A Mobile Intervention to Reduce Pain and Improve Health-III

Exclusion Criteria

• •Reside in skilled nursing facility, rehab or assisted living environment
• •History of pharmacologic treatment for a psychiatric disorder other than depression/anxiety within past year
• •Current untreated and/or unstable clinical depression or anxiety (Patient Health Questionnaire (PHQ-9) \>15)
• •Hospitalization for psychiatric event within past year prior to screening
• •History of mild cognitive impairment or dementia
• •Cognitive impairment (\<32) on Modified Telephone Interview for Cognitive Status survey (TICS-M)
• •Hearing or visual impairment that would preclude use of the videoconferencing software
• •Severe arthritis or other musculoskeletal disorder that is a contraindication for safe walking
• •Presently undergoing treatment for orthopedic fracture
• •Currently using a weight loss medication (medications for diabetes management are permitted if weight stable)
• •Contraindication based on EASY screening (pertaining to chest pain and discomfort during physical activity, dizziness or light headedness, or frequent falls and use of assistive devices) without physician approval
• •Joint replacement or other orthopedic surgery in past 6 months
• •Joint replacement or other orthopedic surgery planned in next 18 months
• •Have a diagnosis of uncontrolled hypertension; current or recent past (within 1 year) severe symptomatic heart disease, uncontrolled angina, stroke, chronic respiratory disease other than asthma or COPD, any disease requiring oxygen use, neurological or hematological disease; cancer requiring current treatment, except non-melanoma skin cancers; kidney failure requiring dialysis; have a Katz ADL disability; or engage in heavy alcohol use \>14 drinks/week.
• •Current participation in other research study with a prospective intervention
• •Unable/unwilling to commit to study protocol, including random assignment and use of technology tools
• •Unable/unwilling to attend three virtual testing appointments