| Does adherence make a difference? Results from a community-based aquatic exercise program. | |
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MedLine Citation:
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PMID: 12352776 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Evidence exists demonstrating the benefits of exercise for people with osteoarthritis, but little is known about whether exercise programs are effective, that is, whether the benefits of exercise can be seen in "real life" programs for "normal" people under nonlaboratory conditions. OBJECTIVE: To identify characteristics of and outcomes for participants who adhere to a community-based aquatic exercise program. METHOD: Two hundred and forty-nine adults with osteoarthritis were recruited from Washington State for randomization to a 20-week Arthritis Foundation aquatic exercise program (n = 125) or a wait-list control group (n = 124). Adherers were defined as those attending at least two classes per week for 16 of 20 weeks. Measures included: Quality of Well Being Scale, Health Assessment Questionnaire, Center for Epidemiological Studies-Depression Scale, and a single arthritis quality of life rating-item. RESULTS: Baseline to postintervention change scores revealed that treatment-group adherers (N = 35) reported improved quality of well-being, physical function, and change in arthritis quality of life compared to controls (N = 124). When comparing treatment-group adherers (N = 35) to treatment-group nonadherers (N = 67), quality of well-being and depressed mood improved for adherers, but not for nonadherers. CONCLUSION: When analyzed for level of participation, exercise benefits adults with osteoarthritis. Consistent participation in exercise programs results in better outcomes. Improved methods are needed to enhance adherence, with increased attention to the role of intrinsic factors such as self-efficacy and belief systems. |
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Authors:
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Basia Belza; Tari Topolski; Susan Kinne; Donald L Patrick; Scott D Ramsey |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Nursing research Volume: 51 ISSN: 0029-6562 ISO Abbreviation: Nurs Res Publication Date: 2002 Sep-Oct |
Date Detail:
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Created Date: 2002-09-27 Completed Date: 2002-10-16 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0376404 Medline TA: Nurs Res Country: United States |
Other Details:
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Languages: eng Pagination: 285-91 Citation Subset: AIM; IM; N |
Affiliation:
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Department of Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle 98195-7266, USA. basiab@u.washington.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Community Health Services / organization & administration* Exercise Therapy / methods* Female Humans Male Middle Aged Osteoarthritis / therapy* Patient Compliance* Quality of Life* Questionnaires |
| Grant Support | |
ID/Acronym/Agency:
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U48/CCU00954/CC/CDC HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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