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

January 31, 2008
February 13, 2008
August 5, 2015
July 2006
April 2008   (Final data collection date for primary outcome measure)
Self-reported pain [ Time Frame: Baseline, Post-intervention (8-wks), and 6-mos follow-up ]
Same as current
Complete list of historical versions of study NCT00613678 on Archive Site
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Exercise Plus Activity Strategy Training for Osteoarthritis
Exercise Plus Activity Strategy Training for Older Adults With Osteoarthritis

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.

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.
Not Applicable
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Supportive Care
  • 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.
  • Behavioral: Education
    The health education program is based on educational materials from the Arthritis Foundation.
  • 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.
    Intervention: Behavioral: Education
  • 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.
    Intervention: Behavioral: Activity Strategy Training
Murphy SL, Strasburg DM, Lyden AK, Smith DM, Koliba JF, Dadabhoy DP, Wallis SM. Effects of activity strategy training on pain and physical activity in older adults with knee or hip osteoarthritis: a pilot study. Arthritis Rheum. 2008 Oct 15;59(10):1480-7. doi: 10.1002/art.24105.

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Same as current
April 2008
April 2008   (Final data collection date for primary outcome measure)

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
Sexes Eligible for Study: All
62 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
United States
Not Provided
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Susan Murphy, University of Michigan
University of Michigan
Not Provided
Principal Investigator: Susan L Murphy, ScD, OTR University of Michigan, Institute of Gerontology
University of Michigan
August 2015

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP