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- Essai clinique NCT01172327
Self-Directed Exercise Program for Adults With Arthritis
26 avril 2021 mis à jour par: Sara Wilcox, University of South Carolina
Evaluation of a Self-directed, Packaged Physical Activity Program for Adults With Arthritis
The purpose of this study is to examine the effectiveness and safety of a self-directed physical activity program relative to a self-directed dietary program in adults with arthritis.
A process evaluation will also be conducted to examine program reach, participation/dose, fidelity, and participant compatibility/satisfaction.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Description détaillée
Physical activity is a critical component of arthritis disease management.
It also reduces the risk for other chronic comorbid conditions in people with arthritis.
Yet, most adults with arthritis are not sufficiently active at the level needed to achieve benefits.
Existing group-based arthritis exercise programs reach only a very small percentage of the population.
The overall purpose of this study is to test a self-directed and low-cost multicomponent physical activity program for people with arthritis on outcomes including symptoms of arthritis, lower body strength, functional aerobic capacity, flexibility, physical activity, arthritis self-efficacy and disability, upper body strength, balance, gait, and depressive symptoms.
The second primary aim is to evaluate the safety of the physical activity program.
The third primary aim is to conduct a process evaluation to examine program reach, participation/dose, fidelity, and participant compatibility/satisfaction.
Adults aged 18 years and older with arthritis will be recruited from the midlands area of South Carolina.
After completion of a baseline visit, participants will be randomized in equal numbers to the 12-week physical activity program (First Step to Active Health®) or the 12-week attention-control group (Steps to Healthy Eating).
The attention control intervention will have the same "look and feel" as the physical activity intervention and will require similar activities such as self-monitoring of behavior.
Follow-up measurements will take place post-program (12-weeks) and 6 months post-program (i.e., 9 months post-randomization).
If First Step to Active Health® is shown to be effective, it could be widely disseminated for a very low cost, thus having the potential to make a tremendous public health impact on the burden of arthritis.
Type d'étude
Interventionnel
Inscription (Réel)
401
Phase
- N'est pas applicable
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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South Carolina
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Columbia, South Carolina, États-Unis, 29208
- University of South Carolina Prevention Research Center
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
18 ans et plus (Adulte, Adulte plus âgé)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
La description
Inclusion Criteria:
- Self-reported, health care provider-diagnosed arthritis (CDC definition)
- 18+ years of age
- Self-reported symptoms of joint pain, stiffness, tenderness, decreased range of motion, redness and warmth, deformity, crackling or grating, or fatigue
- Able to read and write in English
Exclusion Criteria:
- Another member of household is participating in study
- Plans to move from the Columbia, SC area in the next 9 months
- Unable to walk longer than 3 minutes without taking a rest
- Unable to stand without assistance for more than 2 minutes
- Cannot sit in a chair without arms for more than 5 minutes
- Measured resting blood pressure >160/100
- Positive response to PAR-Q question(s)
- Had a fall in the past year that required medical assistance
- Pregnant or breastfeeding
- Uses insulin to manage diabetes
- Participating in another research study that includes an intervention or drug
- Participates in 3+ days of structured moderate-intensity exercise for 30+ minutes per day
- Participates in 2+ days of strength building exercises for 20+ minutes per day
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: La prévention
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Expérimental: Multicomponent exercise
This arm is a self-directed, multicomponent, exercise intervention.
Participants exercise on their own and follow a progressive stepped program that occurs in the following order: cardiorespiratory exercises, flexibility exercises, strength (upper and lower body) exercises, and balance exercises.
Participants also complete a daily log of their exercises and return the logs every week for 12 weeks.
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This intervention is a self-directed, multicomponent, exercise intervention.
Participants exercise on their own and follow a progressive stepped program that occurs in the following order: cardiorespiratory exercises, flexibility exercises, strength (upper and lower body) exercises, and balance exercises.
Participants also complete a daily log of their exercises and return the logs every week for 12 weeks.
The active intervention phase is 12 weeks.
|
Comparateur actif: Nutrition
This arm is a self-directed nutrition intervention.
Participants follow a progressive stepped program that occurs in the following order: fruits, vegetables, grains, meat and beans.
Participants also complete a daily log of their dietary intake and return the logs every week for 12 weeks.
|
This arm is a self-directed nutrition intervention.
Participants follow a progressive stepped program that occurs in the following order: fruits, vegetables, grains, meat and beans.
Participants also complete a daily log of their dietary intake and return the logs every week for 12 weeks.
The active intervention lasts for 12 weeks.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Symptoms of arthritis
Délai: 12 weeks
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Visual numeric scales to assess pain, fatigue, and stiffness
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12 weeks
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Lower body strength
Délai: 12 weeks
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The 30-second chair stand will assess lower body strength.
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12 weeks
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Functional exercise capacity
Délai: 12 weeks
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The six-minute walk will assess functional exercise capacity
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12 weeks
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Flexibility
Délai: 12 weeks
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The sit-and-reach test will assess flexibility
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12 weeks
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Physical activity
Délai: 12 weeks
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The Community Health Activities Model Program for Seniors Physical Activity (CHAMPS) Questionnaire will assess physical activity participation
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12 weeks
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Arthritis management self-efficacy
Délai: 12 weeks
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The Arthritis Self-Efficacy Scale will assess confidence in managing arthritis symptoms
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12 weeks
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Disability
Délai: 12 weeks
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The Health Assessment Questionnaire (HAQ) will assess disability
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12 weeks
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Upper body strength
Délai: 12 weeks
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The grip strength test (kg/lbs of force) will assess upper body strength
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12 weeks
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Balance
Délai: 12 weeks
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Postural sway will be measured with the AMTI force platform to determine COP displacement, COP velocity, and 95th eclipse
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12 weeks
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Gait
Délai: 12 weeks
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GAITRite will assess components of gait including cadence, step time, cycle time, step length, stride length, and velocity
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12 weeks
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Depressive symptoms
Délai: 12 weeks
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The short form of the Center for Epidemiological Studies Depression scale (CES-D) will assess depressive symptoms
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12 weeks
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Collaborateurs
Les enquêteurs
- Chercheur principal: Sara Wilcox, PhD, University of South Carolina
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Publications générales
- Baruth M, Wilcox S, Jake-Schoffman DE, Schlaff RA, Goldufsky TM. Effects of a Self-Directed Nutrition Intervention Among Adults With Chronic Health Conditions. Health Educ Behav. 2018 Feb;45(1):61-67. doi: 10.1177/1090198117709317. Epub 2017 Jun 3.
- Wilcox S, McClenaghan B, Sharpe PA, Baruth M, Hootman JM, Leith K, Dowda M. The steps to health randomized trial for arthritis: a self-directed exercise versus nutrition control program. Am J Prev Med. 2015 Jan;48(1):1-12. doi: 10.1016/j.amepre.2014.08.006. Epub 2014 Nov 6.
- Schoffman DE, Wilcox S, Baruth M. Association of body mass index with physical function and health-related quality of life in adults with arthritis. Arthritis. 2013;2013:190868. doi: 10.1155/2013/190868. Epub 2013 Dec 12.
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 septembre 2009
Achèvement primaire (Réel)
1 juillet 2012
Achèvement de l'étude (Réel)
1 juillet 2012
Dates d'inscription aux études
Première soumission
17 mai 2010
Première soumission répondant aux critères de contrôle qualité
28 juillet 2010
Première publication (Estimation)
29 juillet 2010
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
28 avril 2021
Dernière mise à jour soumise répondant aux critères de contrôle qualité
26 avril 2021
Dernière vérification
1 avril 2021
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- Pro00004658
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .