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

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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.

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References

  • Bandura, A. (1997). Self-efficacy: The exercise of control (1st ed.). New York: Freeman and Company.

  • 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

    Article  Google Scholar 

  • Cramp, A. G., & Brawley, L. R. (2006). Moms in motion: A group-mediated cognitive-behavioral physical activity intervention. The International Journal of Behavioral Nutrition and Physical Activity, 3, 23. doi:10.1186/1479-5868-3-23

    Article  PubMed  PubMed Central  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Doerksen, S. E., & McAuley, E. (2014). Social cognitive determinants of dietary behavior change in university employes. Frontiers in Public Health, 2, 23. doi:10.3389/fpubh.2014.00023

    Article  PubMed  PubMed Central  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Focht, B. C., Garver, M. J., Devor, S. T., Dials, J., Rose, M., Lucas, A. R., et al. (2012). Improving maintenance of physical activity in older, knee osteoarthritis patients trial-pilot (IMPACT-P): Design and methods. Contemporary Clinical Trials, 33, 976–982. doi:10.1016/j.cct.2012.04.012

    Article  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • 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

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • McAuley, E., & Blissmer, B. (2000). Self-efficacy determinants and consequences of physical activity. Exercise and Sport Sciences Reviews, 28, 85–88.

    CAS  PubMed  Google Scholar 

  • Olson, E. A., & McAuley, E. (2015). Impact of a brief intervention on self-regulation, self-efficacy and physical activity in older adults with type 2 diabetes. Journal of Behavioral Medicine, 38, 886–898. doi:10.1007/s10865-015-9660-3

    Article  PubMed  PubMed Central  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

  • 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.

    Article  Google Scholar 

  • 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

    Article  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • Tougas, M. E., Hayden, J. A., McGrath, P. J., Huguet, A., & Rozario, S. (2015). A systematic review exploring the social cognitive theory of self-regulation as a framework for chronic health condition interventions. PLoS ONE, 10, e0134977. doi:10.1371/journal.pone.0134977

    Article  PubMed  PubMed Central  Google Scholar 

  • van Baar, M. E., Dekker, J., Oostendorp, R. A., Bijl, D., Voorn, T. B., & Bijlsma, J. W. (2001). Effectiveness of exercise in patients with osteoarthritis of hip or knee: Nine months’ follow up. Annals of the Rheumatic Diseases, 60, 1123–1130. doi:10.1136/ard.60.12.1123

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

Support for the present study was provided by NIH/NIAMS Grant # R21 AR054595.

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Authors and Affiliations

  1. Kinesiology, Department of Human Sciences, The Ohio State University, 305 Annie and John Glenn Ave, Columbus, OH, 43210, USA

    Brian C. Focht, Steven T. Devor, Charles F. Emery, Kevin V. Hackshaw, Ciaran M. Fairman & Jessica Bowman

  2. University of Central Missouri, Warrensburg, MO, USA

    Matthew J. Garver

  3. Wake Forest University, Winston-Salem, NC, USA

    Alexander R. Lucas & W. Jack Rejeski

Authors
  1. Brian C. Focht
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  2. Matthew J. Garver
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  3. Alexander R. Lucas
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  4. Steven T. Devor
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  5. Charles F. Emery
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  6. Kevin V. Hackshaw
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  7. Ciaran M. Fairman
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  8. Jessica Bowman
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  9. W. Jack Rejeski
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Correspondence to Brian C. Focht.

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Conflict of interest

Brian C. Focht, Matthew J. Garver, Alexander R. Lucas, Steven T. Devor, Charles F. Emery, Kevin V. Hackshaw, Ciaran M. Fairman, Jessica Bowman, and W. Jack Rejeski declares that they have no conflict of interest.

Human and animal rights and Informed consent

All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Focht, B.C., Garver, M.J., Lucas, A.R. et al. A group-mediated physical activity intervention in older knee osteoarthritis patients: effects on social cognitive outcomes. J Behav Med 40, 530–537 (2017). https://doi.org/10.1007/s10865-017-9822-6

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  • DOI: https://doi.org/10.1007/s10865-017-9822-6

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