Clinical Strategies to Reduce Osteoarthritis Disability

减少骨关节炎致残的临床策略

• 批准号: 7098815
• 负责人: Susan L. Murphy
• 金额: $ 10万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7098815
• 关键词: assistive device /technology; behavior modification; behavioral /social science research tag; body physical activity; building /facility design /renovation; clinical research; clinical trials; environmental adaptation; exercise; health behavior; health education; housing; human old age (65+); human subject; human therapy evaluation; lifestyle; longitudinal human study; osteoarthritis; outcomes research; person with disability; quality of life; rehabilitation; self care; socioenvironment

DESCRIPTION (provided by applicant): Disability occurs when there is a gap between personal capability and the demands of a given task. Most interventions to reduce disability in older adults focus on increasing personal capability, while little is known about the effectiveness of interventions that reduce environmental demand. The long-term goal of this project is to develop and compare the effectiveness of two rehabilitation interventions (person-focused and environment-focused) in reducing disability for older adults with osteoarthritis. A single-blind randomized controlled trial will be conducted in five large publicly-subsidized senior housing sites. Eligible participants at each site will be randomly assigned to the person-focused group, environment-focused group, or control group using a random number table. The control program, designed to provide information that community-living older adults with osteoarthritis may receive without formal intervention, will consist of a two-hour lecture covering topics such as the management of pain and other osteoarthritis symptoms. The two-month treatment program will include group intervention twice a week and monthly visits from the therapist interventionist. The person-focused intervention will work to increase person capability through a progressive physical exercise program and education about positive lifestyle changes. The environment-focused intervention will work to decrease environmental barriers through demonstration and practice of techniques to facilitate activity performance and provision of assistive devices and home modifications. A comprehensive assessment will be done at baseline, immediately after the intervention, six months, and twelve months by trained assistants blind to participant group assignment. The specific aims are to 1) to determine whether the person-focused intervention and environment-focused intervention are more effective at reducing disability than the control program and 2) to determine whether the environment-focused intervention is more effective at reducing disability than the person-focused intervention.

描述（由申请人提供）：当个人能力与给定任务的需求之间存在差距时，就会发生残疾。减少老年人残疾的大多数干预措施专注于提高个人能力，而对减少环境需求的干预措施的有效性知之甚少。该项目的长期目标是开发和比较两种康复干预措施（以人为本和以环境为主的）在减少骨关节炎的老年人的残疾方面的有效性。单盲随机对照试验将在五个大型公共补贴的高级住房场所进行。每个站点的合格参与者将使用随机数表随机分配给以人为中心的组，以环境为中心的组或对照组。该控制计划旨在提供信息，即在没有正式干预的情况下可能会患有骨关节炎的社区生活的老年人，将包括两个小时的讲座，涵盖了诸如治疗疼痛和其他骨关节炎症状之类的主题。为期两个月的治疗计划将包括每周两次和治疗师干预主义者每月访问的小组干预。以人为中心的干预措施将通过渐进的体育锻炼计划和有关积极生活方式改变的教育来提高人的能力。以环境为中心的干预措施将通过演示和实践来促进活动性能并提供辅助设备和房屋修改，从而减少环境障碍。干预后，六个月和十二个月的培训助手将在基线上进行全面评估，对参与者小组分配。具体目的是1）确定以人为中心的干预措施和以环境为中心的干预措施比控制计划更有效，而2）确定以环境为中心的干预措施是否比以人为中心的干预措施更有效地减少残疾。