Group physical therapy for Veterans with knee osteoarthritis

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a type III hybrid, cluster-randomized trial that will randomize 20 VA sites 1:1 to a foundational implementation arm or the REACH (Reach Equity and Collective Health) implementation arm. Sites must have two outpatient PT clinicians and either space for in-person groups or telehealth capability; participating patients must have clinician-diagnosed symptomatic knee osteoarthritis and be safe for group exercise. The trial will measure how well each implementation approach enables sites to deliver group PT and will track patient outcomes such as pain interference and function. Results will inform how to scale group PT delivery across the VA to improve access and efficiency.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Sites are eligible to participate if they have:

* 2 outpatient PT clinicians (one primary and one back-up) for delivering Group PT
* space to conduct group sessions (if delivering Group PT in person) or ability to conduct visits via telehealth (video)

Patients will be eligible for Group PT if they have a clinician diagnosis of symptomatic knee OA.

Exclusion Criteria:

* Site will be ineligible to participate if they are already conducting a group physical therapy class for patients with knee OA.
* Patients will be ineligible for Group PT if they have a substantial fall risk or co-occurring health conditions that would make participation in a group exercise class unsafe.

Where it's running

• Durham VA Medical Center, Durham, NC
  Durham, North Carolina, United States Recruiting

Study contacts

• Principal investigator: Kelli Dominick Allen, PhD — Durham VA Medical Center, Durham, NC
• Study coordinator: Caitlin B Kappler, MSW
• Email: Caitlin.Kappler@va.gov
• Phone: (919) 286-6936

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.