A method to increase compliance to exercise regimens in rheumatoid arthritis patients

Waggoner, Craig D.; LeLieuvre, Robert B.

doi:10.1007/bf00844270

Cited by 33 publications

(12 citation statements)

References 5 publications

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“…This approach is consistent with recent practice [43]. The year 1981 was chosen as the starting point for study searches based on a preliminary search in PubMed in which the first cited randomized controlled trial on exercise and arthritis in adults was published in 1981 [44]. …”

Section: Methodsmentioning

confidence: 99%

Effects of exercise on depression in adults with arthritis: a systematic review with meta-analysis of randomized controlled trials

Kelley¹,

Kelley²,

Hootman³

2015

Arthritis Res Ther

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IntroductionPrevious randomized controlled trials have led to conflicting findings regarding the effects of exercise on depressive symptoms in adults with arthritis and other rheumatic conditions (AORC). The purpose of this study was to use the meta-analytic approach to resolve these discrepancies.MethodsThe inclusion criteria were: (1) randomized controlled trials, (2) exercise (aerobic, strength training, or both) ≥4 weeks, (3) comparative control group, (4) adults with osteoarthritis, rheumatoid arthritis, fibromyalgia or systemic lupus erythematosus, (5) published studies in any language since January 1, 1981 and (6) depressive symptoms assessed. Studies were located by searching 10 electronic databases, cross-referencing, hand searching and expert review. Dual-selection of studies and data abstraction was performed. Hedge’s standardized mean difference effect size (g) was calculated for each result and pooled using random-effects models, an approach that accounts for heterogeneity. Non-overlapping 95% confidence intervals (CI) were considered statistically significant. Heterogeneity based on fixed-effect models was estimated using Q and I2 with alpha values ≤0.10 for Q considered statistically significant.ResultsOf the 500 citations reviewed, 2,449 participants (1,470 exercise, 979 control) nested within 29 studies were included. Length of training, reported as mean ± standard deviation (±SD) was 19 ± 16 weeks, frequency 4 ± 2 times per week and duration 34 ± 17 minutes per session. Overall, statistically significant exercise minus control group reductions were found for depressive symptoms (g = −0.42, 95% CI, −0.58, −0.26, Q = 126.9, P <0.0001, I2 = 73.2%). The number needed-to-treat was 7 (95% CI, 6 to 11) with an estimated 3.1 million (95% CI, 2.0 to 3.7) United States adults not currently meeting physical activity guidelines improving their depressive symptoms if they began and maintained a regular exercise program. Using Cohen’s U3 Index, the percentile reduction was 16.4% (95% CI, 10.4% to 21.9%). All studies were considered to be at high risk of bias with respect to blinding of participants and personnel to group assignment.ConclusionsExercise is associated with reductions in depressive symptoms among selected adults with AORC. A need exists for additional, well-designed and reported studies on this topic.Electronic supplementary materialThe online version of this article (doi:10.1186/s13075-015-0533-5) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Effects of exercise on depression in adults with arthritis: a systematic review with meta-analysis of randomized controlled trials

Kelley¹,

Kelley²,

Hootman³

2015

Arthritis Res Ther

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“…All studies measured 1 or 2 of the following process measures: compliance (16,59), grip strength (42,56 -58,60), and range of motion (16,42,56 -58,60). In the high quality RCT (42), no significant differences in grip strength between groups were found, whereas in the low quality RCT (56), significant changes in grip strength after training of hand function were reported.…”

Section: Steultjens Et Almentioning

confidence: 99%

Occupational therapy for rheumatoid arthritis: A systematic review

Steultjens¹,

Dekker²,

Bouter³

et al. 2002

Arthritis & Rheumatism

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“…Only two studies of these interventions have been performed with RA patients. Waggoner and LeLieuvre [44] developed and tested a behavioral approach to improve adherence with a hand exercise regimen. It was found that adding an automated electronic counter with a visual display to a hand exercise device improved mean adherence among 1 2 patients from 83% to 97%.…”

Section: Interventions For Enhancing Adherencementioning

confidence: 99%

“…These measures ideally should encompass both the frequency and the qualitative aspects of home exercise and the cognitive-behavioral treatments. Further development of automated exercise recording devices such as that produced by Waggoner and LeLieuvre [44] is encouraged. However, it might also be useful to devote effort to evaluating the reliability and validity of family members' unobtrusive recordings of patient behavior.…”

Section: Summary Am) Future Research Directionsmentioning

confidence: 99%

“…The study of adherence certainly will benefit from further development of behavioral interventions such as the electronic counter with visual display produced by Waggoner and LeLieuvre [44]. However, adherence with a wide variety of RA treatments might best be promoted by standardized treatment approaches that teach patients effective means of regulating their behavior.…”

Section: Summary Am) Future Research Directionsmentioning

confidence: 99%

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Adherence with treatment regimens among adult rheumatoid arthritis patients: Current status and future directions

Bradley

1989

Arthritis & Rheumatism

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This paper reviews the literature concerning adult rheumatoid arthritis IRA) patients' adherence with medication regimens, home exercise, splint usage, and self-management of pain. There are few reliable data regarding the prevalence of adherence problems or the attributes of patients, health-care providers, and environments that may influence adherence. In addition, little effort has been devoted to the development of interventions that may enhance adherence. Future investigators should attend to (1 J the development of reliable and valid measures of adherence; (2) longitudinal studies of changes in adherence as a function of disease activity, treatment methods, and third-party reimbursements for services; (3 J observational studies of patient-provider interactions and their influence on adherence; and (4J interventions to enhance adherence that are based on a self-regulation model.It is widely accepted that the efficacy of medical and behavioral treatment interventions is dependent in part upon the degree to which patients perform the actions required by these interventions [l, 21. Among rheumatoid arthritis (RA) patients, adherence to the requirements of therapeutic interventions have been studied primarily with regard to medication intake, home exercise performance, splint wearing, and

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A method to increase compliance to exercise regimens in rheumatoid arthritis patients

Cited by 33 publications

References 5 publications

Effects of exercise on depression in adults with arthritis: a systematic review with meta-analysis of randomized controlled trials

Effects of exercise on depression in adults with arthritis: a systematic review with meta-analysis of randomized controlled trials

Occupational therapy for rheumatoid arthritis: A systematic review

Adherence with treatment regimens among adult rheumatoid arthritis patients: Current status and future directions

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