Exercise Plus Activity Strategy Training for Older Adults With Osteoarthritis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Self-reported pain
研究概览
简要总结
Purpose: To study the effects of two different rehabilitation programs for people with osteoarthritis of the hip or knee.
Hypothesis 1: Participants who received Activity Stratgey Training will report less pain and physical disability at 8-weeks and 6-months follow-up.
Hypothesis 2: Participants who receive Activity Strategy Training will have a greater increase in physical activity as measured by a wrist-worn accelerometer.
Hypothesis 3: Participants who receive Activity Stratgey Training will report greater improvements in health-related quality of life.
详细描述
We are testing the effectiveness of a targeted intervention for older adults with hip and/or knee osteoarthritis (LE-OA) using an occupational therapy treatment approach to promote activity engagement. We believe that it is necessary to tailor this intervention to the specific needs of older adults with LE-OA. Based on the literature, exercise is a necessary component of an intervention for older adults with LE-OA. However, this should also be coupled with an Activity Strategy Training (AST) component designed to promote lifestyle changes and thus more lasting effects. The AST component is based on occupational therapy principles and will include behavioral and environmental strategies to increase activity engagement.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 62 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Minimum age of 62 years
- •Meet ACR clinical criteria for either hip or knee OA
- •Ambulatory (with or without assistance)
- •Requiring assistance or report difficulty in >=1/4 activities of daily living
- •Ability to speak English
排除标准
- •Knee/hip surgery within the previous 9 mos.
- •Current participation in physical/occupational therapy
- •Any contraindication to exercise activities
- •Cognitive impairment
- •Inability to provide informed consent
研究组 & 干预措施
1
Exercise + Education: Eight group sessions (8-15 people) during which participants engage in muscular strength and flexibility exercises. In addition, weekly educational lectures on topics germane to osteoarthritis management are included.
干预措施: Education (Behavioral)
2
Exercise + Activity Strategy Training: 7/8 sessions will be in a group format in which participants engage in muscular strength & flexibility exercises and listen to education lessons on management strategies for osteoarthritis. The remaining session includes a home assessment by an occupational therapist to facilitate adequate participation in daily living and leisure activities.
干预措施: Activity Strategy Training (Behavioral)
结局指标
主要结局
Self-reported pain
时间窗: Baseline, Post-intervention (8-wks), and 6-mos follow-up
次要结局
未报告次要终点
研究者
Susan Murphy
Associate Professor
University of Michigan