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Effectiveness of two Arthritis Foundation programs: Walk With Ease,and YOU Can Break the Pain Cycle
Authors:Michelle Bruno  Susan Cummins  Lisha Gaudiano  Johanna Stoos  Peter Blanpied
Affiliation:Physical Therapy Program, University of Rhode Island, Kingston, RI, USA
Abstract:

Objective:

To evaluate the effectiveness of two Arthritis Foundation programs: Walk With Ease (WWE) and YOU Can Break The Pain Cycle (PC).

Design:

Quasi-experimental, repeated measures design. Retested at six weeks and four months.

Setting:

Community based intervention.

Participants:

Volunteer sample of 163 adults with arthritis recruited through mailings, newspapers, and flyers.

Interventions:

Subjects participated in a 90 minute seminar (PC, Group A), a six-week walking program (WWE, Group B), or both programs (Group C).

Main outcome measures:

Survey assessment of arthritis knowledge, general health, self-management activities, confidence, physical abilities, depression, health distress, and how arthritis affects their life. A Squat Test, a Six Minute Walk test, and a Timed Functional Walk Test were also administered.

Results:

Subjects in Group B were more confident, less depressed, had less health distress, and less pain than subjects in Group A. Scores of Group C were between Group A and B scores. Differences in groups over time indicated that the WWE resulted in increased confidence, physical abilities, time spent in self-management activities and decreased pain and fatigue. All groups increased in walking endurance at six weeks, and increased in health distress at four months.

Conclusion:

Subjects in different programs differed on impact of arthritis. These programs provide effective arthritis management opportunities.
Keywords:arthritis   self care   patient education   exercise
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