Effect of tailored activity pacing on self-perceived joint stiffness in adults with knee or hip osteoarthritis / Stacey L. SCHEPENS in American Journal of Occupational Therapy, Vol. 66/3 (mai-juin 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/3 (mai-juin 2012) . - p. 363-367 Titre : Effect of tailored activity pacing on self-perceived joint stiffness in adults with knee or hip osteoarthritis Type de document : texte imprimé Auteurs : Stacey L. SCHEPENS ; Susan L. MURPHY ; Marcia E. BRAUN Année de publication : 2012 Article en page(s) : p. 363-367 Langues : Anglais (eng) Mots-clés : Arthrose  Stimulation  Hanche  Genou  Ankylose Résumé : OBJECTIVE. We examined the effects of a tailored activity-pacing intervention on self-perceived joint stiffness in adults with osteoarthritis (OA). METHOD. Thirty-two adults with hip or knee OA were randomized to a tailored or general activity-pacing intervention. Participants’ symptoms and physical activity over 5 days were used to tailor activity pacing. The outcome was self-perceived joint stiffness measured at baseline, 4 wk, and 10 wk. A linear mixed regression model was used. RESULTS. The tailored group significantly improved in stiffness compared with the general group over time. We found a significantly different linear trend between groups (Time * Group, p = .046) in which the tailored group had decreasing stiffness over the three time points, denoting continued improvement. The general group’s stiffness improved from baseline to 4 wk but returned to baseline levels at 10 wk. Permalink : ./index.php?lvl=notice_display&id=14063 [article] Effect of tailored activity pacing on self-perceived joint stiffness in adults with knee or hip osteoarthritis [texte imprimé] / Stacey L. SCHEPENS ; Susan L. MURPHY ; Marcia E. BRAUN . - 2012 . - p. 363-367. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/3 (mai-juin 2012) . - p. 363-367 Mots-clés : Arthrose  Stimulation  Hanche  Genou  Ankylose Résumé : OBJECTIVE. We examined the effects of a tailored activity-pacing intervention on self-perceived joint stiffness in adults with osteoarthritis (OA). METHOD. Thirty-two adults with hip or knee OA were randomized to a tailored or general activity-pacing intervention. Participants’ symptoms and physical activity over 5 days were used to tailor activity pacing. The outcome was self-perceived joint stiffness measured at baseline, 4 wk, and 10 wk. A linear mixed regression model was used. RESULTS. The tailored group significantly improved in stiffness compared with the general group over time. We found a significantly different linear trend between groups (Time * Group, p = .046) in which the tailored group had decreasing stiffness over the three time points, denoting continued improvement. The general group’s stiffness improved from baseline to 4 wk but returned to baseline levels at 10 wk. Permalink : ./index.php?lvl=notice_display&id=14063

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Randomized controlled trial comparing tailoring methods of multimedia-based fall prevention education for community-dwelling older adults / Stacey L. SCHEPENS in American Journal of Occupational Therapy, Vol. 65/6 (novembre-décembre 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/6 (novembre-décembre 2011) . - p. 702-709 Titre : Randomized controlled trial comparing tailoring methods of multimedia-based fall prevention education for community-dwelling older adults Type de document : texte imprimé Auteurs : Stacey L. SCHEPENS ; Allon GOLDBERG ; Victoria PANZER Année de publication : 2011 Article en page(s) : p. 702-709 Langues : Anglais (eng) Mots-clés : Vertige  Education  Comportement Résumé : OBJECTIVE. We attempted to determine whether multimedia fall prevention education using different instructional strategies increases older adults’ knowledge of fall threats and their fall prevention behaviors. METHOD. Fifty-three community-dwelling older adults were randomized to two educational groups or a control group. Multimedia-based educational interventions to increase fall threats knowledge and encourage fall prevention behaviors had two tailoring strategies: (1) improve content realism for individual learners (authenticity group) and (2) highlight program goals and benefits while using participants’ content selections (motivation group). Knowledge was measured at baseline and 1-mo follow-up. Participants recorded prevention behaviors for 1 mo. RESULTS. Intervention group participants showed greater knowledge gains and posttest knowledge than did control group participants. The motivation group engaged in more prevention behaviors over 1 mo than did the other groups. CONCLUSION. Tailoring fall prevention education by addressing authenticity and motivation successfully improved fall threats knowledge. Combining motivational strategies with multimedia education increased the effectiveness of the intervention in encouraging fall prevention behaviors. Permalink : ./index.php?lvl=notice_display&id=14207 [article] Randomized controlled trial comparing tailoring methods of multimedia-based fall prevention education for community-dwelling older adults [texte imprimé] / Stacey L. SCHEPENS ; Allon GOLDBERG ; Victoria PANZER . - 2011 . - p. 702-709. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/6 (novembre-décembre 2011) . - p. 702-709 Mots-clés : Vertige  Education  Comportement Résumé : OBJECTIVE. We attempted to determine whether multimedia fall prevention education using different instructional strategies increases older adults’ knowledge of fall threats and their fall prevention behaviors. METHOD. Fifty-three community-dwelling older adults were randomized to two educational groups or a control group. Multimedia-based educational interventions to increase fall threats knowledge and encourage fall prevention behaviors had two tailoring strategies: (1) improve content realism for individual learners (authenticity group) and (2) highlight program goals and benefits while using participants’ content selections (motivation group). Knowledge was measured at baseline and 1-mo follow-up. Participants recorded prevention behaviors for 1 mo. RESULTS. Intervention group participants showed greater knowledge gains and posttest knowledge than did control group participants. The motivation group engaged in more prevention behaviors over 1 mo than did the other groups. CONCLUSION. Tailoring fall prevention education by addressing authenticity and motivation successfully improved fall threats knowledge. Combining motivational strategies with multimedia education increased the effectiveness of the intervention in encouraging fall prevention behaviors. Permalink : ./index.php?lvl=notice_display&id=14207

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