A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: effects on social and psychological function

详细信息    查看全文

• 作者：W Jack Rejeski (1)
  Bonnie Spring (2)
  Kathryn Domanchuk (2)
  Huimin Tao (2)
  Lu Tian (3)
  Lihui Zhao (2)
  Mary M McDermott (2)
  
• 关键词：Peripheral artery disease ; Group ; mediated intervention ; Physical activity ; Social function ; Psychological function
• 刊名：Journal of Translational Medicine
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：12
• 期：1
• 全文大小：215 KB
• 作者单位：W Jack Rejeski (1)
  Bonnie Spring (2)
  Kathryn Domanchuk (2)
  Huimin Tao (2)
  Lu Tian (3)
  Lihui Zhao (2)
  Mary M McDermott (2)
  
  1. Departments of Health and Exercise Science and Geriatric Medicine, Wake Forest University, Box 7867, Winston-Salem, NC, 27109, USA
  2. Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
  3. Department of Health Research and Policy, Stanford University, Palo, Alto, CA, USA
  
• ISSN：1479-5876

文摘

Background PAD is a disabling, chronic condition of the lower extremities that affects approximately 8 million people in the United States. The purpose of this study was to determine whether an innovative home-based walking exercise program for patients with peripheral artery disease (PAD) improves self-efficacy for walking, desire for physical competence, satisfaction for physical functioning, social functioning, and acceptance of PAD related pain and discomfort. Methods The design was a 6-month randomized controlled clinical trial of 194 patients with PAD. Participants were randomized to 1 of 2 parallel groups: a home-based group-mediated cognitive behavioral walking intervention or an attention control condition. Results Of the 194 participants randomized, 178 completed the baseline and 6-month follow-up visit. The mean age was 70.66 (±9.44) and was equally represented by men and women. Close to half of the cohort was African American. Following 6-months of treatment, the intervention group experienced greater improvement on self-efficacy (p--0008), satisfaction with functioning (p--0003), pain acceptance (p--0002), and social functioning (p--0008) than the control group; the effects were consistent across a number of potential moderating variables. Change in these outcomes was essentially independent of change in 6-minute walk performance. Trial registration [ClinicalTrials.gov Identifier: NCT00693940]