Activity, Rheumatoid and Osteoarthritis, and Weight Management
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|ClinicalTrials.gov Identifier: NCT00365404|
Recruitment Status : Completed
First Posted : August 17, 2006
Last Update Posted : November 26, 2015
The purpose of the study was to implement well-developed guidelines for arthritis management beyond acute medical management to independent community living by modifying existing weight management and physical activity promotion programs for people with disabling arthritis.
Our hypotheses were:
- Existing individual, health care system, and community strategies to promote physical activity and weight management can effectively be modified and expanded to include those with debilitating joint diseases.
- People with inflammatory joint disease can have healthy physical activity levels and weight at home and in the community.
- The effect of these interventions will be higher quality of life, lower depression rates, modest pain levels, and functional independence.
|Condition or disease||Intervention/treatment|
|Rheumatoid Arthritis Osteoarthritis||Behavioral: Diet and exercise promotion|
Park Nicollet Clinic and the Institute for Clinical Systems Integration have spent several million dollars developing evidence-based care guidelines and intervention strategies for a wide range of common illnesses. Included in the degenerative joint disease guideline are recommendations for the management of two inter-related risk factors for increased disability: obesity and lack of physical activity. This application seeks to integrate disability prevention programs into the post-acute management of rheumatoid and osteoarthritis.
Our specific aims are to: (1) Modify well-established weight management techniques and physical activity promotion interventions according to Institute for Clinical Systems Integration recommendations for use by the broader community of individuals with potentially disabling rheumatoid and osteoarthritis; (2) Implement these interventions within a diverse patient population identified within an integrated health care system; (3) Demonstrate the short and long term impact of these interventions on patients suffering from debilitating joint disease; and (4) Facilitate incorporation of these interventions by other communities and clinical settings to enhance the longer-term well being of those with disabilities.
To achieve our aims, we will modify existing weight management and physical activity promotion strategies across the continuum of care. Through patient focus groups, a clinical advisory board, a community advisory board, and pilot testing, key stakeholders will help assure effective program design and implementation strategies as well as development of sustainable interventions. Using pre- and post-intervention surveys and simple measures of physical ability and weight, we will demonstrate the effect of these interventions on physical activity levels and weight; assess the effect of the interventions on pain, quality of life, depression, and functional capacity in those diagnosed with rheumatoid or osteoarthritis; and document the implementation strategies for the community interventions.
Our aims and hypotheses are consistent with the overarching goals of Healthy People 2010: (1) to increase quality and years of healthy life and (2) to eliminate health disparities. We address two focus areas, (2) arthritis and (6) disability and secondary conditions. Our intervention targets two of the leading health indicators: physical activity and overweight and obesity.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||465 participants|
|Intervention Model:||Single Group Assignment|
|Official Title:||Weight Management, Physical Activity, Less Disability in Rheumatoid and Osteoarthritis|
|Study Start Date :||October 2003|
|Estimated Study Completion Date :||February 2006|
- Normal body mass index is normal
- At least four days of 20 minutes exercise in past seven
- Weight loss of five pounds
- Increased exercise days by 2
- Improved quality of life (including reduced pain) as measured with the AIMS-2
- Improved dietary characteristics as measured with the Block FFQ
- Increased physical activity as measured with the Physical ACtivity History
- Reduced depressive symptoms via CES-D
- Improved physical performance
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00365404
|United States, Minnesota|
|Park Nicollet Institute|
|St Louis Park, Minnesota, United States, 55416|
|Principal Investigator:||Barbara L Braun, PhD||HealthPartners Institute|