PHYSICAL ACTIVITY MANAGEMENT FOR CLIENTS WITH ARTHRITIS-PILOT STUDY

关节炎患者的身体活动管理试点研究

• 批准号: 7604317
• 负责人: ROWLAND W CHANG
• 金额: $ 0.32万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-12-01 至 2007-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7604317
• 关键词: PHYSICAL; ACTIVITY; MANAGEMENT; CLIENTS; ARTHRITIS

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Arthritis is a major cause of disability among adults. Of the nearly 70 million persons in the US with arthritis, more than 7 million adults are disabled. Knee osteoarthritis (OA) and Arthritis is a major cause of disability among adults. Of the nearly 70 million persons in the US with arthritis, more than 7 million adults are disabled. Knee osteoarthritis (OA) and Rheumatoid Arthritis (RA) are two of the most common and disabling forms of arthritis. The proportion of the US population who engage in the recommended amount of physical activity is low and even lower among those with arthritis. Moreover, there is considerable variation among clinicians' promotion of physical activity in arthritis patients. The objective of this research project is to evaluate the effectiveness of an exportable practice-based Physical Activity Promotion program applicable to patients with arthritis compared to usual physician counseling. The Physical Activity Promotion Program consists of the Arthritis Comprehensive Treatment Assessment (ACTA) that identifies barriers to participation in physical activity and a client-centered, individualized goal setting, treatment planning, and habit acquisition intervention program. This study will randomize participants to either Physician Counseling (Group 1) or to the Physical Activity Promotion Program with Physician Counseling (Group 2). In both groups, the focus is on increasing participant's participation in lifestyle physical activity, i.e., everyday activities such as housework, walking instead of driving, recreational activities such as swimming and dancing, etc. rather than on traditional formal exercise. All participants will wear an accelerometer (measures physical movement) for seven days, respond to a telephone interview about physical function, quality of life, physical activity, motivation, goals, medication use, and demo-graphic information, and carry out two observed measures of functional status. This series of assessments will be repeated at 3, 6, 12, 18, and 24 months after the baseline visit (except for the observed physical function tests which will be repeated at 12 and 24 months only). Group 1 will receive Physician Counseling at the baseline visit and then at their regularly scheduled clinic visits. Group 2 will receive Physician Counseling and the Physical Activity Promotion Program at baseline, the ACTA assessment at 3 monthly intervals and further intervention meetings with the Physical Activity Advocate as necessary and agreed upon by the Participant and Advocate. The specific aims of this randomized, controlled trial are to: 1. Test the effectiveness of the Physical Activity Promotion Program combined with Physician physical activity counseling (Group 2) compared to Physician Counseling only (Group 1) in im-proving arthritis-specific and generic health-related quality of life, 2. Test the effectiveness of the Physical Activity Promotion Program vs. Physician Counseling intervention in improving observed measures of function and cardiac fitness 3. Test the effectiveness of the Physical Activity Promotion Program vs. Physician Counseling intervention in improving physical activity performance.

该副本是利用众多研究子项目之一 由NIH/NCRR资助的中心赠款提供的资源。子弹和 调查员（PI）可能已经从其他NIH来源获得了主要资金， 因此可以在其他清晰的条目中代表。列出的机构是 对于中心，这不一定是调查员的机构。 关节炎是成年人残疾的主要原因。 在美国近7000万人患有关节炎的人中，有700万以上的成年人被残疾了。 膝关节骨关节炎（OA）和关节炎是成年人残疾的主要原因。 在美国近7000万人患有关节炎的人中，有700万以上的成年人被残疾了。 膝盖骨关节炎（OA）和类风湿关节炎（RA）是关节炎的两种最常见和残疾的形式。 参与建议的体育锻炼量的美国人群的比例较低，甚至关节炎患者的比例较低。 此外，临床医生促进关节炎患者的体育活动的差异很大。 该研究项目的目的是评估适用于关节炎患者与通常的医师咨询相比，适用于关节炎患者的可导出性实践促进计划的有效性。 体育活动促进计划包括关节炎全面的治疗评估（ACTA），该评估确定了参加体育活动的障碍以及以客户为中心的，个性化的目标设定，治疗计划和习惯习惯习得干预计划。 这项研究将将参与者随机与医师咨询（第1组）或与医师咨询有关的体育锻炼计划（第2组）。 在这两个小组中，重点是增加参与者参与生活方式的体育锻炼，即日常活动，例如家务，步行而不是驾驶，娱乐活动，例如游泳和跳舞等，而不是传统的正式锻炼。 所有参与者将佩戴加速度计（量度运动）七天，回应有关身体机能，生活质量，体育锻炼，动机，目标，药物使用和演示信息的电话访谈，并执行两项观察到的功能状态衡量标准。 这一系列评估将在基线访问后的3、6、12、18和24个月重复（除了观察到的身体功能测试外，该测试仅在12和24个月时重复）。 第1组将在基线访问中获得医师咨询，然后在定期安排的诊所就诊。 第2组将在基线上接受医师咨询和体育锻炼促进计划，ACTA以3个月间隔评估以及与参与者和倡导者同意的体育活动倡导者的进一步干预会议。 这项随机对照试验的具体目的是： 1。测试体育活动促进计划的有效性与医师的体育锻炼咨询（第2组）相比，与仅医师咨询（第1组）相比（第1组）在提供IM的关节炎特异性和通用健康相关的生活质量中， 2。测试体育活动促进计划与医师咨询干预的有效性，以改善观察到的功能和心脏健康的度量 3。测试身体活动促进计划与医师咨询干预措施在改善身体活动表现方面的有效性。