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. 2023 Apr;30(2):199-210.
doi: 10.1007/s12529-022-10080-y. Epub 2022 Mar 23.

What Are the Predictors of Self-Reported Change in Physical Activity in Older Adults with Knee or Hip Osteoarthritis?

Erwin C P M Tak  1 , Lisanne M Verweij  2 , Astrid M J Chorus  3 , Marijke Hopman-Rock  4
Affiliations

What Are the Predictors of Self-Reported Change in Physical Activity in Older Adults with Knee or Hip Osteoarthritis?

Erwin C P M Tak et al. Int J Behav Med. 2023 Apr.

Abstract

Background: Although physical activity (PA) has been shown to be beneficial in older adults with osteoarthritis (OA), most show low levels of PA. This study evaluated if self-efficacy, attitude, social norm, and coping styles predicted change in PA in older adults with OA in the knee and/or hip.

Methods: Prospective study following 105 participants in a self-management intervention with baseline, post-test (6 weeks), and follow-up (6 months). Univariate associations and multivariate regression with self-reported change in PA as the dependent variable were measured. Potential predictors in the model: demographic, illness-related, and behavioral variables (attitude, self-efficacy, social norm, and intention), coping style, and pain coping.

Results: Forty-eight percent of participants reported increased PA at 6 weeks and 37% at 6 months which corresponded with registered PA levels. At 6 weeks, use of the pain coping style "resting," intention, and participation in the intervention was univariately and multivariately, positively associated with more self-reported change, whereas being single and less use of the pain coping style "distraction" predicted less change. Higher pain severity only predicted less change multivariately. At 6 months, univariate associations for age, general coping style "seeking support," and participation in the intervention were found; higher age was associated multivariately with less self-reported change.

Conclusion: At short term, self-reported change of PA was predicted by the behavioral factors intention and several pain coping styles. Together with other predictors of self-reported change (pain severity, higher age, being single), these could be addressed in future interventions for enhancing PA in older adults with OA.

Keywords: Aging; Behavior; Coping; Exercise; Pain.

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Conflict of interest statement

The authors declare that they have no financial or competing interests.

Figures

Fig. 1
Fig. 1
Blocks of independent variables, time of measurement, and two models of change in physical activity (PA) behavior used in multivariate stepwise backward logistic regression analyses
See this image and copyright information in PMC

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References

    1. Felson DT, Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM, et al. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med. 2000;133(8):635–46. - PubMed
    1. Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Arthritis Rheum. 2000;43(9):1905–15. - PubMed
    1. Fransen M, McConnell S, Harmer AR, Van der Esch M, Simic M, Bennell KL. Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev. 2015;1:CD004376. - PMC - PubMed
    1. Devos-Comby L, Cronan T, Roesch SC. Do exercise and self-management interventions benefit patients with osteoarthritis of the knee? A metaanalytic review J Rheumatol. 2006;33(4):744–756. - PubMed
    1. Dunlop DD, Semanik P, Song J, Sharma L, Nevitt M, Jackson R, et al. Moving to maintain function in knee osteoarthritis: evidence from the osteoarthritis initiative. Arch Phys Med Rehabil. 2010;91(5):714–721. doi: 10.1016/j.apmr.2010.01.015. - DOI - PMC - PubMed

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