ClinicalTrials.gg
RecruitingNCT05666167Updated Oct 2, 2026

Expanding Exercise Programming for Veterans Through Telehealth

An interventional study of Group Telehealth Exercise Sessions with text messaging plus booster sessions in Arthritis, sponsored by VA Office of Research and Development. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by VA Office of Research and Development · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Started Apr 2023; still recruiting 3 years 7 months later.
Updated Oct 2, 2026Primary completion movedEligibility revisedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this study is to evaluate the acceptability and feasibility of a group telehealth exercise program for Veterans with lower extremity osteoarthritis (OA). Methods: This is a randomized pilot trial where Veterans (n=50) receive a group telehealth exercise program (3 months), followed by an exercise maintenance phase (6 months) that includes either text messaging alone or text messaging plus group telehealth exercise booster sessions. The primary outcomes for this study are feasibility and acceptability of the intervention. Feasibility will be assessed through number and source of referrals, recruitment, and retention. Acceptability will be assessed through surveys and interviews for participants and providers addressing reasons for participation, satisfaction, perceived appropriateness, and overall experience containing Likert scales and both yes/no and open-ended questions. Exploratory outcomes, assessed at multiple time points during the course of the study, will measure changes in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and changes in performance measure and physical activity assessed remotely through individual telehealth sessions. Data will be collected at baseline, 3-, 6-, and 9-month follow-up.

02

Conditions studied

  • Arthritis

Keywords

  • osteoarthritis
  • exercise maintenance
  • telehealth
  • group exercise
  • text messaging
03

In context

Arthritis

843 studies on the registry are indexed under Arthritis; 118 are open to participants now.

This study's planned enrollment of 50 is below the median of 97 across 599 interventional studies indexed under Arthritis.

Browse Arthritis studies →

Lead sponsor

VA Office of Research and Development is the lead sponsor of 1,771 studies on the registry; 392 are open to participants now.

Of its 213 completed or terminated interventional studies of FDA-regulated products, 185 (87%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Oct 2, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • diagnosis of symptomatic knee or hip osteoarthritis (OA)
  • Veterans at Eastern Colorado Healthcare System Primary Care Clinics with at least one VA visit within the past year
  • physically inactive (add definition)

Exclusion criteria

Exclusion Criteria:

  • No telephone access
  • hip or knee surgery or acute meniscus or anterior cruciate ligament tear in the past six months
  • recent hospitalization for cardiovascular/cerebrovascular event
  • serious mental health condition or behavioral issues precluding participating in group exercise
  • terminal illness
  • motor neuron diseases
  • severely impaired hearing, vision, or speech
  • non-English speaking
  • current participation in another osteoarthritis (OA) or exercise intervention or lifestyle change study
  • other self-reported or study team/primary care physician deemed health condition that would prohibit participation in the study
  • no primary care physician visit in past 12 months
  • pregnant women
  • insufficient internet connectivity to participate in group telehealth
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Exercise Initiation and Maintenance with Text Messaging and Booster Sessions

    Participants receive 3 months of group telehealth exercise initiation plus text messaging followed by 6 months of text messaging plus monthly group telehealth exercise booster sessions.

    Behavioral: Group Telehealth Exercise Sessions with text messaging plus booster sessions

  • Active comparator
    Exercise Initiation and Maintenance with Text Messaging alone

    Participants receive 3 months of group telehealth exercise initiation plus text messaging followed by 6 months of text messaging alone.

    Behavioral: Group Telehealth Exercise Sessions with text messaging plus booster sessions

Interventions

  • BehavioralGroup Telehealth Exercise Sessions with text messaging plus booster sessions

    Participants receive 3 months of group telehealth exercise initiation plus text messaging followed by 6 months of text messaging plus monthly group telehealth exercise booster sessions.

06

What researchers measure

Primary outcomes

  1. Number of Referrals

    The number of referrals made by providers, through chart review, and the number of self-referrals by Veterans will be collected as a measure of feasibility.

    Time frame: 3 months

  2. Number of sessions attended

    The number of sessions attended as a percentage of the number offered will be gathered as a measure of feasibility and acceptability.

    Time frame: 3 months

  3. Recruitment

    The goal is that 50% of eligible provider and self-referrals and 25% of chart review referrals will participate in the program as a measure of success.

    Time frame: 3 months

Secondary outcomes

  1. Change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Scores

    Changes in lower extremity pain (5 items), stiffness (2 items), and function (17 items) assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scale scores. Each item is scored on a Likert scale ranging from 0 to 4 (none, mild, moderate, severe, and extreme). Scores range from 0-96 and higher scores are generally associated with worse outcomes.

    Time frame: Baseline, 3 months, 6 months, and 9 months.

Other outcomes

  1. Change in 30-second chair stand test

    Number of times participant can rise from sitting in a chair in 30 seconds. Higher scores indicate higher function.

    Time frame: Baseline, 3 months, 9 months

  2. Change in 2-minute Step Test

    The number of steps in place (right knee to midpoint of upper leg = 1 step) in 2 minutes. Higher scores indicate higher function.

    Time frame: baseline, 3 months, 9 months

  3. Change in Arm Curls

    The number of curls performed in 30 seconds. Higher scores indicate higher function.

    Time frame: Baseline, 3 months, 9 months

  4. Change in Accelerometry Data

    Gathered using an ActiGraph worn on wrist for 7 consecutive days. Specifically step changes in step counts. Larger increases indicate increased physical activity.

    Time frame: Baseline, 3 months, 6 months, 9 months

  5. Change in Number of Steps assessed by Pedometer

    Daily steps recorded by Veteran in AnnieApp text message reply and in daily exercise logs. Larger increases indicate increased physical activity.

    Time frame: Baseline, 3 months, 6 months, 9 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Primary completion
Sep 30, 2026→Dec 31, 2026
Oct 2, 2026
Eligibility
1 inclusion criterion edited; 1 exclusion criterion edited
What changed in the criteria
Inclusion criteria
  • Editeddiagnosis of symptomatic knee or hip osteoarthritis (OA)
Exclusion criteria
  • Editedcurrent participation in another osteoarthritis (OA) or exercise intervention or lifestyle change study
Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    Primary completion Sep 30, 2026→Dec 31, 2026
    Eligibility 1 inclusion criterion edited; 1 exclusion criterion edited
    What changed in the criteria
    Inclusion criteria
    • Editeddiagnosis of symptomatic knee or hip osteoarthritis (OA)
    Exclusion criteria
    • Editedcurrent participation in another osteoarthritis (OA) or exercise intervention or lifestyle change study
    + 2 other changes: identifiers and verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05666167
Responsible party
Sponsor
First posted
Dec 27, 2022
Start date
Apr 1, 2023
Primary completion
Dec 31, 2026 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Oct 2, 2026

Study contacts

Lauren Abbate, MD
Contact
Lauren.Abbate@va.gov
(303) 399-8020 ext. 3177
Andrew T Stephens
Contact
Andrew.Stephens1@va.gov
(720) 723-6726
Lauren Abbate, MD
principal investigator · Rocky Mountain Regional VA Medical Center, Aurora, CO

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion