Effects of a tailored activity pacing intervention on pain and fatigue for adults with osteoarthritis / Susan L. MURPHY in American Journal of Occupational Therapy, Vol. 64/6 (novembre-décembre 2010)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 64/6 (novembre-décembre 2010) . - p. 869-876 Titre : Effects of a tailored activity pacing intervention on pain and fatigue for adults with osteoarthritis Type de document : texte imprimé Auteurs : Susan L. MURPHY ; et al. ; Dylan M. SMITH ; Angela K. LYDEN Année de publication : 2010 Article en page(s) : p. 869-876 Langues : Anglais (eng) Mots-clés : Activités vie quotidienne  Fatigue  Douleur  Arthrite  Goutte Résumé : OBJECTIVE. We examined whether tailored activity pacing intervention was more effective at reducing pain and fatigue than general activity pacing intervention. METHOD. Adults with knee or hip osteoarthritis (N = 32) stratified by age and gender were randomized to receive either tailored or general pacing intervention. Participants wore an accelerometer for 5 days that measured physical activity and allowed for repeated symptom assessment. Physical activity and symptom data were used to tailor activity pacing instruction. Outcomes at 10-week follow-up were pain (Western Ontario and McMaster Universities Osteoarthritis Index) and fatigue (Brief Fatigue Inventory). RESULTS. Compared with general intervention, the tailored group had less fatigue interference (p = .02) and trended toward decreased fatigue severity (p = .09) at 10-wk follow-up. No group differences were found in pain reduction. CONCLUSION. Tailoring instruction on the basis of recent symptoms and physical activity may be a more effective symptom management approach than general instruction given the positive effects on fatigue. Permalink : ./index.php?lvl=notice_display&id=14085 [article] Effects of a tailored activity pacing intervention on pain and fatigue for adults with osteoarthritis [texte imprimé] / Susan L. MURPHY ; et al. ; Dylan M. SMITH ; Angela K. LYDEN . - 2010 . - p. 869-876. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 64/6 (novembre-décembre 2010) . - p. 869-876 Mots-clés : Activités vie quotidienne  Fatigue  Douleur  Arthrite  Goutte Résumé : OBJECTIVE. We examined whether tailored activity pacing intervention was more effective at reducing pain and fatigue than general activity pacing intervention. METHOD. Adults with knee or hip osteoarthritis (N = 32) stratified by age and gender were randomized to receive either tailored or general pacing intervention. Participants wore an accelerometer for 5 days that measured physical activity and allowed for repeated symptom assessment. Physical activity and symptom data were used to tailor activity pacing instruction. Outcomes at 10-week follow-up were pain (Western Ontario and McMaster Universities Osteoarthritis Index) and fatigue (Brief Fatigue Inventory). RESULTS. Compared with general intervention, the tailored group had less fatigue interference (p = .02) and trended toward decreased fatigue severity (p = .09) at 10-wk follow-up. No group differences were found in pain reduction. CONCLUSION. Tailoring instruction on the basis of recent symptoms and physical activity may be a more effective symptom management approach than general instruction given the positive effects on fatigue. Permalink : ./index.php?lvl=notice_display&id=14085

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