Fit and Strong: Bolstering Maintenance of Physical Activity Among Older Adults With Lower-extremity Osteoarthritis
Authors: Hughes, Susan L.; Seymour, Rachel B.; Campbell, Richard T.; Desai, Pankaja; Huber, Gail; Chang, H. Justina
Source: American Journal of Health Behavior, Volume 34, Number 6, November 2010 , pp. 750-763(14)
Publisher: PNG Publications
Abstract:Objectives : To compare the impact of negotiated vs. mainstreamed follow-up with telephone reinforcement (TR) on maintenance of physical activity (PA) after Fit and Strong ended.
Methods : A multisite comparative effectiveness trial with repeated measures.
Results : Single group random effects analyses showed significant improvements at 2, 6, 12, and 18 months on PA maintenance, lower-extremity (LE) pain and stiffness, LE function, sit-stand, 6-minute distance walk, and anxiety/depression. Analyses by follow-up condition showed persons in the negotiated with TR group maintained a 21 increase in caloric expenditures over baseline at 18 months, with lesser benefits seen in the negotiated-only, mainstreamed-with-TR, and mainstreamed-only groups. Significant benefits of telephone dose were also seen on LE joint stiffness, pain, and function as well as anxiety and anxiety/depression.
Conclusions : The negotiated follow-up contract that Fit and Strong uses, bolstered by TR, is associated with enhanced long-term PA maintenance and health outcomes.
Document Type: Research Article
Affiliations: 1 Center for Research on Health and Aging, Institute for Health Research and Policy, University of Illinois Chicago, Chicago, IL.
Publication date: 2010-11-01
- The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.
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