Work

Group-based Exercise and Cognitive-behavioral Skills Training for Older Adults With Osteoarthritis

Year: 2018

Type: article

Abstract: Older adults with knee osteoarthritis (OA) often restrict physical activity to cope with their pain, increasing risk for mobility disability. We pilot-tested a combination of group-based cognitive-behavioral skills training (CBST; 12, 1-hour classes) and community-based exercise (Enhance Fitness [EF]; 1-hour classes, 3 days/week of balance, endurance, and strength training for 4 months). Eighteen adults age ≥65 years with painful knee OA were randomized 2:1 to either CBST+EF or an active control condition of health education (HE) and EF. Class attendance rates and treatment satisfaction ratings were high and similar between treatment groups. The CBST+EF group had large, clinically significant improvements (pre-post treatment change) in pain, physical performance, and accelerometer-measured physical activity (P-values <0.05), while the control group (HE+EF) had minimal-to-moderate improvements in outcomes. Exit interviews indicated that participants valued and benefitted from the combination of CBST with EF, particularly the pain coping skills training and pedometer-based step monitoring and goal-setting.

Source: Innovation in Aging

DOI: 10.1093/geroni/igy023.3038

Authors: K V Patel, L M Adams, E A Phelan, D C Turk

Institutions: University of Washington, George Mason University

Language: English

Topic: Musculoskeletal pain and rehabilitation

Subfield: Pharmacology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,977