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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)
 
 
 

Fit and Strong!: bolstering maintenance of physical activity among older adults with lower-extremity osteoarthritis.

OBJECTIVES: To compare the impact of negotiated vs. mainstreamed follow-up with telephone reinforcement (TR) on maintenance of physical activity (PA) after Fit and Strong! ended. METHODS: A multisite comparative effectiveness trial with repeated measures. RESULTS: Single group random effects analyses showed significant improvements at 2, 6, 12, and 18 months on PA maintenance, lower-extremity (LE) pain and stiffness, LE function, sit-stand, 6-minute distance walk, and anxiety/depression. Analyses by follow-up condition showed persons in the negotiated with TR group maintained a 21% increase in caloric expenditures over baseline at 18 months, with lesser benefits seen in the negotiated-only, mainstreamed-with-TR, and mainstreamed-only groups. Significant benefits of telephone dose were also seen on LE joint stiffness, pain, and function as well as anxiety and anxiety/depression. CONCLUSIONS: The negotiated follow-up contract that Fit and Strong! uses, bolstered by TR, is associated with enhanced long-term PA maintenance and health outcomes.[1]

References

  1. Fit and Strong!: bolstering maintenance of physical activity among older adults with lower-extremity osteoarthritis. Hughes, S.L., Seymour, R.B., Campbell, R.T., Desai, P., Huber, G., Chang, H.J. Am. J. Health. Behav (2010) [Pubmed]
 
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