Trial reportAmerican journal of preventive medicine2015
The steps to health randomized trial for arthritis: a self-directed exercise versus nutrition control program.
Trial report in American journal of preventive medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01172327 (Evaluation of a Self-directed, Packaged Physical Activity Program for Adults With Arthritis), which is not on this map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluation of a Self-directed, Packaged Physical Activity Program for Adults With Arthritis
Who cites it
13 citing papers in PubMed.
- Fit & Strong! Plus Trial Outcomes for Obese Older Adults with Osteoarthritis.The Gerontologist · 2020Trial
- Clinically meaningful changes in functional performance resulting from self-directed interventions in individuals with arthritis.Public health · 2016Trial
- Association of complementary and alternative medicine use with symptoms and physical functional performance among adults with arthritis.Disability and health journal · 2016Trial
- Co-development of an evidence-informed, theoretically driven exercise programme for people with chronic non-specific neck pain (the EPIC-Neck programme - "Exercise Prescription Improved through Co-design").BMC musculoskeletal disorders · 2025Article
- Effectiveness of internet-delivered education and home exercise supported by behaviour change SMS on pain and function for people with knee osteoarthritis: a randomised controlled trial protocol.BMC musculoskeletal disorders · 2019Article
- Translation to Brazilian Portuguese, cultural adaptation and psychometric properties of 8-item ArthritisSelf-Efficacy Scale (ASES-8).Sao Paulo medical journal = Revista paulista de medicina · 2019Article
- Current concepts in joint pain in knee osteoarthritis.Schmerz (Berlin, Germany) · 2019Review
- Effects of a Self-Directed Nutrition Intervention Among Adults With Chronic Health Conditions.Health education & behavior : the official publication of the Society for Public Health Education · 2018Article
- FIT & STRONG! PLUS: DESCRIPTIVE DEMOGRAPHIC AND RISK CHARACTERISTICS IN A COMPARATIVE EFFECTIVENESS TRIAL FOR OLDER AFRICAN-AMERICAN ADULTS WITH OSTEOARTHRITIS.The journal of aging research & clinical practice · 2018Article
- Gender differences in physical activity motivators and context preferences: a population-based study in people in their sixties.BMC public health · 2017Article
- Psychometric properties of the 8-item english arthritis self-efficacy scale in a diverse sample.Arthritis · 2014Article
- Post-operative rehabilitation and nutrition in osteoarthritis.F1000Research · 2014Review
- Knowledge, Attitude, and Practice of Orthopedic Manual Physical Therapists Toward Lifestyle Screening and Education: A Descriptive Study.American journal of lifestyle medicineArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundDespite the established benefits of exercise for adults with arthritis, participation is low. Safe, evidence-based, self-directed programs, which have the potential for high reach at a low cost, are needed. PURPOSE: To test a 12-week, self-directed, multicomponent exercise program for adults with arthritis.
designRandomized controlled trial. Data were collected from 2010 to 2012. Data were analyzed in 2013 and 2014. SETTING/
participantsAdults with arthritis (N=401, aged 56.3 [10.7] years, 85.8% women, 63.8% white, 35.2% African American, BMI of 33.0 [8.2]) completed measures at a university research center and participated in a self-directed exercise intervention (First Step to Active Health(®)) or nutrition control program (Steps to Healthy Eating).
interventionIntervention participants received a self-directed multicomponent exercise program and returned self-monitoring logs for 12 weeks.
main outcome measuresSelf-reported physical activity, functional performance measures, and disease-specific outcomes (arthritis symptoms and self-efficacy) assessed at baseline, 12 weeks, and 9 months.
resultsParticipants in the exercise condition showed greater increases in physical activity than those in the nutrition control group (p=0.01). Significant improvements, irrespective of condition, were seen in lower body strength, functional exercise capacity, lower body flexibility, pain, fatigue, stiffness, and arthritis management self-efficacy (p values<0.0001). More adverse events occurred in the exercise than nutrition control condition, but only one was severe and most were expected with increased physical activity.
conclusionsThe exercise program improves physical activity, and both programs improve functional and psychosocial outcomes. Potential reasons for improvements in the nutrition control condition are discussed. These interventions have the potential for large-scale dissemination. This study is registered at Clinicaltrials.gov NCT01172327.
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