Exercise Plus Activity Strategy Training for Osteoarthritis

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00613678
Recruitment Status : Completed
First Posted : February 13, 2008
Last Update Posted : August 5, 2015
Information provided by (Responsible Party):
Susan Murphy, University of Michigan

Brief Summary:

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 or disease Intervention/treatment Phase
Osteoarthritis Behavioral: Activity Strategy Training Behavioral: Education Not Applicable

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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 54 participants
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
Study Start Date : July 2006
Actual Primary Completion Date : April 2008
Actual Study Completion Date : April 2008

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
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.

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

Information from the National Library of Medicine

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Ages Eligible for Study:   62 Years and older   (Adult, Older Adult)
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

Information from the National Library of Medicine

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 identifier (NCT number): 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

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
First Posted: February 13, 2008    Key Record Dates
Last Update Posted: August 5, 2015
Last Verified: August 2015

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

Additional relevant MeSH terms:
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases