Exercise Adherence Among Older Adults With Osteoarthritis
2 other identifiers
interventional
600
1 country
1
Brief Summary
The purpose of this study is to assess the comparative effects of two different ways of enhancing long-term adherence to and benefits associated with participation in the evidence-based, Fit and Strong multi-component exercise intervention for older persons with lower extremity osteoarthritis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2003
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2003
CompletedFirst Submitted
Initial submission to the registry
January 10, 2007
CompletedFirst Posted
Study publicly available on registry
January 12, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2008
CompletedDecember 14, 2009
January 1, 2008
4.9 years
January 10, 2007
December 10, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Maintenance of exercise behavior measured by CHAMPS (Community Healthy Activities Model Program For Seniors)
Baseline, 2 months, 6 months, 12 months, 18 months
Secondary Outcomes (4)
Changes in lower extremity strength (timed sit-stand test)
Baseline, 2 months, 6 months, 12 months, 18 months
Aerobic capacity (6 minute distance walk)
Baseline, 2 months, 6 months, 12 months, 18 months
Pain, stiffness, physical function subscales measured by WOMAC (Western Ontario and McMaster osteoarthritis index)
Baseline, 2 months, 6 months, 12 months, 18 months
Functional ability measured by GeriAIMS (Geriatric Arthritis Impact Measurement Scale)
Baseline, 2 months, 6 months, 12 months, 18 months
Study Arms (2)
A
EXPERIMENTALTreatment Arm A will develop tailored/negotiated contracts with the exercise instructor to maintain post intervention exercise adherence at home or in the community. Half of the participants in this "negotiated maintenance" arm will be randomly assigned to receive telephone calls to reinforce adherence and half will be assigned to a no telephone calls group.
B
EXPERIMENTALTreatment Arm B will be mainstreamed into an ongoing facility-based exercise program for post intervention exercise adherence. Persons in this "mainstream follow up" arm will be randomly assigned such that half will receive regular telephone reinforcement follow up and half will not.
Interventions
Fit and Strong! is an 8-week (24 sessions) multi-component exercise and health education intervention, including flexibility, aerobic conditioning, strength training, and group discussion/problem solving for lifestyle change. Following participation in Fit and Strong!, all study participants are randomly assigned to one of 2 maintenance treatment follow-up groups.
Eligibility Criteria
You may qualify if:
- years of age or older
- Presence of osteoarthritis in the lower extremities (including hip, knee, ankle, feet and lower back) with an American College of Rheumatology functional class rating of I, II, or III
- No other contraindication from a personal physician for participation in fitness walking or low-impact aerobics and strength training
- Lack of moderate to severe cognitive impairment shown as assessed by the Short Portable Mental Status Questionnaire
You may not qualify if:
- Under 60 years of age
- Lack of osteoarthritis in the lower extremities
- Contraindication from a personal physician for participation in activities described above
- Presence of moderate to severe cognitive impairment as assessed by the Short Portable Mental Status Questionnaire
- Steroid injections in either knee or hip within previous six months
- Knee or hip surgery within previous six months
- Plans for total knee or hip replacement within the next year
- Rheumatoid arthritis or other system inflammatory arthritis
- Diabetes that is not under good control
- Current participation in a structured aerobic exercise program
- Participation in original trial of the Fit and Strong Program
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Center for Research on Health and Aging
Chicago, Illinois, 60608, United States
Related Publications (3)
Hughes SL, Seymour RB, Campbell R, Pollak N, Huber G, Sharma L. Impact of the fit and strong intervention on older adults with osteoarthritis. Gerontologist. 2004 Apr;44(2):217-28. doi: 10.1093/geront/44.2.217.
PMID: 15075418BACKGROUNDHughes SL, Seymour RB, Campbell RT, Huber G, Pollak N, Sharma L, Desai P. Long-term impact of Fit and Strong! on older adults with osteoarthritis. Gerontologist. 2006 Dec;46(6):801-14. doi: 10.1093/geront/46.6.801.
PMID: 17169935BACKGROUNDSeymour RB, Hughes SL, Campbell RT, Huber GM, Desai P. Comparison of two methods of conducting the Fit and Strong! program. Arthritis Rheum. 2009 Jul 15;61(7):876-84. doi: 10.1002/art.24517.
PMID: 19565560DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Susan Hughes, DSW
Center for Research on Health and Aging , University of Illinois, Chicago
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- NIH
Study Record Dates
First Submitted
January 10, 2007
First Posted
January 12, 2007
Study Start
October 1, 2003
Primary Completion
September 1, 2008
Study Completion
September 1, 2008
Last Updated
December 14, 2009
Record last verified: 2008-01