Significant co-morbid disease that would pose a safety threat or impair ability to participate; low BMI; no knee OA
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Symptomatic or severe coronary artery disease; unable to walk without assistive device; blindness; type 1 diabetes; BMI < 27.0 kg/m2, does not meet ACR clinical criteria for knee OA
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Medical history; knee exam using ACR clinical criteria and performed by research staff trained by our MDs
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Ability and willingness to modify dietary or exercise behaviors
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Unwillingness or inability to change eating and physical activity habits due to environment; cannot speak and read English
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Questionnaire, assessment by interventionists
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Ability to finish or to comply with the 18-month study
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Planning to leave area ≥ 2 months during the next 18 months
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Questionnaire
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Significant cognitive impairment
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Montreal Cognitive Assessment (MOCA)
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Medical history, MOCA
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Transportation
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Unable to provide own transportation to and from the intervention site
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Questionnaire
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