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Research ArticleArticle

Group-mediated Physical Activity Promotion and Mobility in Sedentary Patients with Knee Osteoarthritis: Results from the IMPACT-Pilot Trial

Brian C. Focht, Matthew J. Garver, Steven T. Devor, Justin Dials, Alexander R. Lucas, Charles F. Emery, Kevin V. Hackshaw and W. Jack Rejeski
The Journal of Rheumatology October 2014, 41 (10) 2068-2077; DOI: https://doi.org/10.3899/jrheum.140054
Brian C. Focht
The Ohio State University, Columbus; Capital University, Columbus, Ohio; Abilene Christian University, Abilene, Texas; Wake Forest University, Winston-Salem, North Carolina, United States.
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  • For correspondence: focht.10@osu.edu
Matthew J. Garver
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Steven T. Devor
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Justin Dials
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Alexander R. Lucas
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Charles F. Emery
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Kevin V. Hackshaw
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W. Jack Rejeski
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  • Figure 1.
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    Figure 1.

    CONSORT diagram for the IMPACT-P trial. CONSORT: Consolidated Standards of Reporting Trials; IMPACT-P: Improving Maintenance of Physical Activity in Knee Osteoarthritis Trial-Pilot; GMCB: group-mediated cognitive behavioral exercise intervention.

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    Figure 2.

    Adjusted means of the change in total physical activity from baseline by treatment arm. GMCB: group-mediated cognitive behavioral exercise intervention.

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    Figure 3.

    Adjusted means of the change in MVPA from baseline by treatment arm. MVPA: moderate to vigorous physical activity; GMCB: group-mediated cognitive behavioral exercise intervention.

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    Figure 4.

    Adjusted means of the change in 400-m walk time from baseline by treatment arm. GMCB: group-mediated cognitive behavioral exercise intervention.

Tables

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    Table 1.

    Contact sequencing and content in the GMCB and TRAD interventions.

    Intervention CriteriaGMCBTRAD
    Supervised center–based exercise sessions60 min of exercise (walking and lower body strength training) + 20 min of GMCB counseling60 min of exercise (walking and lower body strength training)
    Supervised exercise month 12 sessions/week3 sessions/week
    Supervised exercise month 2–31 session/week3 sessions/week
    Supervised exercise month 41 session/weekNo sessions
    Supervised exercise month 5–62 sessions/moNo sessions
    Supervised exercise months 7–91 session/moNo sessions
    • GMCB: group-mediated cognitive behavioral exercise; TRAD: traditional center-based exercise therapy.

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    Table 2.

    Characteristics of the participants.

    CharacteristicIntervention Arms, n (%)
    GMCB, n = 40TRAD, n = 40
    Age, mean (SD)63.4 (7.2)63.6 (6.6)
    Sex
      Male4 (10)9 (23)
      Female36 (90)31 (77)
    Ethnicity
      White29 (73)26 (65)
      African American8 (20)12 (30)
      Asian1 (2)1 (2)
      Latino2 (5)1 (2)
    Education
      High school or less16 (40)18 (45)
      More than high school24 (60)22 (55)
    Income, US
      < $15 K4 (10)9 (23)
      $15–$35 K9 (23)7 (17)
      $35–$50 K3 (8)6 (15)
      > $50 K24 (60)18 (45)
    BMI, kg/m2, m (SD)32.4 (7.1)33.0 (7.1)
    BMI classification
      Normal/underweight6 (15)3 (7)
      Overweight10 (25)12 (30)
      Obese24 (60)25 (63)
    • GMCB: group-mediated cognitive behavioral exercise; TRAD: traditional center-based exercise therapy; BMI: body mass index.

    • View popup
    Table 3.

    Unadjusted descriptive statistics (m/SD) for weekly minutes of total PA and MVPA, and 400-m walk time.

    VariableIntervention Arms
    GMCBTRAD
    Weekly mins total PA
      Baseline351.0 (196.8)352.5 (229.5)
      3 mos410.3 (246.4)299.1 (179.2)
      12 mos404.5 (251.8)278.3 (179.2)
    Weekly mins MVPA
      Baseline52.4 (63.3)51.7 (70.0)
      3 mos83.4 (77.0)44.8 (62.3)
      12 mos81.1 (82.0)33.0 (48.9)
    400-m walk time, s
      Baseline357.6 (98.5)385.8 (120.4)
      3 mos347.0 (95.6)382.3 (112.2)
      12 mos351.3 (95.5)419.4 (196.9)
    • PA: physical activity; MVPA: moderate to vigorous physical activity; GMCB: group-mediated cognitive behavioral exercise; TRAD: traditional center-based exercise therapy.

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The Journal of Rheumatology
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1 Oct 2014
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Group-mediated Physical Activity Promotion and Mobility in Sedentary Patients with Knee Osteoarthritis: Results from the IMPACT-Pilot Trial
Brian C. Focht, Matthew J. Garver, Steven T. Devor, Justin Dials, Alexander R. Lucas, Charles F. Emery, Kevin V. Hackshaw, W. Jack Rejeski
The Journal of Rheumatology Oct 2014, 41 (10) 2068-2077; DOI: 10.3899/jrheum.140054

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Group-mediated Physical Activity Promotion and Mobility in Sedentary Patients with Knee Osteoarthritis: Results from the IMPACT-Pilot Trial
Brian C. Focht, Matthew J. Garver, Steven T. Devor, Justin Dials, Alexander R. Lucas, Charles F. Emery, Kevin V. Hackshaw, W. Jack Rejeski
The Journal of Rheumatology Oct 2014, 41 (10) 2068-2077; DOI: 10.3899/jrheum.140054
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Keywords

AGING
PHYSICAL ACTIVITY
OSTEOARTHRITIS
EXERCISE
MOBILITY

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Keywords

  • AGING
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  • exercise
  • MOBILITY

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