The implementation of a community-based aerobic walking program for mild to moderate knee osteoarthritis: A knowledge translation randomized controlled trial: Part II: Clinical outcomes

被引：41

作者：

Brosseau, Lucie ^{[1
]}

Wells, George A. ^{[2
]}

Kenny, Glen P. ^{[3
]}

Reid, Robert ^{[4
]}

Maetzel, Andreas ^{[5
]}

Tugwell, Peter ^{[6
]}

Huijbregts, Maria ^{[7
]}

McCullough, Carolyn ^{[8
]}

De Angelis, Gino ^{[2
]}

Chen, Lily ^{[4
]}

机构：

[1] Univ Ottawa, Sch Rehabil Sci, Univ Res Chair, Ottawa, ON, Canada

[2] Univ Ottawa, Dept Epidemiol & Community Med, Ottawa, ON, Canada

[3] Univ Ottawa, Fac Hlth Sci, Sch Human Kinet, Ottawa, ON, Canada

[4] Univ Ottawa, Inst Heart, Ottawa, ON, Canada

[5] Univ Toronto, Toronto, ON, Canada

[6] Univ Ottawa, Ctr Global Hlth, Inst Populat Hlth, Ottawa, ON, Canada

[7] Baycrest Ctr Geriatr Care, Toronto, ON, Canada

[8] Interact Rehabil Inc, Toronto, ON, Canada

来源：

BMC PUBLIC HEALTH | 2012年 / 12卷

基金：

加拿大健康研究院;

关键词：

Osteoarthritis; Clinical trial; Walking; Compliance; Adherence; Education; Behavioural intervention; Guidelines implementation; Knowledge translation; OBESE OLDER-ADULTS; SUPERVISED FITNESS WALKING; MEASURING HEALTH-STATUS; PHYSICAL-ACTIVITY; PRACTICE GUIDELINES; WEIGHT-LOSS; RHEUMATOID-ARTHRITIS; EXERCISE PROGRAM; MANAGEMENT; REHABILITATION;

D O I：

10.1186/1471-2458-12-1073

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Osteoarthritis (OA) is the most common joint disorder in the world, as it is appears to be prevalent among 80% of individuals over the age of 75. Although physical activities such as walking have been scientifically proven to improve physical function and arthritic symptoms, individuals with OA tend to adopt a sedentary lifestyle. There is therefore a need to improve knowledge translation in order to influence individuals to adopt effective self-management interventions, such as an adapted walking program. Methods: A single-blind, randomized control trial was conducted. Subjects (n = 222) were randomized to one of three knowledge translation groups: 1) Walking and Behavioural intervention (WB) (18 males, 57 females) which included the supervised community-based aerobic walking program combined with a behavioural intervention and an educational pamphlet on the benefits of walking; 2) Walking intervention (W) (24 males, 57 females) wherein participants only received the supervised community-based aerobic walking program intervention and the educational pamphlet; 3) Self-directed control (C) (32 males, 52 females) wherein participants only received the educational pamphlet. One-way analyses of variance were used to test for differences in quality of life, adherence, confidence, and clinical outcomes among the study groups at each 3 month assessment during the 12-month intervention period and 6-month follow-up period. Results: The clinical and quality of life outcomes improved among participants in each of the three comparative groups. However, there were few statistically significant differences observed for quality of life and clinical outcomes at long-term measurements at 12-months end of intervention and at 6-months post intervention (18-month follow-up). Outcome results varied among the three groups. Conclusion: The three groups were equivalent when determining the effectiveness of knowledge uptake and improvements in quality of life and other clinical outcomes. OA can be managed through the implementation of a proven effective walking program in existing community-based walking clubs. Trial registration: Current Controlled Trials IRSCTNO9193542

引用

页数：15