A group-mediated physical activity intervention in older knee osteoarthritis patients: effects on social cognitive outcomes

Abstract

The objective of the present study was to compare a group-mediated cognitive behavioral (GMCB) physical activity intervention with traditional exercise therapy (TRAD) upon select social cognitive outcomes in sedentary knee osteoarthritis (knee OA) patients. A total of 80 patients (mean age = 63.5 years; 84% women) were recruited using clinic and community-based strategies to a 12-month, single-blind, two-arm, randomized controlled trial. Mobility-related self-efficacy, self-regulatory self-efficacy (SRSE), and satisfaction with physical function (SPF) were assessed at baseline, 3, and 12 months. Results of intent-to-treat 2 (Treatment: GMCB and TRAD) × 2 (Time: 3 and 12 month) analyses of covariance yielded significantly greater increases in SRSE and SPF (P < 0.01) relative to TRAD. Partial correlations revealed that changes in SRSE and SPF were significantly related (P < 0.05) to improvements in physical activity and mobility at 3 and 12-months. The GMCB intervention yielded more favorable effects on important social cognitive outcomes than TRAD; these effects were related to improvements in physical activity and mobility.

Effects of a Group-Mediated Cognitive Behavioral Lifestyle Intervention on Select Social Cognitive Outcomes in Prostate Cancer Patients Undergoing Androgen Deprivation Therapy

“…Consequently, the improvements in social cognitive outcomes accompanying the EX+D intervention in IDEA-P are consistent with findings observed in prior GMCB lifestyle intervention trials and extend these findings to PCa patients undergoing ADT. 21,30,51…”

“…Additionally, each of these measures has been previously demonstrated to be sensitive to change in prior randomized controlled lifestyle interventions. 21,30,43,44,51,56,57…”

“…Within this conceptual context, SE beliefs may serve as direct determinants of exercise and dietary behavior or indirectly influence exercise and dietary intake through their interaction with other social cognitive constructs including one’s self-regulatory abilities and relevant expectations regarding both the behavioral processes and desired outcomes resulting from volitional change in exercise and dietary behavior. 16,21,29,30…”

Rheumatoide Arthritis – Prävalenz, Bedeutung und Implikationen für die Prävention und Gesundheitsförderung

“…Als weitere Möglichkeiten werden zur Stärkung der aktivitätsbezogenen Selbstwirksamkeitneben bzw. in Verbindung mit körperlicher Aktivität -Motivationsgespräche, Informationsvermittlung, Techniken der Selbstregulation und kognitive Verhaltenstherapie genannt (Hurley et al 2018;Focht et al 2017). Um eine Stärkung der aktivitätsbezogenen Selbstwirksamkeit in Alltag und Praxis zu erreichen, sollten Patienten mit rA ihre körperlichen Leistungen im Training als selbsterzeugt erleben und regelmäßig zumindest kleine Erfolgserlebnisse erfahren.…”

Evaluación de la eficacia de un programa de ejercicios para osteoartritis de rodilla

“…El 49.4% mejoraron su fuerza muscular, lo cual es de vital importancia en pacientes con artrosis de rodilla. Según resultados de algunos estudios, los participantes con más fuerza en los músculos presentan menor pérdida del cartílago, concluyendo que un músculo fuerte ayuda a que la rótula no se desplace lateralmente ni pierda la alineación con el movimiento; otros autores plantean que los ejercicios isométricos fortalecen las articulaciones y aumentan su protección [23][24][25][26] .…”