Promoting maintenance of physical activity in older knee osteoarthritis patients

促进老年膝骨关节炎患者保持体力活动

• 批准号: 7468704
• 负责人: Brian Carl Focht
• 金额: $ 19.8万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-01 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7468704
• 关键词: Address; Adherence; Adopted; Adoption; Adverse effects; Affect; Aging; American; Arthritis; Behavior Therapy; Behavioral; Belief; Chronic; Cognitive; Cognitive Therapy; Communities; Counseling; Daily; Degenerative Disorder; Degenerative polyarthritis; Dependence; Deterioration; Disease; Disease Progression; Elderly; Exercise; Fatigue; Frequencies; Goals; Guidelines; Individual; Instruction; Intervention; Investigation; Joints; Knee; Knee Osteoarthritis; Life Style; Maintenance; Mediating; Medical; Methods; Modification; Operative Surgical Procedures; Outcome; Pain; Participant; Patient Self-Report; Patients; Performance; Phase; Physical Function; Physical activity; Physical therapy exercises; Plague; Population; Process; Public Health; Purpose; Quality of life; Randomized; Randomized Controlled Trials; Rate; Research; Self Efficacy; Structure; Symptoms; United States; Upper arm; Weaning; base; behavior change; chronic pain; clinically relevant; cohort; disability; follow-up; health related quality of life; innovation; intervention program; prevent; programs; skills; success; therapy design; treatment duration; treatment effect

DESCRIPTION (provided by applicant): Knee osteoarthritis (OA) is a chronic degenerative disease that affects approximately one third of all older adults in the United States. The joint damage and chronic pain accompanying the progression of knee OA compromises quality of life and physical function and facilitates the onset of physical disability in older adults. Evidence from several randomized controlled trials demonstrates that physical activity interventions result in significant improvements in physical function and quality of life among seniors with knee OA. Despite the benefits accompanying exercise, promoting long-term maintenance of physical activity participation among older knee OA patients remains problematic. One potential explanation for the excessive attrition from structured physical activity interventions is that traditional approaches to exercise therapy fail to provide adequate instruction or practice in the self-regulatory skills necessary to maintain independent, long-term participation. Therefore, the primary goal of this investigation is to determine if a group-mediated cognitive behavioral (GMCB) physical activity intervention involving individualized and group-based activity counseling will result in higher weekly frequency and volume of moderate intensity or greater physical activity (PARMod+) at 3 months and 12 month follow-up assessments when compared to a traditional physical activity intervention. The GMCB intervention program incorporates group and individual behavior change activity counseling to help patients develop self-regulatory skills that facilitate the maintenance of independent physical activity participation while concomitantly phasing out center-based activity over an initial 3-month period. It is our hypothesis that the GMCB intervention program will produce significantly higher frequency and volume of PARMod+ participation at the end of 3 and 12 months when compared to a traditional physical activity program. Secondary aims of the investigation are to determine the impact of the GMCB and traditional physical activity interventions on self-reported physical function and pain, mobility performance, and health-related quality of life. Public Health Relevance Statement: The proposed investigation examines the efficacy of behavioral interventions for promoting long-term maintenance of regular physical activity and enhancing disease symptoms in older adults with knee OA. Given that OA is one of the most prevalent diseases affecting older American and is considered one of the primary causes of disability with aging, the application addresses an important public health issue that will only grow in magnitude as the aging of the U.S. population continues to increase.

描述（由申请人提供）：膝关节骨关节炎（OA）是一种慢性退行性疾病，影响美国约三分之一的老年人。伴随膝关节OA进展的关节损伤和慢性疼痛损害生活质量和身体功能，并促进老年人身体残疾的发生。来自多项随机对照试验的证据表明，身体活动干预可显著改善膝关节OA老年人的身体功能和生活质量。尽管伴随运动的益处，但促进老年膝关节OA患者长期维持身体活动参与仍然存在问题。结构化体力活动干预导致过度消耗的一个潜在解释是，传统的运动疗法方法未能提供足够的自我调节技能指导或实践，这些技能是保持独立，长期参与所必需的。因此，本研究的主要目标是确定与传统体力活动干预相比，涉及个体化和基于团体的活动咨询的团体介导的认知行为（GMCB）体力活动干预是否会导致3个月和12个月随访评估时中等强度或更大强度体力活动（PARMod+）的每周频率和体积更高。GMCB干预计划结合了团体和个人行为改变活动咨询，以帮助患者发展自我调节技能，促进维持独立的身体活动参与，同时在最初的3个月内逐步淘汰中心活动。我们的假设是，与传统的身体活动计划相比，GMCB干预计划将在3个月和12个月结束时产生显著更高的PARMod+参与频率和数量。调查的次要目的是确定GMCB和传统体力活动干预对自我报告的身体功能和疼痛，移动性能和健康相关的生活质量的影响。 公共卫生相关性声明：拟议的调查研究行为干预的有效性，以促进长期维持定期的体力活动，并加强疾病症状的老年人膝关节骨性关节炎。鉴于OA是影响美国老年人的最常见疾病之一，并且被认为是衰老导致残疾的主要原因之一，该申请解决了一个重要的公共卫生问题，随着美国人口老龄化的持续增加，这个问题只会越来越严重。