ClinicalTrials.gg
CompletedNCT03428893MyTherExUpdated Sep 28, 2021

Mobile Technology to Support Physical Therapy Exercise

An interventional study of Mobile Application in Osteoarthritis of Knee and Osteoarthritis Of Hip, sponsored by University of Vermont. Completed at 1 site in United States. Open to participants aged 50 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-09-28.

Sponsored by University of Vermont · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
50 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 796 studies in Osteoarthritis, Knee with a site in United States — 110 open to participants now, 153 under way, 15 of them phase 3. Osteoarthritis, Knee · United States.

Enrollment
375th of 691
60 · median 72
Started
2018
with 54 others
No phase
376 of 796
55 open now
Registered
388th of 796
by date

Among the 796 studies in Osteoarthritis, Knee with a site in United States, this one is the 375th largest by enrollment of the 691 interventional ones that give a count, is one of 55 that started in 2018, is one of 376 with no phase, and was the 388th registered.

Osteoarthritis, Knee

3,292 studies on the registry are indexed under Osteoarthritis, Knee; 623 are open to participants now.

Browse Osteoarthritis, Knee studies →

Open to participants now

110 of the 796 studies in Osteoarthritis, Knee with a site in United States are open now. Recruiting first, the newest first:

105 more — sign in →

All 110 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 382 Osteoarthritis, Knee studies recruiting now, 176 (46%) set no upper age limit and 113 (30%) stop at 75 or younger; 19 take children under 18; 39 take healthy volunteers.

This study: 50 Years to 75 Years · all sexes · healthy volunteers too.

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02

Study summary

Osteoarthritis is the leading cause of disability in the U.S, particularly in older adults. Exercise is an evidence-based treatment option that improves pain and disability outcomes in adults with osteoarthritis, but adherence to prescribed exercise is generally low. Technology such as mobile applications (apps) for smartphones and tablets offers the potential to support exercise adherence through evidence-based components and enhanced communication between physical therapists and patients. The investigators aim to test mobile app-supported physical therapy exercise prescription compared to standard care. The investigators propose to use a two-arm randomized control trial with subjects in the intervention receiving mobile app-supported physical therapy exercise prescription and the control group receiving usual care physical therapy exercise prescription (paper handouts and verbal instruction). No known studies have assessed the impact of technological integration on adherence with PT exercises for OA. Current approaches such as therapist drawn pictures, hand-written or print-ready instructions do not account for patient communication preferences or ability to translate drawings into physical action. Mobile technology offers a potential solution to patient-centered care but has not been evaluated. This study will provide valuable information on effectiveness and user perspectives to key stakeholders such as patients, health care administrators, physical therapists and app designers.

Read the detailed description

Osteoarthritis (OA) is the leading cause of disability in the U.S. The rate of activity limitation due to OA is progressing faster than expected while prevalence is projected to increase as a result of the obesity epidemic and population aging, making it a major public health problem. Exercise is an evidence-based treatment option that improves pain and disability outcomes in adults with osteoarthritis, but previous research has shown that adherence to prescribed exercise is low. Referral to physical therapy is common for people with OA with the standard of care including exercise prescription through paper handouts with brief instruction and static pictures. Such approaches do not incorporate known determinants of behavior change related to exercise adherence.

Recent technology products such as mobile applications (apps) for phones and tablets offer the potential to enhance communication between physical therapists and patients. The investigators aim to test a pragmatic intervention focused on supporting people with osteoarthritis to remain engaged with an exercise program. The specific aims of the project are to:

  1. Compare the effectiveness of mobile app supported exercise prescription to usual care (paper exercise prescription) on exercise adherence among mid-life and older adults receiving similarly dosed physical therapy for lower extremity OA. The investigators will also examine secondary outcomes of exercise self-efficacy, physical function, stiffness, and pain.
  2. Examine the feasibility and acceptability of mobile app supported exercise prescription through recruitment and retention rates, satisfaction with care ratings, and qualitative feedback.
03

Conditions studied

  • Osteoarthritis of Knee
  • Osteoarthritis Of Hip

Keywords

  • Exercise, mhealth, physical therapy
04

Who can participate

Ages eligible
50 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Self-report of healthcare provider diagnosed osteoarthritis in the hips or knees
  2. Ability to speak and read English
  3. No diagnosis of serious mental illness
  4. No diagnosis of serious or terminal illness (e.g., cancer, end stage renal failure)
  5. Access to smartphone/tablet

Exclusion criteria

Exclusion Criteria:

  1. Cortisone injection to the joint with OA within the past 30 days
  2. Undergoing physical therapy post-total joint replacement or in preparation for total joint replacement in the next 3 months
  3. History of physical therapy for treatment of osteoarthritis in the past 6 months.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Mobile Application Group

    The mobile app group will receive physical therapy as determined by the physical therapist and agree to receive the home exercise prescription using a mobile app on their phone or personal tablet

    Device: Mobile Application

  • No intervention
    Control

    The control group will receive physical therapy as determined by the physical therapist based on clinical practice guidelines and will receive the home exercise program in the traditional way through paper exercise handouts

Interventions

  • DeviceMobile Application

    Participants will receive usual care physical therapy guided by Clinical Practice Guidelines and based on individual symptoms and need over 7 in-person visits. Measures will be collected by the physical therapist related to leg strength, balance, fitness, and mobility as part of the usual care physical therapy evaluation and follow-up. The treating physical therapist will negotiate the physical therapy intervention based on patient preferences and goals and assessment findings. Using clinical practice guidelines, the intervention for the research participants is expected to address deficits in strength, mobility, balance, and cardiovascular endurance. Exercise prescription will be provided using the Wellpepper physical therapy exercise prescription mobile app.

06

What researchers measure

Primary outcomes

  1. Exercise adherence

    Mean weekly exercise frequency over 6 and 12 weeks:0-21 with higher scores indicating more adherence.

    Time frame: 0, 6, and 12 weeks

Secondary outcomes

  1. ShortMAC Physical Function Patient Reported Outcome MeasureRO

    12-item assessment of pain and function in people with osteoarthritis: 0-100 scale with higher scores for higher function and less pain

    Time frame: 0, 6 and 12 weeks

  2. 2 minute walk test

    Functional exercise capacity: Score is in meters/feet with higher distances indicating better exercise capacity

    Time frame: 0, 6 and 12 weeks

  3. Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP)

    Pain measure: Scale range 0-100 with higher scores indicating worse pain

    Time frame: 0, 6 and 12 weeks

  4. Timed Up and Go (TUG) + Dual Task

    Measure of physical function: Score is in seconds with higher scores indicating worse physical function

    Time frame: 0, 6 and 12 weeks

  5. Dynamic Balance: Four square balance test

    Test of dynamic balance: Score is in seconds with lower scores indicating better dynamic balance

    Time frame: 0, 6 and 12 weeks

  6. Self-efficacy for exercise (SEE) Scale

    Self-Efficacy for Exercise Scale: Score range 0-90 with higher score indicating higher self-efficacy for exercise

    Time frame: 0, 6, and 12 weeks

07

Study locations

1 site
  • Dee Physical Therapy
    South Burlington, Vermont 05407, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in Jul 2019, 18 months.

Of 1,111 non-industry interventional studies with no phase under Osteoarthritis, Knee, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 36. This study's 18 months is close to that.

Counting every sponsor, half of 1,251 studies reached it within 18 months; a quarter within 8 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 5, 2018
First posted
Feb 12, 2018
StartActual
Jan 8, 2018
Primary completionActual
Jul 30, 2019
CompletionActual
Aug 30, 2019
Last update
Sep 28, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 28, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03428893
Responsible party
Nancy Gell (Assistant Professor, University of Vermont) — Principal investigator
First posted
Feb 12, 2018
Start date
Jan 8, 2018
Primary completion
Jul 30, 2019
Completion
Aug 30, 2019
Last update
Sep 28, 2021

Study contacts

Nancy Gell, PT, PhD
principal investigator · University of Vermont

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

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