| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|---|
|
|
|
|||||||
|
|||||||||
Correspondence: Address correspondence to Susan L. Hughes, DSW, Health Research and Policy Centers, University of Illinois at Chicago, 850 W. Jackson Blvd., Suite 400, Chicago, IL 60607. E-mail: shughes{at}uic.edu
Purpose: This study assessed the impact of a low cost, multicomponent physical activity intervention for older adults with lower extremity osteoarthritis. Design and Methods: A randomized controlled trial compared the effects of a facility-based multiple-component training program followed by home-based adherence (n = 80) to a wait list control group (n = 70). Assessments were conducted at baseline and at 2 and 6 months following randomization. The training program consisted of range of motion, resistance training, aerobic walking, and education–group problem solving regarding self-efficacy for exercise and exercise adherence. All training group participants developed individualized plans for posttraining adherence. Results: Relative to the persons in the control group, individuals who participated in the exercise program experienced a statistically significant improvement in exercise efficacy, a 48.5% increase in exercise adherence, and a 13.3% increase in 6-min distance walk that were accompanied by significant decreases in lower extremity stiffness at 2 and 6 months. Program participants also experienced a significant decrease in lower extremity pain and a borderline significant improvement in efficacy to adhere to exercise over time at 6 months (p =.052). In contrast, persons in the control group deteriorated over time on the efficacy and adherence measures and showed no change on the other measures. No adverse health effects were encountered. Implications: These benefits indicate that this low-cost intervention may hold great promise as one of a growing number of public health intervention strategies for older adults in the United States with osteoarthritis.
Key Words: Arthritis • Elderly • Clinical trial • Outcomes
This article has been cited by other articles:
|
|
 |
|
  M. J. Findorff, H. Hatch Stock, C. R. Gross, and J. F. Wyman Does the Transtheoretical Model (TTM) Explain Exercise Behavior in a Community-Based Sample of Older Women? J Aging Health, December 1, 2007; 19(6): 985 - 1003. [Abstract] [PDF]
|
|
|
|
 |
|
 S. L. Hughes, R. B. Seymour, R. T. Campbell, G. Huber, N. Pollak, L. Sharma, and P. Desai Long-Term Impact of Fit and Strong! on Older Adults With Osteoarthritis Gerontologist, December 1, 2006; 46(6): 801 - 814. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Chodosh, S. C. Morton, W. Mojica, M. Maglione, M. J. Suttorp, L. Hilton, S. Rhodes, and P. Shekelle Meta-Analysis: Chronic Disease Self-Management Programs for Older Adults Ann Intern Med, September 20, 2005; 143(6): 427 - 438. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|---|
| All GSA journals | Journals of Gerontology Series A: Biological Sciences and Medical Sciences | Journals of Gerontology Series B: Psychological Sciences and Social Sciences |
