title: Effects of a tailored activity pacing intervention on pain and fatigue for adults with osteoarthritis.
abstract: OBJECTIVE
  We examined whether tailored activity pacing intervention was more effective at reducing pain and fatigue than general activity pacing intervention.
  
  
  METHODS
  Adults with knee or hip osteoarthritis (N = 32) stratified by age and gender were randomized to receive either tailored or general pacing intervention. Participants wore an accelerometer for 5 days that measured physical activity and allowed for repeated symptom assessment. Physical activity and symptom data were used to tailor activity pacing instruction. Outcomes at 10-week follow-up were pain (Western Ontario and McMaster Universities Osteoarthritis Index) and fatigue (Brief Fatigue Inventory).
  
  
  RESULTS
  Compared with general intervention, the tailored group had less fatigue interference (p = .02) and trended toward decreased fatigue severity (p = .09) at 10-wk follow-up. No group differences were found in pain reduction.
  
  
  CONCLUSIONS
  Tailoring instruction on the basis of recent symptoms and physical activity may be a more effective symptom management approach than general instruction given the positive effects on fatigue.
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, USA. sumurphy@umich.edu
authors.forename: Susan L
authors.initials: SL
authors.lastname: Murphy
authors.forename: Angela K
authors.initials: AK
authors.lastname: Lyden
authors.forename: Dylan M
authors.initials: DM
authors.lastname: Smith
authors.forename: Qian
authors.initials: Q
authors.lastname: Dong
authors.forename: Jessica F
authors.initials: JF
authors.lastname: Koliba
mesh_terms: D000203:Activities of Daily Living; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D015207:Osteoarthritis, Hip / Q000534:rehabilitation*; D020370:Osteoarthritis, Knee / Q000534:rehabilitation*; D010146:Pain / Q000534:rehabilitation; D010147:Pain Measurement; D010865:Pilot Projects