Positive Minds Strong Joints for Knee Osteoarthritis

Who can take part

• Age≥50
• BMI ≤ 40 kg/m2
• Self-identify as Black (including African American)
• Knee pain ≥4/10 on a 11 numeric scale over the past week
• Scored 5 or more on either the Patient Health Questionnaire (PHQ-9) and/or the Generalized Anxiety Disorder 7-item Scale (GAD-7)
• Can speak and understand English at a sufficient level to understand the study procedures and informed consent
• Available for study duration
• Able to attend remote sessions

Who cannot take part

• Intra-articular corticosteroid or hyaluronic acid knee injection within 3 months
• Knee surgery within past 6 months
• Currently receiving or received within 3-months any PT for knee OA
• Currently receiving or received within 3 months any mental health intervention (excluding pharmacologic treatments)
• Planning to initiate physical therapy for joint or low back pain in the next 3months
• Planning for a major surgery in the next 6 months
• Receiving chemotherapy or radiation therapy for cancer (except non-melanoma skin cancer)
• Neurologic conditions (e.g., stroke, Parkinson's disease, etc.)
• Having high risk mental health symptoms (active suicidality, bipolar disorder, mania, psychosis, schizophrenia)
• Knee, hip or ankle replacement
• Planning to initiate any mental health treatment (excluding pharmacologic treatments) in the next 1 month
• Systemic inflammatory arthritis (e.g., rheumatoid arthritis)
• Contraindications to starting an exercise program
• Suspected substance abuse
• Lack capacity to consent
• Pregnancy (self-report)
• Participation in another clinical trial for any joint or muscle pain