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

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...

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Autores principales: Rejeski, W Jack, Spring, Bonnie, Domanchuk, Kathryn, Tao, Huimin, Tian, Lu, Zhao, Lihui, McDermott, Mary M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910685/
https://www.ncbi.nlm.nih.gov/pubmed/24467875
http://dx.doi.org/10.1186/1479-5876-12-29
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author Rejeski, W Jack
Spring, Bonnie
Domanchuk, Kathryn
Tao, Huimin
Tian, Lu
Zhao, Lihui
McDermott, Mary M
author_facet Rejeski, W Jack
Spring, Bonnie
Domanchuk, Kathryn
Tao, Huimin
Tian, Lu
Zhao, Lihui
McDermott, Mary M
author_sort Rejeski, W Jack
collection PubMed
description 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]
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spelling pubmed-39106852014-02-04 A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: effects on social and psychological function Rejeski, W Jack Spring, Bonnie Domanchuk, Kathryn Tao, Huimin Tian, Lu Zhao, Lihui McDermott, Mary M J Transl Med Research 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] BioMed Central 2014-01-28 /pmc/articles/PMC3910685/ /pubmed/24467875 http://dx.doi.org/10.1186/1479-5876-12-29 Text en Copyright © 2014 Rejeski et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Rejeski, W Jack
Spring, Bonnie
Domanchuk, Kathryn
Tao, Huimin
Tian, Lu
Zhao, Lihui
McDermott, Mary M
A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: effects on social and psychological function
title A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: effects on social and psychological function
title_full A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: effects on social and psychological function
title_fullStr A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: effects on social and psychological function
title_full_unstemmed A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: effects on social and psychological function
title_short A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: effects on social and psychological function
title_sort group-mediated, home-based physical activity intervention for patients with peripheral artery disease: effects on social and psychological function
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910685/
https://www.ncbi.nlm.nih.gov/pubmed/24467875
http://dx.doi.org/10.1186/1479-5876-12-29
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