an orthopedic surgeon based on plain film radiographs and symptoms, and Recommendation by an orthopedic surgeon to pursue conservative management of KOA. Exclusion Criteria: Prior joint replacement surgery in the ipsilateral knee, Known history of cognitive impairments or any neurodegenerative disease, Any other neurological or musculoskeletal pathologies that have resulted in permanent mobility deficits or functional impairments, Medical conditions that would preclude them from participating in exercise programs, and Inability to read and comprehend English.

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Good Life with Osteoarthritis (GLA:D) Program<br>Participants will attend 2 sessions aimed at providing disease-specific education followed by 12 sessions of neuromuscular exercises, each 1 hour in length, delivered twice a week over 6 weeks. | Other: GLA:D program (Good Life with osteoArthritis in Denmark)<br>* GLA:D includes disease-specific education combined with neuromuscular exercises. Control interventions include disease-specific education combined with exercises to optimize movement and strength of the affected knee.<br>* Other names: Control intervention;|
| Active Comparator: Control intervention group<br>Participants allocated to the control intervention will receive disease-specific education and training to learn home exercises in a 1-hour group session. They will receive a booster session 4-weeks after the first session. | Other: GLA:D program (Good Life with osteoArthritis in Denmark)<br>* GLA:D includes disease-specific education combined with neuromuscular exercises. Control interventions include disease-specific education combined with exercises to optimize movement and strength of the affected knee.<br>* Other names: Control intervention;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Knee injury and Osteoarthritis Outcome Score (KOOS4) scores from baseline to 12-weeks later | The KOOS4 is a variant of full length KOOS that has all subscales of full length KOOS (pain, symptoms, ADL, and QOL) except sports and recreation activities subscale. There are 9 items in the pain subscale, 7 items in the symptom subscale, 17 items in the ADL subscale, and 4 items in the QOL subscale. The items across these subscales are scored on the scale of 0 to 4 where 0 indicates no problem and 4 indicates an extreme problem. Each subscale has sufficient stability and dimensionality, and therefore the score for each subscale is calculated independently on 0-100 interval with 0 indicating an extreme problem and 100 indicating no problems. | 12-weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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knee arthritis, Good Life with Osteoarthritis in Denmark, neuromuscular exercises