Fit and strong! Bolstering maintenance of physical activity among older adults with lower-extremity osteoarthritis

Susan L. Hughes, Rachel B. Seymour, Richard T. Campbell, Pankaja Desai, Gail Huber, H. Justina Chang

Research output: Contribution to journalArticlepeer-review

44 Scopus citations

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, sitstand, 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.

Original languageEnglish (US)
Pages (from-to)750-763
Number of pages14
JournalAmerican Journal of Health Behavior
Volume34
Issue number6
DOIs
StatePublished - 2010

Keywords

  • Arthritis
  • Fit and strong
  • Maintenance
  • Physical activity
  • Trial

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Fit and strong! Bolstering maintenance of physical activity among older adults with lower-extremity osteoarthritis'. Together they form a unique fingerprint.

Cite this