A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: Effects on social and psychological function

W. J. Rejeski; Bonnie Spring; Kathryn Domanchuk; Huimin Tao; Lu Tian; Lihui Zhao; Mary M. McDermott

doi:10.1186/1479-5876-12-29

A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: Effects on social and psychological function

W. J. Rejeski^*, Bonnie Spring, Kathryn Domanchuk, Huimin Tao, Lu Tian, Lihui Zhao, Mary M. McDermott

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

27 Scopus citations

Abstract

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].

Original language	English (US)
Article number	29
Journal	Journal of Translational Medicine
Volume	12
Issue number	1
DOIs	https://doi.org/10.1186/1479-5876-12-29
State	Published - Jan 28 2014

Funding

This research was supported by R01-HL088589 and R01-HL107510 from the National Heart, Blood, and Lung Institute. It was also supported in part by the Intramural Research Program at the National Institute of Aging. The first author’s time in preparing this manuscript was supported by a grant from the National Heart, Lung, and Blood Institute, R18 HL076441, and a National Institutes for Aging grant, P30 AG021332.

Keywords

Group-mediated intervention
Peripheral artery disease
Physical activity
Psychological function
Social function

ASJC Scopus subject areas

General Biochemistry, Genetics and Molecular Biology

Access to Document

10.1186/1479-5876-12-29

Cite this

@article{fddebadba9c8442baa9b854d7b869dce,

title = "A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: Effects on social and psychological function",

abstract = "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].",

keywords = "Group-mediated intervention, Peripheral artery disease, Physical activity, Psychological function, Social function",

author = "Rejeski, {W. J.} and Bonnie Spring and Kathryn Domanchuk and Huimin Tao and Lu Tian and Lihui Zhao and McDermott, {Mary M.}",

note = "Funding Information: This research was supported by R01-HL088589 and R01-HL107510 from the National Heart, Blood, and Lung Institute. It was also supported in part by the Intramural Research Program at the National Institute of Aging. The first author{\textquoteright}s time in preparing this manuscript was supported by a grant from the National Heart, Lung, and Blood Institute, R18 HL076441, and a National Institutes for Aging grant, P30 AG021332.",

year = "2014",

month = jan,

day = "28",

doi = "10.1186/1479-5876-12-29",

language = "English (US)",

volume = "12",

journal = "Journal of Translational Medicine",

issn = "1479-5876",

publisher = "BioMed Central",

number = "1",

}

TY - JOUR

T1 - A group-mediated, home-based physical activity intervention for patients with peripheral artery disease

T2 - Effects on social and psychological function

AU - Rejeski, W. J.

AU - Spring, Bonnie

AU - Domanchuk, Kathryn

AU - Tao, Huimin

AU - Tian, Lu

AU - Zhao, Lihui

AU - McDermott, Mary M.

N1 - Funding Information: This research was supported by R01-HL088589 and R01-HL107510 from the National Heart, Blood, and Lung Institute. It was also supported in part by the Intramural Research Program at the National Institute of Aging. The first author’s time in preparing this manuscript was supported by a grant from the National Heart, Lung, and Blood Institute, R18 HL076441, and a National Institutes for Aging grant, P30 AG021332.

PY - 2014/1/28

Y1 - 2014/1/28

N2 - 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].

AB - 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].

KW - Group-mediated intervention

KW - Peripheral artery disease

KW - Physical activity

KW - Psychological function

KW - Social function

UR - http://www.scopus.com/inward/record.url?scp=84893342348&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84893342348&partnerID=8YFLogxK

U2 - 10.1186/1479-5876-12-29

DO - 10.1186/1479-5876-12-29

M3 - Article

C2 - 24467875

AN - SCOPUS:84893342348

SN - 1479-5876

VL - 12

JO - Journal of Translational Medicine

JF - Journal of Translational Medicine

IS - 1

M1 - 29

ER -

A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: Effects on social and psychological function

Abstract

Funding

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this