Operation Change: A New Paradigm Addressing Behavior Change and Musculoskeletal Health Disparities.
Operation Change: A New Paradigm Addressing Behavior Change and Musculoskeletal Health Disparities.
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DOI：
10.1007/s40615-018-0473-2
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发表时间：
2018-12
影响因子：
3.9
通讯作者：
Alva D
中科院分区：
文献类型：
--
作者：
Jones LC;Watkins Y;Alva D
在这项研究中，我们检查了Operation Change的实施和疗效，这是一项基于社区的文化敏感计划，旨在刺激非裔美国人（AA）和西班牙裔/拉丁裔（H/L）女性肥胖和早期骨关节炎患者的活动水平行为改变和改善肌肉骨骼健康。62名女性（32名AA和30名H/L），年龄40-75岁，非创伤性膝关节疼痛，体重指数为bbb30，参加了为期12周的计划，包括演讲，动机访谈，目标设定和体育活动。评估（第0、6和12周）包括人口调查问卷、身体评估、定时50英尺步行测试、西安大略省和麦克马斯特大学关节炎指数（WOMAC）、简短表格36健康调查（SF-36）、8项身体健康问卷（PHQ-8）和动机访谈评估。H/L女性的步行时间明显改善（P < 0.0001），而AA女性的步行时间无显著改善（P = 0.0759）。两组均有显著的体重减轻（P < 0.05），且个体间差异很大。两组的WOMAC评分显示，12周时疼痛（P < 0.0001）和僵硬（P < 0.0001）减轻，身体功能改善（P < 0.0001）。SF-36的结果与WOMAC相当。H/L组PHQ-8结果明显改善（P < 0.0001）， AA组无明显改善（P = 0.077）。参与者在项目的动机性访谈部分得分较高。参与手术改变增加了身体活动，导致疼痛和功能评分的改善。这支持了一种行为改变的新模式，帮助AA和H/L女性在患有骨关节炎的生活中发挥积极作用。
In this study, we examined the implementation and efficacy of Operation Change, a community-based, culturally sensitive program to stimulate behavioral changes in activity level and improve musculoskeletal health in African-American (AA) and Hispanic/Latina (H/L) women with obesity and early-stage osteoarthritis. Sixty-two women (32 AA and 30 H/L), 40–75 years old, with nontraumatic knee pain and body mass index values > 30, participated in a 12-week program of presentations, motivational interviewing, goal setting, and physical activities. Assessments (at 0, 6, and 12 weeks) included a demographic questionnaire, physical assessment, timed 50-ft walking test, Western Ontario and McMaster Universities Arthritis Index (WOMAC), Short Form-36 Health Survey (SF-36), 8-Item Physical Health Questionnaire (PHQ-8), and motivational interview assessment. Walking time improved significantly for H/L women (P < 0.0001) but not AA women (P = 0.0759). Both groups had significant mean weight loss (P < 0.05) with high variability among individuals. WOMAC scores for both groups indicated decreased pain (P < 0.0001) and stiffness (P < 0.0001) and improved physical functioning (P < 0.0001) by 12 weeks. SF-36 results were comparable to those of the WOMAC. PHQ-8 results improved significantly for H/L women (P < 0.0001) but not AA women (P = 0.077). Participants scored the motivational interviewing component of the program favorably. Participation in Operation Change increased physical activity, resulting in improvements in pain and function scores. This supports a new paradigm for behavioral modification that helps AA and H/L women take an active role in living with osteoarthritis.
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影响因子：
3.9
作者：
Focht, Brian C.;Garver, Matthew J.;Rejeski, W. Jack
通讯作者：
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影响因子：
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影响因子：
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