Helping seniors with osteoarthritis use their SilverSneakers fitness benefits

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 pragmatic randomized trial will compare a Proactive Care outreach (mailed information, two phone calls, and a faxed note to primary care providers) to Usual Care (standard insurance benefit packet) among older adults with osteoarthritis who have SilverSneakers access but have not used it. About 1,454 participants aged 65+ enrolled at least one year in a Humana Medicare Advantage plan that includes SilverSneakers will be randomized and followed for two years. Primary outcomes include initiation and sustained participation in SilverSneakers programs, patient-reported physical, social, and psychological outcomes, and osteoarthritis-related health service use and costs. The intervention is delivered nationally with Penn State Milton S. Hershey Medical Center as lead site and collaborators including Humana and Kaiser Permanente.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Aged 65 and older.
* ICD-9 or ICD-10 code for hip, knee, or general osteoarthritis.
* Positive response to a standardized question from the Medical Expenditure Panel Survey that asks if patient was diagnosed with osteoarthritis/arthritis and self-report confirmation of hip and/or knee pain due to their osteoarthritis/arthritis.
* Continuous enrollment for at least one year in a Humana Medicare Advantage plan which provides free SilverSneakers access and both medical and prescription drug coverage.
* Not currently or previously enrolled in SilverSneakers.
* Speak English or Spanish.
* Physical/mental capacity to provide informed consent, based on not having an ICD-9 or ICD-10 code for dementia and being able to answer three questions to verify comprehension of the informed consent form.

Exclusion Criteria:

* Another person in the same household is enrolling/enrolled in the study (to prevent treatment contamination, only one participant per household can participate).
* Medicare/Medicaid dual enrollment due to limited data accessibility for this group.
* Receiving hospice care or under long-term institutional care (Part C) due to limited data accessibility for this group.
* Receiving care from a provider credentialed through a delegated arrangement (i.e., delegated provider), due to limited data accessibility for this group.
* Lack of a valid mailing address in the Humana medical claims databases.

Where it's running

• Penn State College of Medicine
  Hershey, Pennsylvania, United States Recruiting

Study contacts

• Principal investigator: Liza S. Rovniak, PhD, MPH — Penn State College of Medicine
• Study coordinator: Liza S. Rovniak, PhD, MPH
• Email: lrovniak@pennstatehealth.psu.edu
• Phone: 717-531-8161

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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.