Implementing a Group Physical Therapy Program for Veterans With Knee Osteoarthritis: Function QUERI 3.0 (QUE 25-008)
VA Office of Research and Development
Summary
Implementing Group Physical Therapy for Veterans with Knee Osteoarthritis (Group PT): Function QUERI 3.0 aims to compare two implementation approaches for implementing Group PT in 20 VA facilities using a type III effectiveness-implementation hybrid study framework and parallel cluster randomized trial (CRT) design.
Description
Background/Purpose. Exercise-based PT is a key component of guideline concordant knee OA management. However, PT is underutilized for knee OA, resulting in missed opportunities to improve outcomes for the many Veterans with this health condition. A key challenge is the high demand for PT services for knee OA, paired with limited availability of PT services, which can lead to long wait times for Veterans or high community care costs for the VA. Group-based delivery of PT for knee OA can enhance access and efficiency. Following an RCT that supported the effectiveness of Group PT relative to indi…
Eligibility
- Age range
- Not specified
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: Sites are eligible to participate if they have: * 2 outpatient PT clinicians (one primary and one back-up) for delivering Group PT * space to conduct group sessions (if delivering Group PT in person) or ability to conduct visits via telehealth (video) Patients will be eligible for Group PT if they have a clinician diagnosis of symptomatic knee OA. Exclusion Criteria: * Site will be ineligible to participate if they are already conducting a group physical therapy class for patients with knee OA. * Patients will be ineligible for Group PT if they have a substantial fall…
Interventions
- OtherImplementation Strategy: Foundational Arm
The Foundational Arm includes the following activities: Toolkit, kickoff call, SharePoint, TEAMS channel, office hours calls, site specific data reports.
- OtherImplementation Strategy: REACH Arm
The REACH Arm includes everything in the Foundational Arm, plus additional components: targeted data reports and external facilitation.
Location
- Durham VA Medical Center, Durham, NCDurham, North Carolina