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Erschienen in: Journal of Behavioral Medicine 3/2017

20.01.2017 | BRIEF REPORT

A group-mediated physical activity intervention in older knee osteoarthritis patients: effects on social cognitive outcomes

verfasst von: Brian C. Focht, Matthew J. Garver, Alexander R. Lucas, Steven T. Devor, Charles F. Emery, Kevin V. Hackshaw, Ciaran M. Fairman, Jessica Bowman, W. Jack Rejeski

Erschienen in: Journal of Behavioral Medicine | Ausgabe 3/2017

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Abstract

The objective of the present study was to compare a group-mediated cognitive behavioral (GMCB) physical activity intervention with traditional exercise therapy (TRAD) upon select social cognitive outcomes in sedentary knee osteoarthritis (knee OA) patients. A total of 80 patients (mean age = 63.5 years; 84% women) were recruited using clinic and community-based strategies to a 12-month, single-blind, two-arm, randomized controlled trial. Mobility-related self-efficacy, self-regulatory self-efficacy (SRSE), and satisfaction with physical function (SPF) were assessed at baseline, 3, and 12 months. Results of intent-to-treat 2 (Treatment: GMCB and TRAD) × 2 (Time: 3 and 12 month) analyses of covariance yielded significantly greater increases in SRSE and SPF (P < 0.01) relative to TRAD. Partial correlations revealed that changes in SRSE and SPF were significantly related (P < 0.05) to improvements in physical activity and mobility at 3 and 12-months. The GMCB intervention yielded more favorable effects on important social cognitive outcomes than TRAD; these effects were related to improvements in physical activity and mobility.
Literatur
Zurück zum Zitat Bandura, A. (1997). Self-efficacy: The exercise of control (1st ed.). New York: Freeman and Company. Bandura, A. (1997). Self-efficacy: The exercise of control (1st ed.). New York: Freeman and Company.
Zurück zum Zitat Brawley, L., Rejeski, W. J., Gaukstern, J. E., & Ambrosius, W. T. (2012). Social cognitive changes following weight loss and physical activity interventions in obese, older adults in poor cardiovascular health. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 44, 353–364. doi:10.1007/s12160-012-9390-5 CrossRef Brawley, L., Rejeski, W. J., Gaukstern, J. E., & Ambrosius, W. T. (2012). Social cognitive changes following weight loss and physical activity interventions in obese, older adults in poor cardiovascular health. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 44, 353–364. doi:10.​1007/​s12160-012-9390-5 CrossRef
Zurück zum Zitat Deyle, G. D., Henderson, N. E., Matekel, R. L., Ryder, M. G., Garber, M. B., & Allison, S. C. (2000). Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee. A randomized, controlled trial. Annals of Internal Medicine, 132, 173–181.CrossRefPubMed Deyle, G. D., Henderson, N. E., Matekel, R. L., Ryder, M. G., Garber, M. B., & Allison, S. C. (2000). Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee. A randomized, controlled trial. Annals of Internal Medicine, 132, 173–181.CrossRefPubMed
Zurück zum Zitat Ettinger, W. H., Burns, R., Messier, S. P., Applegate, W., Rejeski, W. J., Morgan, T., et al. (1997). A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). JAMA, 277, 25–31.CrossRefPubMed Ettinger, W. H., Burns, R., Messier, S. P., Applegate, W., Rejeski, W. J., Morgan, T., et al. (1997). A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). JAMA, 277, 25–31.CrossRefPubMed
Zurück zum Zitat Felson, D. T., Naimark, A., Anderson, J., Kazis, L., Castelli, W., & Meenan, R. F. (1987). The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis and Rheumatism, 30, 914–918.CrossRefPubMed Felson, D. T., Naimark, A., Anderson, J., Kazis, L., Castelli, W., & Meenan, R. F. (1987). The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis and Rheumatism, 30, 914–918.CrossRefPubMed
Zurück zum Zitat Focht, B. C. (2006). Effectiveness of exercise interventions in reducing pain symptoms among older adults with knee osteoarthritis: A review. Journal of Aging and Physical Activity, 14, 212–235.CrossRefPubMed Focht, B. C. (2006). Effectiveness of exercise interventions in reducing pain symptoms among older adults with knee osteoarthritis: A review. Journal of Aging and Physical Activity, 14, 212–235.CrossRefPubMed
Zurück zum Zitat Focht, B. C., Garver, M. J., Devor, S. T., Dials, J., Lucas, A. R., Emery, C. F., et al. (2014). Group-mediated physical activity promotion and mobility in sedentary patients with knee osteoarthritis: Results from the IMPACT-pilot trial. The Journal of Rheumatology, 41, 2068–2077. doi:10.3899/jrheum.140054 CrossRefPubMed Focht, B. C., Garver, M. J., Devor, S. T., Dials, J., Lucas, A. R., Emery, C. F., et al. (2014). Group-mediated physical activity promotion and mobility in sedentary patients with knee osteoarthritis: Results from the IMPACT-pilot trial. The Journal of Rheumatology, 41, 2068–2077. doi:10.​3899/​jrheum.​140054 CrossRefPubMed
Zurück zum Zitat Focht, B. C., Rejeski, W. J., Ambrosius, W. T., Katula, J. A., & Messier, S. P. (2005). Exercise, self-efficacy, and mobility performance in overweight and obese older adults with knee osteoarthritis. Arthritis and Rheumatism, 53, 659–665. doi:10.1002/art.21466 CrossRefPubMed Focht, B. C., Rejeski, W. J., Ambrosius, W. T., Katula, J. A., & Messier, S. P. (2005). Exercise, self-efficacy, and mobility performance in overweight and obese older adults with knee osteoarthritis. Arthritis and Rheumatism, 53, 659–665. doi:10.​1002/​art.​21466 CrossRefPubMed
Zurück zum Zitat Fontaine, K. R., Heo, M., & Bathon, J. (2004). Are US adults with arthritis meeting public health recommendations for physical activity? Arthritis and Rheumatism, 50, 624–628. doi:10.1002/art.20057 CrossRefPubMed Fontaine, K. R., Heo, M., & Bathon, J. (2004). Are US adults with arthritis meeting public health recommendations for physical activity? Arthritis and Rheumatism, 50, 624–628. doi:10.​1002/​art.​20057 CrossRefPubMed
Zurück zum Zitat Gourlan, M., Bernard, P., Bortolon, C., Romain, A. J., Lareyre, O., Carayol, M., et al. (2016). Efficacy of theory-based interventions to promote physical activity. A meta-analysis of randomised controlled trials. Health Psychology Review, 10, 50–66. doi:10.1080/17437199.2014.981777 CrossRefPubMed Gourlan, M., Bernard, P., Bortolon, C., Romain, A. J., Lareyre, O., Carayol, M., et al. (2016). Efficacy of theory-based interventions to promote physical activity. A meta-analysis of randomised controlled trials. Health Psychology Review, 10, 50–66. doi:10.​1080/​17437199.​2014.​981777 CrossRefPubMed
Zurück zum Zitat Jordan, K. M., Arden, N. K., Doherty, M., Bannwarth, B., Bijlsma, J. W. J., Dieppe, P., et al. (2003). EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Annals of the Rheumatic Diseases, 62, 1145–1155. doi:10.1136/ard.2003.011742 CrossRefPubMedPubMedCentral Jordan, K. M., Arden, N. K., Doherty, M., Bannwarth, B., Bijlsma, J. W. J., Dieppe, P., et al. (2003). EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Annals of the Rheumatic Diseases, 62, 1145–1155. doi:10.​1136/​ard.​2003.​011742 CrossRefPubMedPubMedCentral
Zurück zum Zitat McAuley, E., & Blissmer, B. (2000). Self-efficacy determinants and consequences of physical activity. Exercise and Sport Sciences Reviews, 28, 85–88.PubMed McAuley, E., & Blissmer, B. (2000). Self-efficacy determinants and consequences of physical activity. Exercise and Sport Sciences Reviews, 28, 85–88.PubMed
Zurück zum Zitat O’Reilly, S. C., Muir, K. R., & Doherty, M. (1999). Effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomised controlled trial. Annals of the Rheumatic Diseases, 58, 15–19.CrossRefPubMedPubMedCentral O’Reilly, S. C., Muir, K. R., & Doherty, M. (1999). Effectiveness of home exercise on pain and disability from osteoarthritis of the knee: a randomised controlled trial. Annals of the Rheumatic Diseases, 58, 15–19.CrossRefPubMedPubMedCentral
Zurück zum Zitat Reboussin, B. A., Rejeski, W. J., Martin, K. A., Callahan, K., Dunn, A. L., King, A. C., et al. (2000). Correlates of satisfaction with body function and body appearance in middle- and older aged adults: The activity counseling trial (ACT). Psychology & Health, 15, 239–254. doi:10.1080/08870440008400304 CrossRef Reboussin, B. A., Rejeski, W. J., Martin, K. A., Callahan, K., Dunn, A. L., King, A. C., et al. (2000). Correlates of satisfaction with body function and body appearance in middle- and older aged adults: The activity counseling trial (ACT). Psychology & Health, 15, 239–254. doi:10.​1080/​0887044000840030​4 CrossRef
Zurück zum Zitat Recommendations for the Medical Management of Osteoarthritis of the Hip and Knee: 2000 Update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. (2000, September). Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Arthritis and Rheumatism. Wiley. Inc. doi:10.1002/1529-0131(200009)43:9<1905::AID-ANR1>3.0.CO;2-P Recommendations for the Medical Management of Osteoarthritis of the Hip and Knee: 2000 Update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. (2000, September). Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Arthritis and Rheumatism. Wiley. Inc. doi:10.​1002/​1529-0131(200009)43:​9<1905:​:​AID-ANR1>3.​0.​CO;2-P
Zurück zum Zitat Rejeski, W. J., Brawley, L. R., Ambrosius, W. T., Brubaker, P. H., Focht, B. C., Foy, C. G., et al. (2003). Older adults with chronic disease: Benefits of group-mediated counseling in the promotion of physically active lifestyles. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 22, 414–423.CrossRef Rejeski, W. J., Brawley, L. R., Ambrosius, W. T., Brubaker, P. H., Focht, B. C., Foy, C. G., et al. (2003). Older adults with chronic disease: Benefits of group-mediated counseling in the promotion of physically active lifestyles. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 22, 414–423.CrossRef
Zurück zum Zitat Rejeski, W. J., Brubaker, P. H., Goff, D. C., Bearon, L. B., McClelland, J. W., Perri, M. G., et al. (2011). Translating weight loss and physical activity programs into the community to preserve mobility in older, obese adults in poor cardiovascular health. Archives of Internal Medicine, 171, 880–886. doi:10.1001/archinternmed.2010.522 CrossRefPubMedPubMedCentral Rejeski, W. J., Brubaker, P. H., Goff, D. C., Bearon, L. B., McClelland, J. W., Perri, M. G., et al. (2011). Translating weight loss and physical activity programs into the community to preserve mobility in older, obese adults in poor cardiovascular health. Archives of Internal Medicine, 171, 880–886. doi:10.​1001/​archinternmed.​2010.​522 CrossRefPubMedPubMedCentral
Zurück zum Zitat Rejeski, W. J., Fielding, R. A., Blair, S. N., Guralnik, J. M., Gill, T. M., Hadley, E. C., et al. (2005). The lifestyle interventions and independence for elders (LIFE) pilot study: Design and methods. Contemporary Clinical Trials, 26, 141–154. doi:10.1016/j.cct.2004.12.005 CrossRefPubMed Rejeski, W. J., Fielding, R. A., Blair, S. N., Guralnik, J. M., Gill, T. M., Hadley, E. C., et al. (2005). The lifestyle interventions and independence for elders (LIFE) pilot study: Design and methods. Contemporary Clinical Trials, 26, 141–154. doi:10.​1016/​j.​cct.​2004.​12.​005 CrossRefPubMed
Zurück zum Zitat Rejeski, W. J., & Focht, B. C. (2002). Aging and physical disability: On integrating group and individual counseling with the promotion of physical activity. Exercise and Sport Sciences Reviews, 30, 166–170.CrossRefPubMed Rejeski, W. J., & Focht, B. C. (2002). Aging and physical disability: On integrating group and individual counseling with the promotion of physical activity. Exercise and Sport Sciences Reviews, 30, 166–170.CrossRefPubMed
Zurück zum Zitat Rejeski, W. J., Focht, B. C., Messier, S. P., Morgan, T., Pahor, M., & Penninx, B. (2002). Obese, older adults with knee osteoarthritis: weight loss, exercise, and quality of life. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 21, 419–426.CrossRef Rejeski, W. J., Focht, B. C., Messier, S. P., Morgan, T., Pahor, M., & Penninx, B. (2002). Obese, older adults with knee osteoarthritis: weight loss, exercise, and quality of life. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 21, 419–426.CrossRef
Zurück zum Zitat Stacey, F. G., James, E. L., Chapman, K., Courneya, K. S., & Lubans, D. R. (2015). A systematic review and meta-analysis of social cognitive theory-based physical activity and/or nutrition behavior change interventions for cancer survivors. Journal of Cancer Survivorship: Research and Practice, 9, 305–338. doi:10.1007/s11764-014-0413-z CrossRef Stacey, F. G., James, E. L., Chapman, K., Courneya, K. S., & Lubans, D. R. (2015). A systematic review and meta-analysis of social cognitive theory-based physical activity and/or nutrition behavior change interventions for cancer survivors. Journal of Cancer Survivorship: Research and Practice, 9, 305–338. doi:10.​1007/​s11764-014-0413-z CrossRef
Zurück zum Zitat Sullivan, T., Allegrante, J. P., Peterson, M. G., Kovar, P. A., & MacKenzie, C. R. (1998). One-year followup of patients with osteoarthritis of the knee who participated in a program of supervised fitness walking and supportive patient education. Arthritis Care and Research: The Official Journal of the Arthritis Health Professions Association, 11, 228–233.CrossRef Sullivan, T., Allegrante, J. P., Peterson, M. G., Kovar, P. A., & MacKenzie, C. R. (1998). One-year followup of patients with osteoarthritis of the knee who participated in a program of supervised fitness walking and supportive patient education. Arthritis Care and Research: The Official Journal of the Arthritis Health Professions Association, 11, 228–233.CrossRef
Metadaten
Titel
A group-mediated physical activity intervention in older knee osteoarthritis patients: effects on social cognitive outcomes
verfasst von
Brian C. Focht
Matthew J. Garver
Alexander R. Lucas
Steven T. Devor
Charles F. Emery
Kevin V. Hackshaw
Ciaran M. Fairman
Jessica Bowman
W. Jack Rejeski
Publikationsdatum
20.01.2017
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 3/2017
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-017-9822-6

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