Clinical trial

E-Health Lifestyle Intervention for Arthritis: A Pilot RCT on Feasibility

Opening soon · Not applicable · 1 countries · Registry ID NCT07786038

Opening soonNot applicableInterventional

What this study is about

Knee osteoarthritis and obesity are common health problems in Hong Kong, especially among South Asian communities, where obesity rates are much higher than the general population. These two conditions often make each other worse-pain from arthritis leads to less physical activity, which can lead to more weight gain and more joint pain. This pilot study is testing a new digital health program called CHALAANE(Community health asian lifestyle for ameliorating arthritis with navigational e-health), which means "walk" in Hindi and Urdu. The program uses a smartband and a mobile app with artificial intelligence to help participants track their activity and diet. It also includes a 12-week supervised program with group walking sessions and lifestyle education. The study will include 50 South Asian adults aged 40 to 75 years who have knee osteoarthritis and obesity. Participants will be randomly assigned to one of two groups. The intervention group will receive the full CHALAANE program with an activated smartband and mobile app. The control group will receive an inactivated smartband for activity monitoring only. The study will last 10 months, with assessments at multiple time points. The main goal of this pilot study is to see if a larger future study would be feasible. The researchers will measure how many participants follow the program as instructed and how many complete the full 10-month study. They will also look at whether the program is acceptable to the South Asian community and gather early data on pain, physical function, and body composition. The study is a collaboration between the Department of Orthopaedics \& Traumatology at Queen Mary Hospital and The Duchess of Kent Children's Hospital. A total of 50 participants will be recruited. Results will help inform the design of a future full-scale trial to improve health outcomes in this underserved population.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age40 Years to 75 Years
SexAll
Healthy volunteersNot accepted
ConditionKnee Osteoarthristis, Obesity & Overweight

Full registry criteria

Inclusion Criteria: * Inclusion criteria: 1. South Asian 2. Men and women aged 40 to 75 years, with obesity (body mass index≥25 kg/m2, Hong Kong Centre for Health Protection obesity definition) 3. Knee osteoarthritis (European League Against Rheumatism (EULAR) clinical criteria): age≥40 with movement-related joint pain, morning knee stiffness\<30 min, and functional limitations, and crepitus/reduced range/bony enlargement) 4. Pain less than 2 years Exclusion Criteria: 1. Unwillingness/inability to change eating/physical activity habits 2. Severe knee OA daily resting pain (NPRS\>8/10) or (Kellgren-Lawrence grade=4) that could not tolerate further conservative management 3. inflammatory arthritis like rheumatoid arthritis, etc. 4. Previous knee surgery 5. immediate requirement for joint replacement, e.g. bone loss 6. Planning to leave HK \>2 months during the study period 7. cognitive impairment, vision and hearing impairment precluding use of Smartband+App 8. losing/gaining \>5% weight in 6months or on dieting 9. high levels of psychological distress (Kessler 10 questionnaire-K10 score \>29)

Treatments and study arms

Digital Health Intervention

Behavioral

The CHALAANE intervention is a culturally tailored digital health program for South Asian adults with knee osteoarthritis and obesity. It consists of three integrated components: (1) an activated smartband that continuously tracks physical activity including step count, distance, and active minutes; (2) a mobile application with artificial intelligence for dietary logging and analysis, providing personalized feedback on calorie consumption and macronutrient composition; and (3) a 12-week supervised practicum with weekly group walking sessions and lifestyle education covering healthy eating, pain management, and behavior change strategies. The intervention period is 10 months.

Inactivated Smartband for Activity Monitoring

Device

Participants in the control group receive an identical smartband that is inactivated, meaning it collects no activity data and provides no feedback to the participant. This serves as a minimal intervention to control for the effect of wearing a device while not receiving the active components of the CHALAANE program (AI dietary analysis, supervised practicum, and lifestyle education).

Primary outcomes

Adherence and follow-up rate10 months (calculated at study end)

Adherence rate is defined as the proportion of participants following the study protocol: Using the smartband with Smartband+App and using Smartband+App on\> 70% of days are the predefined outcomes for adherence. Research Assistant/social worker will meet weekly with participants in both groups till study-end due to potential technological unfamiliarity of South Asians to troubleshoot usage problems, retrieve data simultaneously, and avoid misusing the smartband. This shall have the highest guarantee of adherence accuracy. Follow-up rate is defined is proportion of participants completing the study at 10 months (study end), with ≥ 70% as the predefined outcome. Achieving ≥ 70% for both rates is a predefined outcome that would enable scale-up to a larger project. Participants are free to drop out at any time point.

Intervention program and assessment acceptability10 months (calculated at study end)

Acceptability was measured by the Client Satisfaction Questionnaire (CSQ) post-treatment as in similar OA programs (38). The CSQ is commonly used in treatment acceptability studies and includes items such as "How satisfied are you with the amount of help you received?" and "To what degree did the program teach you skills that are helping you to better manage your symptoms?" rated on a Likert scale. The assessment acceptability is also quantitatively assessed by a 5-point Likert questionnaire. ≥70% of participants rating the intervention and assessment as "acceptable" (i.e.,≥4/5 on the Likert scale) as the predefined threshold. Semi-structured interviews at study end will be conducted to capture feedback qualitatively

Recruitment rate12 months (throughout recruitment period)

Ratio between the number of eligible participants recruited and the duration of recruitment period (per month). This will help estimate the recruitment time required for full trial.

Study locations

2 locations were listed when this page was built. The first 40 are shown.

Queen Mary Hospital🇭🇰 Hong Kong, Pofuklam, Hong Kong
Chun Man Lawrence Prof. Lau, MBChB, MRCSEd, FRCSEd(Orth), FContact
The Duchess of Kent Children's Hospital at Sandy Bay🇭🇰 Hong Kong, Sandy Bay, Hong Kong
Chun Man Lawrence Prof. Lau, MBChB, MRCSEd, FRCSEd(Orth), FContact