Journal of Translational Medicine | |
A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: effects on social and psychological function | |
Mary M McDermott1  Lihui Zhao1  Lu Tian2  Huimin Tao1  Kathryn Domanchuk1  Bonnie Spring1  W Jack Rejeski3  | |
[1] Feinberg School of Medicine, Northwestern University, Chicago, IL, USA;Department of Health Research and Policy, Stanford University, Palo, Alto, CA, USA;Departments of Health and Exercise Science and Geriatric Medicine, Wake Forest University, Box 7867, Winston-Salem, NC 27109, USA | |
关键词: Psychological function; Social function; Physical activity; Group-mediated intervention; Peripheral artery disease; | |
Others : 1149077 DOI : 10.1186/1479-5876-12-29 |
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received in 2013-12-10, accepted in 2014-01-24, 发布年份 2014 | |
【 摘 要 】
Background
PAD is a disabling, chronic condition of the lower extremities that affects approximately 8 million people in the United States. The purpose of this study was to determine whether an innovative home-based walking exercise program for patients with peripheral artery disease (PAD) improves self-efficacy for walking, desire for physical competence, satisfaction for physical functioning, social functioning, and acceptance of PAD related pain and discomfort.
Methods
The design was a 6-month randomized controlled clinical trial of 194 patients with PAD. Participants were randomized to 1 of 2 parallel groups: a home-based group-mediated cognitive behavioral walking intervention or an attention control condition.
Results
Of the 194 participants randomized, 178 completed the baseline and 6-month follow-up visit. The mean age was 70.66 (±9.44) and was equally represented by men and women. Close to half of the cohort was African American. Following 6-months of treatment, the intervention group experienced greater improvement on self-efficacy (p = .0008), satisfaction with functioning (p = .0003), pain acceptance (p = .0002), and social functioning (p = .0008) than the control group; the effects were consistent across a number of potential moderating variables. Change in these outcomes was essentially independent of change in 6-minute walk performance.
Trial registration
[ClinicalTrials.gov Identifier: NCT00693940]
【 授权许可】
2014 Rejeski et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150405020558642.pdf | 300KB | download | |
Figure 2. | 62KB | Image | download |
Figure 1. | 61KB | Image | download |
【 图 表 】
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Figure 2.
【 参考文献 】
- [1]Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al.: Heart disease and stroke statistics–2013 update: a report from the American Heart Association. Circulation 2013, 127:e6-e245.
- [2]McDermott MM, Greenland P, Liu K, Guralnik JM, Criqui MH, Dolan NC, et al.: Leg symptoms in peripheral arterial disease: associated clinical characteristics and functional impairment. JAMA 2001, 286:1599-1606.
- [3]McDermott MM, Liu K, Greenland P, Guralnik JM, Criqui MH, Chan C, et al.: Functional decline in peripheral arterial disease: associations with the ankle brachial index and leg symptoms. JAMA 2004, 292:453-461.
- [4]McDermott MM, Ferrucci L, Liu K, Guralnik JM, Tian L, Liao Y, et al.: Leg symptom categories and rates of mobility decline in peripheral arterial disease. J Am Geriatr Soc 2010, 58:1256-1262.
- [5]McDermott MM, Liu K, Guralnik JM, Criqui MH, Spring B, Tian L, et al.: Home-based walking exercise intervention in peripheral artery disease: a randomized clinical trial. JAMA 2013, 310:57-65.
- [6]Bandura A: Health promotion from the perspective of social cognitive theory. Psychol Health 1998, 13:623-650.
- [7]Cutrona CE, Russell DW: The provisions of social relationships and adaptation to stress. In Advances in Personal Relationships. Edited by Jones WHP. Greenwich, CT: JIA Press; 1987:37-67.
- [8]Rejeski WJ, Brawley LR, Jung ME: Self-management in geriatric medicine. In Hazzard’s Principles of Geriatric Medicine and Gerontology. 6th edition. Edited by Halter J. New York: McGraw-Hill; 2008:325-341.
- [9]McAuley E, Rudolph D: Physical activity, aging, and psychological well-being. JAPA 1995, 3:67-96.
- [10]Rejeski WJ, King AC, Katula JA, Kritchevsky S, Miller ME, Walkup MP, et al.: Physical activity in prefrail older adults: confidence and satisfaction related to physical function. J Gerontol: Psychol Sci Soc Sci 2008, 63:19-26.
- [11]McCracken LM, Vowles KE, Eccleston C: Acceptance of chronic pain: component analysis and a revised assessment method. Pain 2004, 107:159-166.
- [12]Rejeski WJ, Tian L, Liao Y, McDermott MM: Social cognitive constructs and the promotion of physical activity in patients with peripheral artery disease. J Cardiopulmon Rehab Prev 2008, 28:65-72.
- [13]McDermott MM, Domanchuk K, Liu K, Guralnik JM, Tian L, Criqui MH, et al.: The Group Oriented Arterial Leg Study (GOALS) to improve walking performance in patients with peripheral arterial disease. Contemp Clin Trials 2012, 33:1311-1320.
- [14]McDermott MM, Dyer A: Treadmill exercise or resistance training in patients with peripheral arterial disease reply. JAMA 2009, 301:1986-1987.
- [15]Ray KM, Hector LL, Lynes LK, Stewart AL, Painter PL, Dibble SL: Assessment of satisfaction with physical fitness in kidney transplant recipients. MMSE 1996, 28(Supplement):S7-S8.
- [16]Reboussin BA, Rejeski WJ, Martin KA, Callahan K, Dunn AL, King AC, et al.: Correlates of satisfaction with body function and body appearance in middle- and older aged adults: the Activity Counseling Trial (ACT). Psychol Health 2000, 15:239-254.
- [17]Rejeski WJ, Mihalko SL: Physical activity and quality of life in older adults. J Gerontol: Bio Sci Med Sci 2001, 56:23-35.
- [18]Rejeski WJ, Foy CG, Brawley LR, Brubaker PH, Focht BC, Norris JL, et al.: Older adults in cardiac rehabilitation: a new strategy for enhancing physical function. MMSE 2002, 34:1705-1713.
- [19]Borg G: Perceived Exertion and Pain Scales. Champaign, IL: Human Kinetics; 1998.
- [20]Brawley L, Rejeski WJ, Gaukstern JE, Ambrosius WT: Social cognitive changes following weight loss and physical activity interventions in obese, older adults in poor cardiovascular health. Ann Behav Med 2012, 44:353-364.
- [21]Rejeski WJ, Ettinger WH, Martin K, Morgan T: Treating disability in knee osteoarthritis with exercise therapy: A central role for self-efficacy and pain. Arthritis Care Res 1998, 11:94-101.
- [22]Rejeski WJ, Brawley LR, Ambrosius W, Brubaker PH, Focht BC, Foy CG, et al.: Older adults with chronic disease: the benefits of group mediated counseling in the promotion of physically active lifestyles. Health Psychol 2003, 22:414-423.
- [23]Ettinger WH, Davis MA, Neuhaus JM, Mallon KP: Long-term physical functioning in persons with knee osteoarthritis from NHANES. I: effects of comorbid medical conditions. J Clin Epidemiol 1994, 47:809-815.
- [24]McDermott MM, Guralnik JM, Albay M, Bandinelli S, Miniati B, Ferrucci L: Impairments of muscles and nerves associated with peripheral arterial disease and their relationship with lower extremity functioning: the InCHIANTI study. JAGS 2004, 52:405-410.
- [25]Ferrell B, Casarett D, Epplin J, Fine P, Gloth FM, Herr K, et al.: The management of persistent pain in older persons. JAGS 2002, 50:S205-S224.
- [26]Somers TJ, Keefe FJ, Godiwala N, Hoyler GH: Psychosocial factors and the pain experience of osteoarthritis patients: new findings and new directions. Curr Opin Rheumatol 2009, 21:501-506.
- [27]Shega JW, Andrew M, Hemmerich J, Cagney KA, Ersek M, Weiner DK, et al.: The relationship of pain and cognitive impairment with social vulnerability: an analysis of the Canadian study of health and aging. Pain Med 2012, 13:190-197.
- [28]Rejeski WJAR, Fielding R, et al.: Promoting physical activity for elders with compromised function: The Lifestyle Interventions and Independence for Elders (LIFE) Study physical activity intervention. Clin Interven Aging 2013, 8:1-13.
- [29]McAuley E, Blissmer B, Katula J, Duncan T, Mihalko SL: Physical activity, self-esteem, and self-efficacy relationships in older adults: a randomized controlled trial. Ann Behav Med 2000, 22:131-139.
- [30]McAuley E, Blissmer B: Self-efficacy determinants and consequences of physical activity. ESSR 2000, 28:85-88.
- [31]Rejeski WJ, Shelton B, Miller ME, Dunn AL, Sallis JF: Mediators of increased physical activity and change in subjective well-being: results from the Activity Counseling Trial (ACT). J Health Psychol 2001, 6:159-168.