Positive Minds Strong Joints for Knee Osteoarthritis

Eligibility Criteria

• * 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
• * Available to attend in-person intervention sessions at the community location
• * Able to attend remote sessions
• * Knee, hip or ankle replacement
• * 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 to initiate any mental health treatment (excluding pharmacologic treatments) in the next 1 month.
• * Systemic inflammatory arthritis (e.g., rheumatoid arthritis)
• * Neurologic conditions (e.g., stroke, Parkinson's disease, etc.)
• * 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
• * Planning for a major surgery in the next 6 months
• * Having high risk mental health symptoms (active suicidality, bipolar disorder, mania, psychosis, schizophrenia)
• * Receiving chemotherapy or radiation therapy for cancer (except non-melanoma skin cancer)