Cognitive Mediators of Change in Physical Functioning in Response to a Multifaceted Intervention for Managing Osteoarthritis.
Cognitive Mediators of Change in Physical Functioning in Response to a Multifaceted Intervention for Managing Osteoarthritis.
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应对骨关节炎多方面干预措施的身体功能变化的认知调节因素。
DOI：
10.1007/s12529-017-9689-5
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发表时间：
2018
影响因子：
2.7
通讯作者：
Allen,KelliD
中科院分区：
文献类型：
--
作者：
Taylor,ShannonStark;Oddone,EugeneZ;Coffman,CynthiaJ;Jeffreys,AmyS;Bosworth,HaydenB;Allen,KelliD
虽然非药物干预已被证明可以改善骨关节炎（OA）患者的身体功能，但其发生机制往往不清楚。本研究评估是否关节炎自我效能的变化，疼痛控制感知，疼痛灾难化介导的身体功能的变化后，骨关节炎干预，涉及体重管理，体力活动，认知行为疼痛management.MethodThree百名退伍军人患者的30个初级保健提供者与膝关节和/或髋关节OA随机分组到OA干预组或常规护理。OA干预包括12个月的基于电话的患者行为协议（体重管理、身体活动和认知行为疼痛管理）加上提供给初级保健提供者的患者特异性OA治疗建议。我们观察到，关节炎自我效能和疼痛控制的基线至6个月的变化部分介导了基线至12个月的变化。一个月的身体功能改善的干预组;灾难化没有。ConclusionFindings的中介作用关节炎自我效能和疼痛控制干预相关的功能变化是一致的假设和认知的作用，认知和行为干预慢性疼痛的理论主张。然而，与假设相反，灾难化并没有被发现是这些变化的媒介。
PurposeAlthough non-pharmacological interventions have been shown to improve physical functioning in individuals with osteoarthritis (OA), the mechanisms by which this occurs are often unclear. This study assessed whether changes in arthritis self-efficacy, perceived pain control, and pain catastrophizing mediated changes in physical functioning following an osteoarthritis intervention involving weight management, physical activity, and cognitive-behavioral pain management.MethodThree hundred Veteran patients of 30 primary care providers with knee and/or hip OA were cluster randomized to an OA intervention group or usual care. The OA intervention included a 12-month phone-based patient behavioral protocol (weight management, physical activity, and cognitive-behavioral pain management) plus patient-specific OA treatment recommendations delivered to primary care providers.ResultsUsing linear mixed models adjusted for provider clustering, we observed that baseline to 6-month changes in arthritis self-efficacy and pain control partially mediated baseline to 12-month physical functioning improvements for the intervention group; catastrophizing did not.ConclusionFindings of a mediating role of arthritis self-efficacy and pain control in intervention-related functional changes are consistent with hypotheses and align with theoretical assertions of the role of cognitions in cognitive and behavioral interventions for chronic pain. However, contrary to hypotheses, catastrophizing was not found to be a mediator of these changes.
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DOI：
10.1016/0002-9343(63)90087-1
发表时间：
1963
期刊：
The American journal of medicine
影响因子：
--
作者：
J. Brown;J. Coburn;R. Wigod;J. Hiss;J. Dowling
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J. Dowling
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影响因子：
4.2
作者：
Hurbli,T;Char,DH;Harris,J;Weaver,K;Greenspan,F;Sheline,G
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Sheline,G
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A. Kroll;V. Casten
通讯作者：
V. Casten
DOI：
10.1001/jama.1971.03180360073011
发表时间：
1971
期刊：
JAMA
影响因子：
--
作者：
J. Ogura;S. Wessler;L. Avioli
通讯作者：
L. Avioli
影响因子：
5.8
作者：
DONALDSON, SS;BAGSHAW, MA;KRISS, JP
通讯作者：
KRISS, JP