Osteoarthritis
Conditions
Keywords
pain, activities of daily living, symptoms, self-management
Brief summary
Purpose: To study the effects of two different rehabilitation programs for people with osteoarthritis of the hip or knee. Hypothesis 1: Participants who received Activity Stratgey Training will report less pain and physical disability at 8-weeks and 6-months follow-up. Hypothesis 2: Participants who receive Activity Strategy Training will have a greater increase in physical activity as measured by a wrist-worn accelerometer. Hypothesis 3: Participants who receive Activity Stratgey Training will report greater improvements in health-related quality of life.
Detailed description
We are testing the effectiveness of a targeted intervention for older adults with hip and/or knee osteoarthritis (LE-OA) using an occupational therapy treatment approach to promote activity engagement. We believe that it is necessary to tailor this intervention to the specific needs of older adults with LE-OA. Based on the literature, exercise is a necessary component of an intervention for older adults with LE-OA. However, this should also be coupled with an Activity Strategy Training (AST) component designed to promote lifestyle changes and thus more lasting effects. The AST component is based on occupational therapy principles and will include behavioral and environmental strategies to increase activity engagement.
Interventions
BEHAVIORALActivity Strategy Training
The AST component will involve training in specific behavioral and environmental strategies to facilitate performance in daily activities and routines. The activity strategy training group sessions will use education, group discussion, and demonstration and practice of techniques to facilitate activity performance. Homework assignments will be given after many of the sessions to practice and reinforce concepts learned.
BEHAVIORALEducation
The health education program is based on educational materials from the Arthritis Foundation.
Sponsors
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
62 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Minimum age of 62 years * Meet ACR clinical criteria for either hip or knee OA * Ambulatory (with or without assistance) * Requiring assistance or report difficulty in \>=1/4 activities of daily living * Ability to speak English
Exclusion criteria
* Knee/hip surgery within the previous 9 mos. * Current participation in physical/occupational therapy * Any contraindication to exercise activities * Cognitive impairment * Inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-reported pain | Baseline, Post-intervention (8-wks), and 6-mos follow-up |
Countries
United States
Outcome results
None listed