A randomized trial of a motivational interviewing intervention to increase lifestyle physical activity and improve self-reported function in adults with arthritis

Seminars in Arthritis and Rheumatism
Abigail L GilbertRowland W Chang

Abstract

Arthritis is a leading cause of chronic pain and functional limitations. Exercise is beneficial for improving strength and function and decreasing pain. We evaluated the effect of a motivational interviewing-based lifestyle physical activity intervention on self-reported physical function in adults with knee osteoarthritis (KOA) or rheumatoid arthritis (RA). Participants were randomized to intervention or control. Control participants received a brief physician recommendation to increase physical activity to meet national guidelines. Intervention participants received the same brief baseline physician recommendation in addition to motivational interviewing sessions at baseline, 3, 6, and 12 months. These sessions focused on facilitating individualized lifestyle physical activity goal setting. The primary outcome was change in self-reported physical function. Secondary outcomes were self-reported pain and accelerometer-measured physical activity. Self-reported KOA outcomes were evaluated by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for KOA (WOMAC scores range from 0 to 68 for function and 0 to 20 for pain) and the Health Assessment Questionnaire (HAQ) for RA. Outcomes were measured at baseline, 3...Continue Reading

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Citations

Oct 8, 2018·Current Rheumatology Reports·Christine A PellegriniLinda Ehrlich-Jones
Oct 23, 2020·Arthritis Care & Research·Jasmin K MaLinda C Li
Dec 27, 2019·Osteoarthritis and Cartilage·M R MalyJ N Chopp-Hurley
Dec 29, 2020·American Journal of Health Promotion : AJHP·Dana GuglielmoJanet B Croft
Feb 26, 2019·Joint, Bone, Spine : Revue Du Rhumatisme·Catherine Beauvais

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