Activité physique et objets connectés : comment favoriser l'adhésion des patients ? / Alexander Arefyev in La revue de l'infirmière, 237 (janvier 2018)

Public ISBD [article]  inLa revue de l'infirmière > 237 (janvier 2018) . - p. 38-39 Titre : Activité physique et objets connectés : comment favoriser l'adhésion des patients ? Type de document : texte imprimé Auteurs : Alexander Arefyev ; et al. ; Chloé Gay ; Jean-Baptiste Lechauve Année de publication : 2018 Article en page(s) : p. 38-39 Note générale : Doi : 10.1016/j.revinf.2017.11.018 Langues : Français (fre) Mots-clés : Lombalgie  Exercice physique  Applications mobiles  Éducation du patient comme sujet Résumé : Une étude a exploré les facteurs pouvant avoir un impact sur l?utilisation des objets connectés pour améliorer l?adhésion des patients souffrant de lombalgie chronique à l?activité physique. De quoi ajuster le développement d?une application dédiée aux patients lombalgiques chroniques. Permalink : ./index.php?lvl=notice_display&id=55458 [article] Activité physique et objets connectés : comment favoriser l'adhésion des patients ? [texte imprimé] / Alexander Arefyev ; et al. ; Chloé Gay ; Jean-Baptiste Lechauve . - 2018 . - p. 38-39. Doi : 10.1016/j.revinf.2017.11.018 Langues : Français (fre) in La revue de l'infirmière > 237 (janvier 2018) . - p. 38-39 Mots-clés : Lombalgie  Exercice physique  Applications mobiles  Éducation du patient comme sujet Résumé : Une étude a exploré les facteurs pouvant avoir un impact sur l?utilisation des objets connectés pour améliorer l?adhésion des patients souffrant de lombalgie chronique à l?activité physique. De quoi ajuster le développement d?une application dédiée aux patients lombalgiques chroniques. Permalink : ./index.php?lvl=notice_display&id=55458

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Educating patients about the benefits of physical activity and exercise for their hip and knee osteoarthritis. Systematic literature review / Chloé Gay in Annals of physical and rehabilitation medicine, Vol. 59, n° 3 (June 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 3 (June 2016) . - p. 174- 183 Titre : Educating patients about the benefits of physical activity and exercise for their hip and knee osteoarthritis. Systematic literature review Type de document : texte imprimé Auteurs : Chloé Gay, Auteur ; Aurore Chabaud, Auteur ; E. Guilley, Auteur Année de publication : 2016 Article en page(s) : p. 174- 183 Langues : Anglais (eng) Français (fre) Mots-clés : Genou  Hanche  Arthrose  Activité physique  Knee,Hip and osteoathritis,Self-care,Self-management,Self-efficacy and physical activity,Exercise Résumé : Objectives: Highlight the role of patient education about physical activity and exercise in the treatment of hip and knee osteoarthritis (OA). Methods: Systematic literature review from the Cochrane Library, PubMed and Wiley Online Library databases. A total of 125 items were identified, including 11 recommendations from learned societies interested in OA and 45 randomized controlled trials addressing treatment education and activity/exercise for the treatment of hip and knee osteoarthritis. Results: In the end, 13 randomized controlled trials and 8 recommendations were reviewed (1b level of evidence). Based on the analysis, it was clear that education, exercise and weight loss are the pillars of non-pharmacological treatments. These treatments have proven to be effective but require changes in patient behaviour that are difficult to obtain. Exercise and weight loss improve function and reduce pain. Education potentiates compliance to exercise and weight loss programs, thereby improving their long-term benefits. Cost efficiency studies have found a reduction in medical visits and healthcare costs after 12 months because of self-management programs. Conclusion: Among non-surgical treatment options for hip and knee osteoarthritis, the most recent guidelines focus on non-pharmacological treatment. Self-management for general physical activity and exercise has a critical role. Programs must be personalized and adjusted to the patient's phenotype. This development should help every healthcare professional adapt the care they propose to each patient. Registration number for the systematic review: CRD42015032346. Permalink : ./index.php?lvl=notice_display&id=45208 [article] Educating patients about the benefits of physical activity and exercise for their hip and knee osteoarthritis. Systematic literature review [texte imprimé] / Chloé Gay, Auteur ; Aurore Chabaud, Auteur ; E. Guilley, Auteur . - 2016 . - p. 174- 183. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 3 (June 2016) . - p. 174- 183 Mots-clés : Genou  Hanche  Arthrose  Activité physique  Knee,Hip and osteoathritis,Self-care,Self-management,Self-efficacy and physical activity,Exercise Résumé : Objectives: Highlight the role of patient education about physical activity and exercise in the treatment of hip and knee osteoarthritis (OA). Methods: Systematic literature review from the Cochrane Library, PubMed and Wiley Online Library databases. A total of 125 items were identified, including 11 recommendations from learned societies interested in OA and 45 randomized controlled trials addressing treatment education and activity/exercise for the treatment of hip and knee osteoarthritis. Results: In the end, 13 randomized controlled trials and 8 recommendations were reviewed (1b level of evidence). Based on the analysis, it was clear that education, exercise and weight loss are the pillars of non-pharmacological treatments. These treatments have proven to be effective but require changes in patient behaviour that are difficult to obtain. Exercise and weight loss improve function and reduce pain. Education potentiates compliance to exercise and weight loss programs, thereby improving their long-term benefits. Cost efficiency studies have found a reduction in medical visits and healthcare costs after 12 months because of self-management programs. Conclusion: Among non-surgical treatment options for hip and knee osteoarthritis, the most recent guidelines focus on non-pharmacological treatment. Self-management for general physical activity and exercise has a critical role. Programs must be personalized and adjusted to the patient's phenotype. This development should help every healthcare professional adapt the care they propose to each patient. Registration number for the systematic review: CRD42015032346. Permalink : ./index.php?lvl=notice_display&id=45208

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Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial / Chloé Gay in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 181-188 Titre : Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial Type de document : texte imprimé Auteurs : Chloé Gay ; Candy Guiguet-Auclair ; Nicolas Coste ; Nathalie Boisseau ; Laurent Gerbaud ; Bruno Pereira ; Emmanuel Coudeyre Année de publication : 2020 Article en page(s) : p. 181-188 Note générale : doi.org/10.1016/j.rehab.2019.10.006 Langues : Anglais (eng) Mots-clés : Physical activity level  Exercise  Osteoarthritis  Education  Self-management Résumé : Background The efficacy of spa therapy in osteoarthritis (OA) has ever been demonstrated, with a good level of evidence for pain and disability. The effect of a self-management program with spa therapy on physical activity (PA) level has never been demonstrated. Objective This study aimed to assess, at 3 months, the effectiveness of 5 sessions of a self-management exercise program in patients with knee OA (KOA) who benefit from 18 days of spa therapy and received an information booklet (on proposed physical exercises) on improvement in at least one PA level. Methods This was an interventional, multicentre, quasi-randomized controlled trial with a cluster randomized design (1-month period). People 50 to 75 years old with symptomatic knee OA were included in 3 spa therapy centres in France (Bourbon Lancy, Le Mont Dore, Royat). Both groups received conventional spa therapy sessions during 18 days and an information booklet on the benefits of PA practice for KOA. The intervention group additionally received 5 self-management exercise sessions. The main outcome was improvement in at least one PA level according to the International Physical Activity Questionnaire (IPAQ) short-form categorical score (low to moderate or high, or moderate to high) at 3 months. Secondary outcomes were the evolution of PA (MET-min/week), disability, pain, anxiety, depression, self-efficacy, fears and beliefs concerning KOA, barriers to and facilitators of regular PA practice, consumption of painkillers and adherence to physical exercise program at 3 months. Assessors but not participants or caregivers were blinded. Results In total, 123 patients were randomized, 54 to the intervention group and 69 to the control group. Considering the main outcome, at 3 months, 37% of patients in the intervention group showed improvement in at least one PA level according to the IPAQ categorical score versus 30.4% in the control group (P = 0.44). In the intervention group, 13 (24.1%) patients showed improvement from low to moderate PA level (vs. 8 [11.6%] in the control group), 2 (3.7%) from low to high (vs. 2 [2.9%]) and 5 (9.3%) from moderate to highvs. 11 [15.9%]). Both intervention and control groups showed increased IPAQ continuous scores (MET-min/week) at 3 months, although not significantly. HAD anxiety and depression scores were significantly reduced in the intervention group (P = 0.001 and P = 0.049, respectively) and the perception of PA was better in the intervention than control group for motivation and barriers scores (P = 0.019 and P = 0.002, respectively). Conclusions This study showed the lack of impact of a short self-management program on PA level in addition to 18-day spa therapy for KOA, but both intervention and control groups showed improved PA level. Permalink : ./index.php?lvl=notice_display&id=90793 [article] Limited effect of a self-management exercise program added to spa therapy for increasing physical activity in patients with knee osteoarthritis : A quasi-randomized controlled trial [texte imprimé] / Chloé Gay ; Candy Guiguet-Auclair ; Nicolas Coste ; Nathalie Boisseau ; Laurent Gerbaud ; Bruno Pereira ; Emmanuel Coudeyre . - 2020 . - p. 181-188. doi.org/10.1016/j.rehab.2019.10.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 181-188 Mots-clés : Physical activity level  Exercise  Osteoarthritis  Education  Self-management Résumé : Background The efficacy of spa therapy in osteoarthritis (OA) has ever been demonstrated, with a good level of evidence for pain and disability. The effect of a self-management program with spa therapy on physical activity (PA) level has never been demonstrated. Objective This study aimed to assess, at 3 months, the effectiveness of 5 sessions of a self-management exercise program in patients with knee OA (KOA) who benefit from 18 days of spa therapy and received an information booklet (on proposed physical exercises) on improvement in at least one PA level. Methods This was an interventional, multicentre, quasi-randomized controlled trial with a cluster randomized design (1-month period). People 50 to 75 years old with symptomatic knee OA were included in 3 spa therapy centres in France (Bourbon Lancy, Le Mont Dore, Royat). Both groups received conventional spa therapy sessions during 18 days and an information booklet on the benefits of PA practice for KOA. The intervention group additionally received 5 self-management exercise sessions. The main outcome was improvement in at least one PA level according to the International Physical Activity Questionnaire (IPAQ) short-form categorical score (low to moderate or high, or moderate to high) at 3 months. Secondary outcomes were the evolution of PA (MET-min/week), disability, pain, anxiety, depression, self-efficacy, fears and beliefs concerning KOA, barriers to and facilitators of regular PA practice, consumption of painkillers and adherence to physical exercise program at 3 months. Assessors but not participants or caregivers were blinded. Results In total, 123 patients were randomized, 54 to the intervention group and 69 to the control group. Considering the main outcome, at 3 months, 37% of patients in the intervention group showed improvement in at least one PA level according to the IPAQ categorical score versus 30.4% in the control group (P = 0.44). In the intervention group, 13 (24.1%) patients showed improvement from low to moderate PA level (vs. 8 [11.6%] in the control group), 2 (3.7%) from low to high (vs. 2 [2.9%]) and 5 (9.3%) from moderate to highvs. 11 [15.9%]). Both intervention and control groups showed increased IPAQ continuous scores (MET-min/week) at 3 months, although not significantly. HAD anxiety and depression scores were significantly reduced in the intervention group (P = 0.001 and P = 0.049, respectively) and the perception of PA was better in the intervention than control group for motivation and barriers scores (P = 0.019 and P = 0.002, respectively). Conclusions This study showed the lack of impact of a short self-management program on PA level in addition to 18-day spa therapy for KOA, but both intervention and control groups showed improved PA level. Permalink : ./index.php?lvl=notice_display&id=90793

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Physical activity level and association with behavioral factors in knee osteoarthritis / Chloé Gay in Annals of physical and rehabilitation medicine, Vol. 62, n°1 (Janvier 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 14-20 Titre : Physical activity level and association with behavioral factors in knee osteoarthritis Type de document : texte imprimé Auteurs : Chloé Gay ; Candy Guiguet-Auclair ; Charline Mourgues ; Laurent Gerbaud Année de publication : 2019 Article en page(s) : p. 14-20 Note générale : Doi : 10.1016/j.rehab.2018.09.005 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis  Physical activity  Exercise  Epidemiology  Behavior Résumé : Highlights This study provides new epidemiological data, while highlighting new elements regarding physical activity in osteoarthritis. Measurement of physical activity level was supplemented by modifiable osteoarthritis risk factors analysis. The osteoarthritis population appears more affected by these risk factors, and the most severely affected patients are those with less active lifestyles. Abstract Background The effects of physical activity (PA) in disease prevention and therapy have well-known effects on lower-limb osteoarthritis (OA), decreasing pain and improving function. Objective We aimed to describe the level and factors affecting PA practices of people with knee OA. Design Prospective epidemiological study. Setting In all, 548 people with knee OA were interviewed by use of self-administered anonymous questionnaires. Main outcome measurement The main outcome was physical activity level evaluated by the International physical activity questionnaire (IPAQ) (short version). Secondary outcomes included sociodemographic and clinical data, comorbidities, and barriers to and facilitators of practicing regular PA evaluated by 24 specific elements. Results The mean (SD) age of the study population was 67.6 (7.9) years; 73.9% were women and 30.9% had obesity (mean [SD] body mass index [BMI] 28.2 [5.7] kg/m2). Multi-joint OA affected 92% of the population, and 71.6% had comorbidities. The mean (SD) visual analog scale score for pain intensity was 4.5/10 (2.5), which was 51.4% better than the patient acceptable symptom state (PASS). The mean (SD) Western Ontario and McMaster Universities Osteoarthritis Index function score was 36.6/100 (20.7), which was 57.5% better than the PASS. In total, 67% of patients used analgesics, half of them at least once a week. According to the IPAQ, 42.6% of patients reported high, 38.6% moderate, and 18.8% low PA level; the median IPAQ total activity score was 2628 metabolic equivalent of task (MET)-min/week and time spent sitting was 257.1min/day. Only one third of participants received non-pharmacological treatment corresponding to the latest recommendations. Variables significantly related to inactive or minimally active PA levels were BMI (P=0.0294), sex (P=0.0008), and biomedical barriers, related to self-efficacy (P=0.0118). Conclusions The OA study population was less active, more sedentary, and had more comorbidities and more barriers to PA practice than the overall population. Permalink : ./index.php?lvl=notice_display&id=82399 [article] Physical activity level and association with behavioral factors in knee osteoarthritis [texte imprimé] / Chloé Gay ; Candy Guiguet-Auclair ; Charline Mourgues ; Laurent Gerbaud . - 2019 . - p. 14-20. Doi : 10.1016/j.rehab.2018.09.005 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 14-20 Mots-clés : Knee osteoarthritis  Physical activity  Exercise  Epidemiology  Behavior Résumé : Highlights This study provides new epidemiological data, while highlighting new elements regarding physical activity in osteoarthritis. Measurement of physical activity level was supplemented by modifiable osteoarthritis risk factors analysis. The osteoarthritis population appears more affected by these risk factors, and the most severely affected patients are those with less active lifestyles. Abstract Background The effects of physical activity (PA) in disease prevention and therapy have well-known effects on lower-limb osteoarthritis (OA), decreasing pain and improving function. Objective We aimed to describe the level and factors affecting PA practices of people with knee OA. Design Prospective epidemiological study. Setting In all, 548 people with knee OA were interviewed by use of self-administered anonymous questionnaires. Main outcome measurement The main outcome was physical activity level evaluated by the International physical activity questionnaire (IPAQ) (short version). Secondary outcomes included sociodemographic and clinical data, comorbidities, and barriers to and facilitators of practicing regular PA evaluated by 24 specific elements. Results The mean (SD) age of the study population was 67.6 (7.9) years; 73.9% were women and 30.9% had obesity (mean [SD] body mass index [BMI] 28.2 [5.7] kg/m2). Multi-joint OA affected 92% of the population, and 71.6% had comorbidities. The mean (SD) visual analog scale score for pain intensity was 4.5/10 (2.5), which was 51.4% better than the patient acceptable symptom state (PASS). The mean (SD) Western Ontario and McMaster Universities Osteoarthritis Index function score was 36.6/100 (20.7), which was 57.5% better than the PASS. In total, 67% of patients used analgesics, half of them at least once a week. According to the IPAQ, 42.6% of patients reported high, 38.6% moderate, and 18.8% low PA level; the median IPAQ total activity score was 2628 metabolic equivalent of task (MET)-min/week and time spent sitting was 257.1min/day. Only one third of participants received non-pharmacological treatment corresponding to the latest recommendations. Variables significantly related to inactive or minimally active PA levels were BMI (P=0.0294), sex (P=0.0008), and biomedical barriers, related to self-efficacy (P=0.0118). Conclusions The OA study population was less active, more sedentary, and had more comorbidities and more barriers to PA practice than the overall population. Permalink : ./index.php?lvl=notice_display&id=82399

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