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Participants (N=240, age ≥65) were randomized to OA-PCP or an attention control receiving OA education calls and emails. OA-PCP added baseline and 3-to-12-month coaching calls plus email-delivered content. Primary outcome measured weekly MVPA minutes via accelerometer at baseline, 6, and 12 months, with WOMAC pain/function subscales as secondary endpoints.",{"@graph":69,"@context":121},[70,84,104],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/osteoarthritis-physical-activity-care-pathway-results-of-an-exploratory-trial/432341/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":98,"encodingFormat":97,"isAccessibleForFree":99,"interactionStatistic":100},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/osteoarthritis-physical-activity-care-pathway-results-of-an-exploratory-trial/432341.png","ImageObject",300,407,{"name":92,"@type":93},"Mimi","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-29",true,{"@type":101,"interactionType":102,"userInteractionCount":14},"InteractionCounter",{"@type":103},"ViewAction",{"@type":105,"mainEntity":106},"FAQPage",[107,113,117],{"name":108,"@type":109,"acceptedAnswer":110},"What intervention was tested for people with osteoarthritis?","Question",{"text":111,"@type":112},"The study tested the Osteoarthritis Physical Activity Care Pathway (OA-PCP), which used telephone-delivered coaching, activity self-monitoring, and email-delivered content to connect participants with resources supporting physical activity.","Answer",{"name":114,"@type":109,"acceptedAnswer":115},"Who participated and how were they assigned?",{"text":116,"@type":112},"Older adults aged 65 or more with symptomatic hip or knee osteoarthritis and comorbid health conditions (N=240) were randomized to OA-PCP or an attention control condition focused on osteoarthritis education.",{"name":118,"@type":109,"acceptedAnswer":119},"How were physical activity outcomes measured and what were the results?",{"text":120,"@type":112},"Minutes of moderate to vigorous physical activity (MVPA) per week were measured by accelerometer at baseline, 6 months, and 12 months. Changes favored OA-PCP at both follow-ups, but differences were not statistically or clinically significant, with the only secondary difference noted as steps per day at 12 months.","https://schema.org",{"og:url":83,"og:type":123,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":125,"canonical":83},"index,follow",{"doc_id":127,"site_id":62},432341,1790716961,{"code":4,"msg":5,"data":130},{"doc_id":127,"user_id":131,"nickname":92,"user_avatar":132,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":138,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":139,"faqs":140,"seo_title":141,"seo_description":67,"update_tm":142,"read_time":143},2336477974920,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Osteoarthritis physical activity care pathway: Results of an exploratory trial  \nKelli D. Allen a, b, c, *, Katie F. Huffman a, Leigh F. Callahan a, b, d, Natalie Fullenkampc, Yvonne M. Golightly e, Derek P. Halesf, Amanda E. Nelson a, b, Stephanie Ntimb, Ami Pathakg, Jennifer Reesh, Riya Vasa a, Maihan B. Vuf, Rebecca J. Cleveland a, b, d  \na Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, USA b Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA  \nc Center of Innovation to Accelerate North Carolina Clinical and Translational Sciences Institute, Durham VA Healthcare System, USA d Department of Orthopaedics, University of North Carolina at Chapel Hill, USA  \ne College of Allied Health Professions, University of Nebraska Medical Center, USA  \nf Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, USA g Unviersity of North Carolina Health Chatham, Siler City, NC, USA  \nh North Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill, USA  \nA R T I C L E I N F O  \nHandling Editor: Professor H Madry  \nKeywords: Osteoarthritis Physical activity Pain  \nFunction  \nRandomized controlled trial  \nA B S T R A C T  \nObjective: To conduct an exploratory randomized controlled trial of a physical activity intervention for individuals with osteoarthritis (OA) involving telephone-delivered coaching, activity self-monitoring, and connection with resources to support activity (Osteoarthritis Physical Activity Care Pathway; OA-PCP). Methods: Older adults (age ≥65 years) with symptomatic hip or knee OA and comorbid health conditions (N = 240) were randomized to OA-PCP or an attention control (AC) condition. OA-PCP included coaching calls at baseline and at 3-month intervals through 12 months, as well as email-delivered content. The ACgroup received calls and emails focused on OA education. The primary outcome was minutes of moderate to vigorous physical activity (MVPA) per week, measured at baseline, 6-months and 12-months via accelerometer. Secondary outcomes included other physical activity metrics and the Western Ontario and McMaster Universities Osteoarthritis Index pain and function subscales. Linear mixed regression was used to estimate between-group differences from baseline to follow-up time points.  \nResults: At 6-month and 12-month follow-up, the changes in weekly MVPA favored the OA-PCP by 9.5 min (95 % Confidence Interval − 6.7, 25.8; p = 0.252) and 12.3 min (95 % Confidence Interval − 3.8, 28.4; p = 0.136), respectively, but differences were not statistically or clinically significant. There were no significant betweengroup differences in secondary outcomes other than steps per day at 12-months  \nConclusions: A more intensive intervention approach may be needed to enhance physical activity among older adults with OA and comorbid health conditions.  \n1. Introduction  \nPhysical activity (PA) is a key, first-line treatment recommendation for hip and knee osteoarthritis (OA) management, with many important health benefits [1–6]. Further, strong evidence shows that PA improves function among older adults in general [7], and maintaining physical function is critical for individuals with OA [8]. Yet the majority of individuals with OA are not physically active, with less than half meeting Department of Health and Human Services PA guidelines [9,10]. Given  \nthe high and increasing prevalence of OA [11], there is a need for scalable approaches to promote PA in this population.  \nIn a prior study, we examined the feasibility and acceptability of a PA intervention for patients with OA from a primary care setting, where OAis most commonly treated [12]. The intervention, based on the Social Ecological Model of Health Behavior, began with screening for physical inactivity and then provided PA coaching and connection with community-based and other resources to support activity [13,14]. In that","cbCainNlbj01YjVI","https://ap.wps.com/l/cbCainNlbj01YjVI","pdf",2327862,"English","# Objective\n# Methods\n## Study design\n# Results\n# Conclusions\n# Introduction\n# Methods","[{\"question\":\"What intervention was tested for people with osteoarthritis?\",\"answer\":\"The study tested the Osteoarthritis Physical Activity Care Pathway (OA-PCP), which used telephone-delivered coaching, activity self-monitoring, and email-delivered content to connect participants with resources supporting physical activity.\"},{\"question\":\"Who participated and how were they assigned?\",\"answer\":\"Older adults aged 65 or more with symptomatic hip or knee osteoarthritis and comorbid health conditions (N=240) were randomized to OA-PCP or an attention control condition focused on osteoarthritis education.\"},{\"question\":\"How were physical activity outcomes measured and what were the results?\",\"answer\":\"Minutes of moderate to vigorous physical activity (MVPA) per week were measured by accelerometer at baseline, 6 months, and 12 months. Changes favored OA-PCP at both follow-ups, but differences were not statistically or clinically significant, with the only secondary difference noted as steps per day at 12 months.\"}]","Osteoarthritis Physical Activity Care Pathway - Results of an Exploratory Trial | PDF",1790659197,23]