This site became the new on June 19th. Learn more.
Show more Menu IMPORTANT: Listing of a study on this site does not reflect endorsement by the National Institutes of Health. Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu IMPORTANT: Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu
Give us feedback

Exercise Plus Activity Strategy Training for Osteoarthritis

This study has been completed.
Information provided by (Responsible Party):
Susan Murphy, University of Michigan Identifier:
First received: January 31, 2008
Last updated: August 3, 2015
Last verified: August 2015

Purpose: To study the effects of two different rehabilitation programs for people with osteoarthritis of the hip or knee.

Hypothesis 1: Participants who received Activity Stratgey Training will report less pain and physical disability at 8-weeks and 6-months follow-up.

Hypothesis 2: Participants who receive Activity Strategy Training will have a greater increase in physical activity as measured by a wrist-worn accelerometer.

Hypothesis 3: Participants who receive Activity Stratgey Training will report greater improvements in health-related quality of life.

Condition Intervention
Osteoarthritis Behavioral: Activity Strategy Training Behavioral: Education

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Supportive Care
Official Title: Exercise Plus Activity Strategy Training for Older Adults With Osteoarthritis

Resource links provided by NLM:

Further study details as provided by Susan Murphy, University of Michigan:

Primary Outcome Measures:
  • Self-reported pain [ Time Frame: Baseline, Post-intervention (8-wks), and 6-mos follow-up ]

Enrollment: 54
Study Start Date: July 2006
Study Completion Date: April 2008
Primary Completion Date: April 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Exercise + Education: Eight group sessions (8-15 people) during which participants engage in muscular strength and flexibility exercises. In addition, weekly educational lectures on topics germane to osteoarthritis management are included.
Behavioral: Education
The health education program is based on educational materials from the Arthritis Foundation.
Experimental: 2
Exercise + Activity Strategy Training: 7/8 sessions will be in a group format in which participants engage in muscular strength & flexibility exercises and listen to education lessons on management strategies for osteoarthritis. The remaining session includes a home assessment by an occupational therapist to facilitate adequate participation in daily living and leisure activities.
Behavioral: Activity Strategy Training
The AST component will involve training in specific behavioral and environmental strategies to facilitate performance in daily activities and routines. The activity strategy training group sessions will use education, group discussion, and demonstration and practice of techniques to facilitate activity performance. Homework assignments will be given after many of the sessions to practice and reinforce concepts learned.

Detailed Description:
We are testing the effectiveness of a targeted intervention for older adults with hip and/or knee osteoarthritis (LE-OA) using an occupational therapy treatment approach to promote activity engagement. We believe that it is necessary to tailor this intervention to the specific needs of older adults with LE-OA. Based on the literature, exercise is a necessary component of an intervention for older adults with LE-OA. However, this should also be coupled with an Activity Strategy Training (AST) component designed to promote lifestyle changes and thus more lasting effects. The AST component is based on occupational therapy principles and will include behavioral and environmental strategies to increase activity engagement.

Ages Eligible for Study:   62 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Minimum age of 62 years
  • Meet ACR clinical criteria for either hip or knee OA
  • Ambulatory (with or without assistance)
  • Requiring assistance or report difficulty in >=1/4 activities of daily living
  • Ability to speak English

Exclusion Criteria:

  • Knee/hip surgery within the previous 9 mos.
  • Current participation in physical/occupational therapy
  • Any contraindication to exercise activities
  • Cognitive impairment
  • Inability to provide informed consent
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00613678

United States, Michigan
University of Michigan Institute of Gerontology
Ann Arbor, Michigan, United States, 48109-2007
Sponsors and Collaborators
University of Michigan
Principal Investigator: Susan L Murphy, ScD, OTR University of Michigan, Institute of Gerontology
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Susan Murphy, Associate Professor, University of Michigan Identifier: NCT00613678     History of Changes
Other Study ID Numbers: ACT
Study First Received: January 31, 2008
Last Updated: August 3, 2015

Keywords provided by Susan Murphy, University of Michigan:
activities of daily living

Additional relevant MeSH terms:
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases processed this record on September 21, 2017