Clinical Trial Finder

Inclusion Criteria:

• - Meet National Institute for Health and Clinical Excellence clinical guidelines for knee osteoarthritis (i.e., age ≥ 50 years, presence of activity related pain, presence of morning knee stiffness ≤ 30 minutes) - BMI<40.

• - Knee pain on most days for 3 months or more.

• - Average overall knee pain severity of ≥ 4 on an 11-point numeric rating scale over last 7 days, at least 2 weeks apart.

• - Able to attend remote sessions.

• - Can speak and understand English at a sufficient level to understand the study procedures and informed consent.

• - Available for study duration.

Exclusion Criteria:

• - Contraindications to exercise.

• - Other pain in lower back or legs that is greater than knee pain.

• - Received physical therapy treatment for knee OA in the past 6 months or currently receiving physical therapy.

• - Received any mindfulness programs such as Tai Chi, meditation, etc. in the past 6 months or currently receiving such program.

• - Currently receiving chemotherapy or radiation therapy for cancer except non-melanoma skin cancer.

• - History of other disease that may involve the index joint including inflammatory joint disease such as rheumatoid arthritis, seronegative spondyloarthropathy (eg, ankylosing spondylitis, psoriatic arthritis, inflammatory bowel disease related arthropathy), crystalline disease (eg, gout or pseudogout), lupus erythematosus, knee joint infections, Paget's disease affecting the knee, or knee joint tumors.

• - Any knee surgery in the previous 6 months.

• - Joint replacement in either hip or ankle.

• - Previous knee osteotomy partial or total knee replacement in either knee.

• - Planned major treatment for knee OA (e.g., surgery, injections, physical therapy) during the study period.

• - Planned major surgery in the next 6 months.

• - Corticosteroid or hyaluronic acid injections in either knee in the previous 3 months.

• - Neurological conditions that impacts motor functioning (e.g., stroke, Parkinson's disease, Alzheimer's disease, Multiple Sclerosis, diabetic neuropathy, etc).

• - Pregnancy (self-report) - Participation in another clinical trial for any joint or muscle pain.

- Suspected or known drugs or alcohol abuse

In this RCT, 62 adults with knee osteoarthritis will be assigned to either an exercise arm or mindful exercise arm. Both interventions will be delivered via videoconferencing in a group setting. In both groups, participants will receive a supervised session twice a week for 10 weeks. Participants will also receive a home program. During the study period, participants will be asked to remotely complete brief surveys every week and longer surveys on pain, function, mood, and other symptoms at baseline, week 5, week 10, week 16, and week 22. These surveys will be about pain, function, mood, and other symptoms. Participants will complete digital wearable-sensor based assessments at baseline and week 10. Participants will also be asked to complete brief surveys each week during the study. Feasibility of the intervention will be determined post-intervention by outcome measures such as recruitment rate, retention rate, and adherence.

Arms

Active Comparator: Group TX (Telehealth Exercise)

Participants in this group will receive a group-based, supervised exercise session twice a week for 10 weeks along with a structured home exercise program. These sessions will be delivered via Boston University HIPAA-compliant Zoom videoconferencing software.

Experimental: Group TMX (Telehealth Exercise and Mindfulness)

Participants in this group will receive a group-based, supervised, integrated mindfulness and exercise program twice a week for 10 weeks along with a structured home program. Similar to the exercise intervention, these sessions will be delivered via Boston University HIPAA-compliant Zoom videoconferencing software.

Interventions

Behavioral: - Exercise Program

In this 10-week intervention, participants will be given strengthening exercises and neuromuscular re-education exercises.

Behavioral: - Mindful Exercise

In this 10-week intervention, mindfulness meditation will be integrated with strengthening and neuromuscular exercises recommended for knee osteoarthritis.